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 |
|---|---|---|---|
|
Samuel Werzberger
22 Van Buren Dr |
$59.23 | 130,640 | 102,622 |
|
Best Healthcare, Inc
22 Van Buren Dr |
$112.62 | 107,108 | 93,714 |
|
Tzvi Farkas
14 Raywood Dr |
$5.23 | 80,774 | 25,809 |
|
Lazar Khaimov
49 Forest Rd |
$60.79 | 76,116 | 42,635 |
|
Eliezer Aaron Frommer
49 Forest Road |
$62.91 | 57,464 | 31,524 |
|
Alan Werzberger
22 Van Buren Dr |
$75.52 | 33,321 | 29,030 |
|
Dina R Faiden
49 Forest Rd |
$66.64 | 24,865 | 13,691 |
|
Myer Gurkov
49 Forest Rd |
$70.60 | 24,497 | 13,399 |
|
Richard Shanin
49 Forest Rd |
$80.75 | 22,504 | 13,319 |
|
Robin Joyce Aschkenasy
49 Forest Rd |
$63.22 | 21,237 | 11,904 |
|
Adam Tilson
49 Forest Rd |
$71.05 | 18,792 | 10,127 |
|
Daniel Solomon Berman
491 State Route 208 Ste 211 |
$63.93 | 14,865 | 14,725 |
|
Naftali Minzer
49 Forest Rd |
$65.33 | 14,320 | 8,524 |
|
Howard Lee Barenfeld
91 Lakes Road |
$89.27 | 12,779 | 8,160 |
|
Dov Markowitz
26 Ruzhin Rd Unit 202 |
$93.78 | 12,371 | 11,389 |
|
Shannon Diehl
1200 State Route 208 Ste 15 |
$87.91 | 8,913 | 5,772 |
|
Lily Namanworth
49 Forest Rd |
$58.16 | 8,139 | 4,347 |
|
Sara Mendlowitz
22 Van Buren Dr |
$84.50 | 8,137 | 7,490 |
|
Frieda Klein
49 Forest Rd |
$87.22 | 7,460 | 3,896 |
|
Elena Rubchinski
49 Forest Rd |
$100.29 | 6,690 | 6,285 |
|
Brent Matthew Jansen
70 Gilbert St |
$87.69 | 5,296 | 5,116 |
|
Jamee Michele Goldstein
70 Gilbert St |
$87.02 | 5,118 | 4,941 |
|
Danielle Theresa Dziedzic
70 Gilbert St |
$85.34 | 4,736 | 4,601 |
|
Evan David Harawitz
70 Gilbert St |
$83.51 | 4,671 | 4,548 |
|
Craig James Amnott
1200 State Route 208 |
$88.79 | 4,413 | 4,102 |
|
Stacey Kaplan Rosmarin
70 Gilbert St |
$85.08 | 3,826 | 3,707 |
|
Joena R Chan
1200 Route 208 |
$78.16 | 3,623 | 3,468 |
|
Aizer Health , Inc.
49 Forest Road |
$92.58 | 3,548 | 3,231 |
|
Sema Bank
49 Forest Rd |
$89.58 | 3,351 | 1,818 |
|
Abraham Derman
49 Forest Rd |
$83.53 | 2,988 | 1,848 |
|
Munish Kumar
855 State Route 17M |
$82.74 | 2,750 | 2,564 |
|
Nicholas Alexander Avitabile
855 State Route 17M |
$79.97 | 2,525 | 2,467 |
|
Kaushal Shah
475 State Route 17M |
$92.84 | 1,919 | 1,744 |
|
Elve Laborde
49 Forest Rd |
$90.86 | 1,915 | 1,206 |
|
Micah Solomon Katz
501 State Route 208 |
$83.51 | 1,816 | 1,742 |
|
Rajana Meka
855 State Route 17M |
$74.85 | 1,731 | 1,651 |
|
Ila Khanna
855 State Route 17M |
$81.71 | 1,622 | 1,598 |
|
Kaiyu Ma
855 State Route 17M |
$94.11 | 1,548 | 1,530 |
|
Riaz Rahman
855 State Route 17M |
$85.27 | 1,493 | 1,442 |
|
Rashek Kazi
855 State Route 17M |
$86.02 | 1,489 | 1,475 |
|
Envision Eye Care Inc
1 Preshburg Blvd |
$11.63 | 1,345 | 344 |
|
Corinne Zambetti
745 State Route 17M |
$76.73 | 1,296 | 1,258 |
|
Annabel N Yuen
855 State Route 17M |
$89.89 | 1,263 | 1,208 |
|
Joseph Charles Chavez Carey
475 State Route 17M |
$82.23 | 1,218 | 1,112 |
|
Laura Nicoll
855 State Route 17M |
$76.11 | 1,182 | 1,122 |
|
Avraham Sokoloff
503 Route 208 |
$73.56 | 1,173 | 1,139 |
|
Eliezer Z Schwartz
14 Raywood Dr |
$70.97 | 1,169 | 1,122 |
|
Albert Harry Zucker
505 Route 208 |
$42.33 | 1,142 | 1,048 |
|
Katherine D Wood
855 State Route 17M |
$92.88 | 882 | 860 |
|
Linda J Cuomo
855 State Route 17M |
$83.70 | 830 | 795 |
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
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Monroe, NY
Home Health Visit
Avg $133.65
3,922,869 claims
Behavioral & Mental Health Therapy
Avg $219.26
296,569 claims
Physical Therapy
Avg $58.24
176,672 claims
Vaccines & Immunizations
Avg $13.76
153,972 claims
Dental Cleaning & Exam
Avg $48.28
142,317 claims
Speech Therapy
Avg $80.52
122,427 claims
Blood Work & Lab Tests
Avg $8.25
112,093 claims
Culture & Microbiology Tests
Avg $3.80
91,411 claims