Average Medicaid Office Visit Payments in New Rochelle, NY: $78.58
Avg. Paid
$78.58
Range
$0.00 – $223.55
Total Claims
208,017
Providers
133
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 Rochelle, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Montefiore New Rochelle Hospital
16 Guion Pl |
$139.83 | 27,391 | 23,971 |
|
Belkis A Colon
481 Main St Ste 204 |
$50.91 | 21,432 | 19,114 |
|
Chamundeswari Subramanian
16 Guion Pl |
$2.42 | 13,447 | 8,618 |
|
Ralph B Essien
25 Coligni Ave |
$74.46 | 7,943 | 6,537 |
|
John M Leo
Sound Shore Pediatrics |
$89.70 | 7,768 | 6,435 |
|
Lisa Golda Mandelker
145 Huguenot St Ste 200 |
$118.28 | 6,129 | 5,766 |
|
Derek K Soohoo
145 Huguenot St Ste 610 |
$110.53 | 5,732 | 5,448 |
|
Hilary Smith
145 Huguenot Street |
$110.72 | 5,308 | 5,135 |
|
David J Mener
145 Huguenot St Ste 610 |
$100.60 | 5,274 | 5,056 |
|
Stephen Trauzzi
120 Warren St |
$51.22 | 4,665 | 4,508 |
|
Lidia Lidagoster
175 Memorial Hwy Ste Ll7 |
$25.32 | 4,108 | 2,370 |
|
Jefffrey Howard Belmont
41 Lockwood Ave |
$4.93 | 3,969 | 3,966 |
|
Ricardo Mornaghi
57 Washington Ave |
$68.61 | 3,923 | 3,083 |
|
John Eric Jacoby
466 Main Street |
$82.03 | 3,760 | 3,190 |
|
Anastasiya Kleva
145 Huguenot St Ste 610 |
$145.68 | 3,477 | 3,451 |
|
Lesa A Kelly
1296 North Ave |
$104.16 | 3,424 | 3,280 |
|
Ijeoma N Nduka
175 Memorial Hwy |
$41.31 | 3,292 | 3,163 |
|
Zoovia Hamiduddin
140 Lockwood Ave |
$63.34 | 3,267 | 3,008 |
|
Lisa Anne Marrero
16 Guion Pl |
$65.32 | 3,227 | 3,064 |
|
Janice Fern Bistritz
16 Guion Place |
$51.39 | 3,199 | 3,026 |
|
Joan G Lehach
164 Church St Apt 3K |
$51.25 | 3,061 | 2,276 |
|
Petya Petrov
481 Main St |
$21.54 | 2,959 | 2,155 |
|
Kyle A Lipton
175 Memorial Hwy |
$94.33 | 2,916 | 2,757 |
|
Susan Meisler
145 Huguenot Street |
$96.65 | 2,828 | 2,620 |
|
Ajay Verma Medical Pc
421 Huguenot St |
$121.73 | 2,647 | 2,499 |
|
Lilian A Gonzalez
175 Memorial Hwy |
$45.40 | 2,629 | 2,424 |
|
Debra H Etelson
145 Huguenot St |
$115.58 | 2,558 | 2,462 |
|
Julie Henderson
171 Huguenot St |
$69.39 | 2,552 | 2,417 |
|
Margaret Levitt
16 Guion Pl |
$63.41 | 2,235 | 2,094 |
|
Mark R Weigle
140 Lockwood Ave # A |
$101.55 | 1,954 | 1,800 |
|
Mohan K Cheema
158 Lockwood Avenue |
$45.18 | 1,896 | 1,419 |
|
Cheryl Tugman
150 Lockwood Ave |
$85.04 | 1,836 | 1,767 |
|
Michael Thomas O'Reilly
171 Huguenot St |
$51.05 | 1,755 | 1,638 |
|
Rosie Y Lyo
16 Guion Pl |
$92.45 | 1,714 | 1,619 |
|
Afsana Qader, Dpm P.C.
10 Memorial Hwy |
$89.35 | 1,643 | 1,496 |
|
Dr. Belkis Colon Pediatric Medicine
481 Main Street Suite 204 |
$68.41 | 1,442 | 1,302 |
|
Aaron Howard Cohen
140 Lockwood Ave Ste 220 |
$56.41 | 1,404 | 1,367 |
|
Donald Scott Miller
20 Cedar St Fl 2 |
$69.23 | 1,378 | 1,340 |
|
Claudine Passard
207 Drake Ave Apt 5J |
$45.74 | 1,373 | 1,056 |
|
Scott Laurence Hausen
171 Huguenot St |
$89.93 | 1,350 | 1,250 |
|
Richard Charney
175 Memorial Hwy Ste 1-1 |
$56.82 | 1,333 | 1,325 |
|
Victoria Cespedes
16 Guion Pl |
$18.38 | 1,110 | 967 |
|
Frank Berchell Watkins
175 Memorial Hwy |
$43.02 | 1,036 | 965 |
|
William Joseph Meyers
140 Lockwood Ave |
$102.30 | 986 | 894 |
|
Ian Robert Hantman
175 Memorial Hwy |
$115.41 | 938 | 586 |
|
Esther Ihezie
16 Guion Pl |
$95.51 | 910 | 903 |
|
Eugene Palatulan
16 Guion Pl |
$87.43 | 873 | 844 |
|
Jay Chudow
20 Cedar St Fl 2 |
$74.90 | 801 | 736 |
|
Sara Kopple
171 Huguenot St |
$69.22 | 783 | 754 |
|
Shyam Chandru Shivdasani
140 Lockwood Ave |
$81.10 | 777 | 689 |
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 Rochelle, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Rochelle, NY is $78.58 per claim, based on 208,017 claims from 133 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 Rochelle, NY?
There are 133 Medicaid providers offering Office Visit related services in New Rochelle, NY according to public payment data.
What is the price range for Office Visit in New Rochelle, NY?
Medicaid reimbursement for Office Visit in New Rochelle, NY ranges from $0.00 to $223.55 per claim, with an average of $78.58. 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 Rochelle, NY
Home Health Visit
Avg $157.68
284,769 claims
Physical Therapy
Avg $47.05
198,262 claims
Emergency Room Visit
Avg $93.75
143,662 claims
Blood Work & Lab Tests
Avg $8.50
125,718 claims
Psychiatric Evaluation
Avg $77.85
125,206 claims
Vaccines & Immunizations
Avg $12.76
80,536 claims
Speech Therapy
Avg $59.31
73,234 claims
X-Ray
Avg $5.65
54,765 claims