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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Monroe, NY: $68.69

Avg. Paid

$68.69

Range

$5.23 – $159.58

Total Claims

774,047

Providers

81

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in Monroe, NY

Provider Avg. Paid Claims Patients
Krystle Mabee

475 State Route 17M

$67.96 13 12
Andrew Fletcher Singles

745 State Route 17M Ste 203

$119.17 13 13
Kj Medical Practice Pc

14 Raywood Dr

$44.03 39 30
Samantha Lee Kyvik

147 Ludlam Rd

$159.58 43 42
Andreea A Rahman

855 State Route 17M

$66.98 108 106
Kristina Noelle Kassis

855 State Route 17M

$101.57 112 107
Joseph G. Tuchman

503 Route 208

$55.95 120 119
Raquel Aires Gomes Rosenfeld

745 State Route 17M

$126.51 132 130
Leonid Izikson

745 State Route 17M

$51.41 141 136
Vladimir Zelenko M.D. P.C.

3 Hamaspik Way

$68.62 157 143
Steven Wolinsky

503 Route 208

$72.18 186 183
Amy Andrews

503 Route 208

$71.65 230 229
Xiomara D Quezada

1200 State Route 208

$77.54 252 251
Bonnie A Muller

1200 State Route 208 Ste 13

$91.58 265 253
Andrew Paul Hannes

91 Lakes Rd

$111.21 293 287
Dovid Flohr

110 Stage Rd

$48.39 356 337
Lorraine Lamm

40 Margaret Rd # 2

$89.70 370 322
Ashwin Vilas Rangavajjula

855 State Route 17M

$109.75 380 372
Roberta L. Schiffer

855 State Route 17M

$96.93 437 397
Zohra Ludmerer

855 State Route 17M

$71.99 463 419
Raquel Castillo-Rodriguez

475 State Route 17M

$106.22 469 423
Mihaela Krachtus

855 State Route 17M

$90.88 474 448
Caitlin Lakeman

855 State Route 17M

$79.98 506 477
Sammy Hutman

503 Route 208

$76.76 554 545
Nilufer Clubwala

70 Gilbert St

$71.62 561 549
Bhakti Shah

855 State Route 17M

$112.16 584 578
Maria T. Ranin-Lay

855 State Route 17M

$75.85 726 669
Opeyemi Olatoye Daramola

855 State Route 17M

$128.54 766 747
Themistoklis J Nissirios

855 State Route 17M

$67.21 785 748
Olanrewaju Olayinka Somorin

1200 State Route 208 Ste 15

$47.68 818 697
Lawrence Daniel Miller

475 State Route 17M

$21.05 824 816
Linda J Cuomo

855 State Route 17M

$83.70 830 795
Katherine D Wood

855 State Route 17M

$92.88 882 860
Albert Harry Zucker

505 Route 208

$42.33 1,142 1,048
Eliezer Z Schwartz

14 Raywood Dr

$70.97 1,169 1,122
Avraham Sokoloff

503 Route 208

$73.56 1,173 1,139
Laura Nicoll

855 State Route 17M

$76.11 1,182 1,122
Joseph Charles Chavez Carey

475 State Route 17M

$82.23 1,218 1,112
Annabel N Yuen

855 State Route 17M

$89.89 1,263 1,208
Corinne Zambetti

745 State Route 17M

$76.73 1,296 1,258
Envision Eye Care Inc

1 Preshburg Blvd

$11.63 1,345 344
Rashek Kazi

855 State Route 17M

$86.02 1,489 1,475
Riaz Rahman

855 State Route 17M

$85.27 1,493 1,442
Kaiyu Ma

855 State Route 17M

$94.11 1,548 1,530
Ila Khanna

855 State Route 17M

$81.71 1,622 1,598
Rajana Meka

855 State Route 17M

$74.85 1,731 1,651
Micah Solomon Katz

501 State Route 208

$83.51 1,816 1,742
Elve Laborde

49 Forest Rd

$90.86 1,915 1,206
Kaushal Shah

475 State Route 17M

$92.84 1,919 1,744
Nicholas Alexander Avitabile

855 State Route 17M

$79.97 2,525 2,467

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code Description Avg. Paid Claims Providers
99213 Office visit established mod $43.18 764,306,590 487,602
99214 Office visit established mod-hi $59.53 502,480,931 466,856
99212 Office visit established low $41.69 92,299,154 127,462
99203 Office visit new moderate $67.55 47,756,882 127,334
99211 Office visit established minor $39.24 44,127,221 47,748
99204 Office visit new moderate-high $92.03 32,379,031 111,937
99215 Office visit established high $93.58 29,619,773 74,725
99202 Office visit new low $58.57 9,372,712 35,486
99205 Office visit new high $136.10 3,665,382 19,737
99244 Office consultation mod-high $118.25 3,405,681 11,884
99243 Office consultation moderate $78.55 2,585,480 8,432
99245 Office consultation high $132.29 645,300 3,046
99242 Office consultation low $58.27 483,445 1,980
99241 Office consultation brief $66.15 295,664 712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in Monroe, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monroe, NY is $68.69 per claim, based on 774,047 claims from 81 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in Monroe, NY?

There are 81 Medicaid providers offering Office Visit related services in Monroe, NY according to public payment data.

What is the price range for Office Visit in Monroe, NY?

Medicaid reimbursement for Office Visit in Monroe, NY ranges from $5.23 to $159.58 per claim, with an average of $68.69. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Monroe, NY