Average Medicaid Office Visit Payments in New Paltz, NY: $85.90
Avg. Paid
$85.90
Range
$8.39 – $111.10
Total Claims
51,252
Providers
23
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 New Paltz, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mary Ellen Dyer
1-3 Henry W Dubois Dr |
$102.01 | 11,951 | 7,907 |
|
Brooke N Bair
216 Rte 32 N |
$74.00 | 6,060 | 5,794 |
|
Lisa Schaffer
279 Main St Ste 102 |
$83.14 | 4,609 | 4,284 |
|
Marek Balutowski
279 Main St |
$85.52 | 4,486 | 4,198 |
|
Joel Panthappattu
279 Main St Ste 102 |
$82.71 | 4,099 | 3,925 |
|
Curtis Davis Sprague
279 Main St |
$83.05 | 3,967 | 3,471 |
|
Susruth Pinnamaneni
279 Main St |
$83.45 | 3,914 | 3,688 |
|
Bridget Foy
279 Main St |
$84.31 | 2,263 | 2,167 |
|
Allison R Lucchesi
26 North Front Street |
$108.99 | 2,100 | 1,947 |
|
Matthew L. Denno
26 North Front Street |
$109.46 | 1,706 | 1,618 |
|
Bryan R Kolber
66 N Putt Corners Rd |
$8.39 | 1,498 | 1,491 |
|
Richard Allan Kleiger
108 Main St |
$67.24 | 1,039 | 885 |
|
Shahrukh Mustafa
279 Main St |
$82.80 | 898 | 872 |
|
Barry Edward Goldman
66 Forest Glen Rd |
$84.97 | 685 | 643 |
|
Deborah Lynn Devine-Barton
40 Dubois Ln |
$78.71 | 557 | 517 |
|
Patricia Farragher
222 Main St |
$111.10 | 416 | 376 |
|
Mary Danielle Forbear
1 Hawk Dr |
$49.10 | 370 | 170 |
|
Leinani Fern Margolin
124 Main St Ste B |
$52.18 | 252 | 222 |
|
Cayman Linson
279 Main St Ste 101 |
$68.72 | 123 | 103 |
|
Julie Denney
44 N Chestnut St |
$91.15 | 118 | 114 |
|
Carolyn Kwa
279 Main St |
$69.47 | 100 | 97 |
|
Kristina Desiree Santos
142 N Putt Corners Rd |
$97.56 | 26 | 25 |
|
Alicia Olmoz
243 Main St Ste 160 |
$94.39 | 15 | 15 |
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 New Paltz, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Paltz, NY is $85.90 per claim, based on 51,252 claims from 23 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 New Paltz, NY?
There are 23 Medicaid providers offering Office Visit related services in New Paltz, NY according to public payment data.
What is the price range for Office Visit in New Paltz, NY?
Medicaid reimbursement for Office Visit in New Paltz, NY ranges from $8.39 to $111.10 per claim, with an average of $85.90. 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 New Paltz, NY
Case Management Services
Avg $323.82
46,958 claims
Psychiatric Evaluation
Avg $90.29
39,096 claims
Ultrasound
Avg $68.43
14,965 claims
Ambulance Transport
Avg $95.17
6,492 claims
Podiatry (Foot Care)
Avg $9.95
5,561 claims
Dental Cleaning & Exam
Avg $35.16
3,245 claims
Vaccines & Immunizations
Avg $11.28
2,590 claims
Blood Work & Lab Tests
Avg $2.14
1,612 claims