Average Medicaid Office Visit Payments in Monticello, NY: $75.53
Avg. Paid
$75.53
Range
$4.13 – $186.40
Total Claims
177,536
Providers
43
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 Monticello, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eric J. Bloom
38 North St |
$4.13 | 12 | 12 |
|
Michael Pietro Delrosso
427 Broadway Ste 2 |
$79.04 | 25 | 25 |
|
Sheldon D. Leidner
518 Broadway |
$156.67 | 29 | 29 |
|
Lauren Suzanne Roman
38 Concord Rd |
$69.30 | 95 | 94 |
|
Paul Atlas
427 Broadway |
$29.30 | 153 | 136 |
|
Brittaney Lee Heimink
606 Old Route 17 |
$16.84 | 210 | 141 |
|
Lee Ann Hubbert
32 Thompson Square Mall Ste 5 |
$104.53 | 211 | 206 |
|
Christine Pham
427 Broadway Ste 2 |
$70.93 | 221 | 195 |
|
Quais K Sayeed
38 Concord Rd |
$57.68 | 227 | 216 |
|
Katherine Seibert
23 Lakewood Ave |
$79.44 | 335 | 185 |
|
Christine Aranyi
2 High St |
$70.32 | 395 | 160 |
|
David Christopher Morgan
38 Concord Rd |
$58.48 | 433 | 412 |
|
Bruce Steven Pinker
427 Broadway |
$49.36 | 433 | 155 |
|
Yong-Suk Zarski
26 Hamilton Ave Ste 2 |
$35.43 | 489 | 442 |
|
Eileen Braga
14 Prince St |
$33.73 | 660 | 115 |
|
Eric Kaplan
427 Broadway |
$66.48 | 799 | 762 |
|
Brynn Nicole Mckeon
38 Concord Rd |
$103.17 | 880 | 829 |
|
Jonathan R. Weiss
518 Broadway |
$122.55 | 887 | 865 |
|
Olena Yuriyivna Prokopov
23 Lakewood Ave |
$92.45 | 929 | 596 |
|
Juan Domingo Goyzueta
139 Forestburgh Rd |
$49.24 | 1,008 | 984 |
|
Catskill Dermatology, Pc
110 Bridgeville Rd |
$86.90 | 1,011 | 1,003 |
|
Imran Ahmed
38 Concord Rd |
$79.67 | 1,046 | 1,013 |
|
Gregg Atlas
427 Broadway |
$74.04 | 1,621 | 1,434 |
|
David Morcos
38 Concord Rd |
$99.11 | 1,699 | 1,660 |
|
Loretta Goodman Salvay
80 Lakewood Ave |
$85.76 | 1,739 | 992 |
|
Gary C Garfield
518 Broadway |
$97.05 | 1,788 | 1,708 |
|
Nancyann Condro
427 Broadway |
$86.82 | 2,249 | 1,638 |
|
Barry M Scheinfeld
14 Harris Bushville Rd |
$59.09 | 2,315 | 2,215 |
|
Khorsheda Begum Ali
23 Lakewood Ave |
$103.72 | 2,530 | 1,317 |
|
The Center For Discovery Inc
606 Old Route 17 |
$104.13 | 2,720 | 2,236 |
|
Ronald A Serocki
14 Pelton St |
$186.40 | 3,177 | 1,835 |
|
Kolo Nicholas Ediale
68 Harris Bushville Road |
$105.22 | 3,394 | 3,357 |
|
Jeffrey Ross Weinstein
64 Jefferson St |
$97.35 | 3,426 | 3,309 |
|
Abraham G. Garfinkel
15 Hamilton Ave |
$57.68 | 4,519 | 4,032 |
|
Lonny Rosenfeld
427 Broadway |
$78.65 | 5,336 | 4,813 |
|
Peter Joseph Panzarino
2 High St |
$94.51 | 5,471 | 4,020 |
|
Diane Elizabeth Primavera
60 Jefferson St |
$102.22 | 5,590 | 3,620 |
|
Norma O'Brien
23 Lakewood Ave |
$83.33 | 8,341 | 4,967 |
|
Tricia Harvey
38 Concord Rd |
$110.70 | 10,710 | 7,353 |
|
Steven J. Fishman
110 Bridgeville Rd |
$58.86 | 11,576 | 11,194 |
|
Synergy Of Monticello Inc
2 High St |
$74.10 | 15,859 | 14,439 |
|
Amarjit S Gill
80 Lakewood Ave |
$77.03 | 29,773 | 25,794 |
|
Zecharia Lind
110 Bridgeville Rd |
$47.83 | 43,215 | 37,457 |
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 Monticello, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monticello, NY is $75.53 per claim, based on 177,536 claims from 43 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 Monticello, NY?
There are 43 Medicaid providers offering Office Visit related services in Monticello, NY according to public payment data.
What is the price range for Office Visit in Monticello, NY?
Medicaid reimbursement for Office Visit in Monticello, NY ranges from $4.13 to $186.40 per claim, with an average of $75.53. 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 Monticello, NY
Psychiatric Evaluation
Avg $93.06
40,276 claims
Vaccines & Immunizations
Avg $10.43
21,161 claims
Durable Medical Equipment (DME)
Avg $61.70
18,426 claims
Blood Work & Lab Tests
Avg $7.20
15,132 claims
Physical Therapy
Avg $44.47
14,374 claims
Podiatry (Foot Care)
Avg $38.55
13,889 claims
Eye Exam
Avg $73.02
12,564 claims
Emergency Room Visit
Avg $68.70
10,788 claims