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 |
|---|---|---|---|
|
Leyda Hu
12 N 7Th Ave |
$15.92 | 12 | 12 |
|
Jay Mermelstein
105 Stevens Ave |
$40.37 | 13 | 13 |
|
Lower Westchester Medical Associates, P.C.
105 Stevens Ave Ste 305306 |
$103.93 | 13 | 12 |
|
Westside New York Medical, Pc
105 Stevens Ave |
$2.67 | 14 | 12 |
|
Maday C Gonzalez
105 Stevens Ave Ste 501 |
$112.79 | 14 | 14 |
|
Jonique Nurse
107 W 4Th St |
$1.76 | 17 | 12 |
|
Paul Mario Mignone
202 Stevens Ave |
$183.30 | 18 | 18 |
|
Christina Rawls-Dolin
6 Gramatan Ave Ste 401 |
$0.00 | 19 | 13 |
|
Paul Augustus Lawhorne
12 N 7Th Ave |
$28.07 | 21 | 21 |
|
Min Yu
12 N 7Th Ave |
$95.68 | 22 | 14 |
|
Providence Medical Services Pllc
203 Gramatan Ave |
$61.72 | 26 | 26 |
|
Dhansukh Patel M.D. Pc
11 Park Ave |
$73.45 | 27 | 25 |
|
Deborah S Hunterbrown Md Pllc
105 Stevens Ave |
$99.57 | 28 | 27 |
|
Diana Mcnear
421 S 3Rd Ave |
$47.63 | 34 | 30 |
|
Payam Rafat
107 West 4Th Street |
$37.33 | 50 | 43 |
|
Geetha D Naik
12 N 7Th Ave |
$79.20 | 57 | 39 |
|
Manzoor Bhatti
445 Gramatan Ave |
$40.02 | 61 | 57 |
|
Frederick Lawrence Parker
12 N 7Th Ave |
$35.82 | 62 | 60 |
|
Shari-Ann Savoy
540 Gramatan Ave |
$88.17 | 70 | 69 |
|
Obiageli L Nweke-Chukumerije
107 W 4Th St |
$52.78 | 72 | 57 |
|
Sharma And Sharma Medical Pllc
105 Stevens Ave Ste 208 |
$105.22 | 87 | 79 |
|
Carolyn Mohedano-Craner
105 Stevens Ave |
$74.85 | 90 | 89 |
|
Eric Makolo
105 Stevens Ave |
$68.33 | 91 | 85 |
|
Lovina Inwang
33 N 3Rd Ave Apt 6F |
$0.00 | 92 | 63 |
|
Deborah Sophia Hunter-Brown
105 Stevens Ave |
$93.09 | 94 | 91 |
|
Momina Ahmed Shaikh
51 E Prospect Ave |
$129.66 | 96 | 96 |
|
Ifesinachi Nnaji
540 Gramatan Ave |
$63.73 | 98 | 95 |
|
Yolima Salazar
540 Gramatan Ave |
$43.69 | 102 | 90 |
|
Aboulaye Sidibe
181 Pearsall Dr |
$118.37 | 116 | 116 |
|
Suma Joshua
9 Union Ave |
$42.75 | 121 | 111 |
|
Rosalyn Louise Harrison
107 West 4Th Street |
$116.87 | 126 | 120 |
|
Myreille Polycarpe
12 N 7Th Ave |
$86.41 | 129 | 84 |
|
Christopher Adubor Physician Pc
153 Stevens Ave |
$10.99 | 132 | 124 |
|
Montefiore Mount Vernon Hospital
12 N 7Th Ave |
$70.85 | 150 | 136 |
|
Elizabeth Kuriakose
203 Gramatan Ave Ste A |
$44.72 | 187 | 187 |
|
Shauntay Thomas
6 Gramatan Ave Ste 402 |
$2.29 | 203 | 189 |
|
Silburn Wilson Thomas
105 Stevens Ave |
$77.69 | 204 | 192 |
|
Christine Sapka
22 W 1St St |
$38.19 | 209 | 166 |
|
Guirlaine Lenore Agnant
12 N 7Th Ave |
$42.19 | 329 | 297 |
|
Marlon Hylton
100 Stevens Ave |
$15.25 | 377 | 356 |
|
Steven Barry Levine
107 W 4Th St |
$20.15 | 415 | 292 |
|
Tamara M Henry
6 Gramatan Ave Ste 625 |
$73.89 | 419 | 351 |
|
Marc Janis Md Pllc
150 Stevens Ave |
$91.33 | 425 | 402 |
|
Bijou M Dennis-Nfor
2 Gramatan Ave Ste 203 |
$49.37 | 496 | 427 |
|
Theodore J Sifontes
107 W 4Th St |
$73.28 | 508 | 445 |
|
Mayadha Rasheed
625 Gramatan Ave Unit Sto |
$71.75 | 553 | 476 |
|
Stacy Moraldo
107 West 4Th Street |
$60.52 | 569 | 496 |
|
Deborah Lynn Williams
107 W 4Th St |
$101.56 | 607 | 573 |
|
Ashley D Akhter
107 W 4Th St |
$30.89 | 611 | 494 |
|
Asim Shahid
105 Stevens Ave Ste 306 |
$81.88 | 647 | 241 |
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