Average Medicaid Office Visit Payments in Mount Vernon, NY: $68.09
Avg. Paid
$68.09
Range
$0.00 – $204.96
Total Claims
314,016
Providers
123
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 Mount Vernon, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nonyelu Iruoma Anyichie
105 Stevens Ave Ste 209 |
$74.14 | 19,397 | 17,896 |
|
Patrick Akobeh Tigenoah
6 Gramatan Ave Ste 606 |
$91.85 | 17,524 | 14,980 |
|
Anhtho Tran Kashyap
107 W 4Th St |
$69.07 | 12,584 | 8,666 |
|
Shahriar Mahmoudiani
107 W 4Th St |
$40.33 | 11,808 | 2,819 |
|
Montefiore Mount Vernon Hospital
12 N 7Th Ave |
$175.37 | 11,792 | 10,406 |
|
The Guidance Center Of Westchester, Inc
256 Washington St |
$115.04 | 11,634 | 10,103 |
|
Marie-Micheline Lominy
559 Gramatan Ave |
$89.47 | 10,199 | 9,065 |
|
Andrea Michelle Weiner
54 Parkway S |
$40.86 | 9,928 | 2,301 |
|
Satyavathi Sharma
105 Stevens Ave |
$56.48 | 9,618 | 8,182 |
|
Glenn Davis
107 West 4Th Street |
$43.45 | 8,986 | 7,983 |
|
Shehla Hasnain Naqvi
105 Stevens Ave |
$45.25 | 8,733 | 5,743 |
|
Ari Samuel Rosenbach
107 W 4Th St |
$39.40 | 8,103 | 7,036 |
|
Marc Charles Janis
105 Stevens Ave |
$53.05 | 7,456 | 6,823 |
|
Mahinderjit Singh
559 Gramatan Ave |
$66.08 | 7,103 | 1,308 |
|
Shamima Chowdhury
107 West 4Th Street |
$27.68 | 6,553 | 5,986 |
|
Miriam N James
100 Stevens Ave |
$84.21 | 5,914 | 5,134 |
|
Alex Aboagye
107 W 4Th St |
$40.22 | 5,716 | 4,414 |
|
Suzanne Elizabeth Mcglynn
8 Alameda Pl |
$124.63 | 5,480 | 3,677 |
|
Chaudry Hameed
107 West 4Th Street |
$70.69 | 4,987 | 3,742 |
|
Dhansukhlal Manilal Patel
11 Park Ave |
$33.96 | 4,932 | 4,445 |
|
Sheila D Pongnon
105 Stevens Ave |
$83.65 | 4,829 | 4,464 |
|
Barbara Joy Lynch
107 West 4Th Street |
$46.97 | 4,826 | 3,705 |
|
Velitchka Vasileva Mihaleva
107 W 4Th St |
$40.82 | 4,451 | 3,723 |
|
Mount Vernon Neighborhood Health Center Inc
107 W 4Th St |
$34.56 | 4,125 | 3,809 |
|
Boma Park
107 W 4Th St |
$38.30 | 4,044 | 3,512 |
|
Eve Rosemarin
107 West 4Th Street |
$48.45 | 4,039 | 3,593 |
|
Gifty Agyemang
107 W 4Th St |
$42.82 | 3,882 | 3,039 |
|
Nora H Farkouh
107 West 4Th Street |
$49.11 | 3,561 | 2,668 |
|
Markos Asamenew
107 West 4Th Street |
$43.63 | 3,520 | 2,903 |
|
Edward Amelmah
107 West 4Th Street |
$69.73 | 3,460 | 2,334 |
|
Amina Deleon
165 N Columbus Ave |
$53.92 | 3,323 | 617 |
|
Dimpy Gupta
107 W 4Th St |
$49.80 | 3,266 | 2,734 |
|
Francisca Ada Njoku
107 W 4Th St |
$45.86 | 3,195 | 2,353 |
|
Jiahuai Tan
12 N 7Th Ave |
$40.60 | 3,081 | 2,815 |
|
Sonal Patel
11 Park Ave |
$35.55 | 2,994 | 2,824 |
|
Jonathan M Knee
514 Gramatan Ave |
$60.43 | 2,879 | 2,864 |
|
Gulsum Eda Akbas
107 W 4Th St |
$63.80 | 2,663 | 2,172 |
|
Winsley Calip-Yero
11 W Prospect Ave Fl 4 |
$155.79 | 2,628 | 2,165 |
|
Michael David Boron
107 West 4Th Street |
$70.15 | 2,571 | 2,387 |
|
Terry G. Kaplan
107 W 4Th St |
$84.05 | 2,444 | 1,353 |
|
Lori Jill Semel
559 Gramatan Ave |
$61.13 | 2,370 | 2,027 |
|
Barbara Ann Alammari
107 W 4Th St |
$59.23 | 2,139 | 1,755 |
|
Claudette Hope Troyer
107 W 4Th St |
$58.46 | 2,056 | 1,346 |
|
Lee Barry Leavelle
107 W 4Th Street |
$43.86 | 2,048 | 1,390 |
|
Mitchell Alan Offner
100 E 1St St Fl 7 |
$204.96 | 2,023 | 886 |
|
Chiagozie Adaobi Ebere
107 W 4Th St |
$55.05 | 1,985 | 1,940 |
|
Mount Vernon Neighborhood Health Center, Inc.
107 W 4Th St |
$69.66 | 1,927 | 1,742 |
|
Mark G Mandato
109 Chester St |
$54.54 | 1,854 | 1,801 |
|
Gary Christopher Guerrino
400 E Sandford Blvd |
$72.44 | 1,699 | 1,611 |
|
Christopher Obhokhan Adubor
153 Stevens Ave |
$64.71 | 1,698 | 1,592 |
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 Mount Vernon, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Vernon, NY is $68.09 per claim, based on 314,016 claims from 123 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 Mount Vernon, NY?
There are 123 Medicaid providers offering Office Visit related services in Mount Vernon, NY according to public payment data.
What is the price range for Office Visit in Mount Vernon, NY?
Medicaid reimbursement for Office Visit in Mount Vernon, NY ranges from $0.00 to $204.96 per claim, with an average of $68.09. 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 Mount Vernon, NY
Home Health Visit
Avg $161.52
371,208 claims
Substance Abuse Treatment
Avg $29.34
192,057 claims
Psychiatric Evaluation
Avg $96.88
145,791 claims
Ambulance Transport
Avg $74.69
112,294 claims
Non-Emergency Medical Transportation
Avg $35.67
82,252 claims
Blood Work & Lab Tests
Avg $18.74
79,452 claims
Emergency Room Visit
Avg $136.46
53,150 claims
Dental Cleaning & Exam
Avg $37.13
41,491 claims