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 |
|---|---|---|---|
|
Cyndie Romulus
145 Huguenot St |
$78.67 | 12 | 12 |
|
Barbara Lock
16 Guion Pl |
$87.07 | 12 | 12 |
|
Margaret Louise Coll
16 Guion Place |
$106.75 | 12 | 12 |
|
Mark R Liss
140 Lockwood Ave |
$194.48 | 12 | 12 |
|
Martin B Engelhardt
77 Quaker Ridge Rd |
$42.82 | 12 | 12 |
|
Robert L Sparacio
1296 North Ave |
$84.57 | 13 | 12 |
|
Yvonne N. Ankrah
145 Huguenot St |
$72.12 | 13 | 13 |
|
Adriano Ari
16 Guion Pl |
$78.96 | 13 | 13 |
|
Jill Beth Ostrager
171 Huguenot St |
$106.85 | 13 | 13 |
|
Jeffrey Alan Lederman
16 Guion Pl |
$70.19 | 14 | 12 |
|
Marc R Samolsky
60 Guion Place |
$23.73 | 14 | 12 |
|
Veronique Baptiste Germaine
110 Lockwood Ave |
$52.17 | 14 | 14 |
|
Daniel Harold Pomerantz
16 Guion Pl |
$11.46 | 15 | 14 |
|
Montefiore Medical Center
175 Memorial Hwy |
$46.17 | 15 | 13 |
|
Kevin L Meacham
16 Guion Pl |
$108.21 | 16 | 15 |
|
Roy C Forrest
171 Huguenot St |
$0.00 | 21 | 18 |
|
Evan H Bellin
47 Lispenard Ave |
$0.00 | 23 | 21 |
|
David A Blum
16 Guion Pl |
$76.99 | 24 | 24 |
|
Shan Akhtar Haroon
177B E Main St |
$22.75 | 24 | 24 |
|
Frank M Tamarin
175 Memorial Hwy |
$30.58 | 27 | 26 |
|
Roberto Calderon
171 Huguenot St |
$152.29 | 27 | 27 |
|
Thomas M Collins
420 North Ave |
$13.76 | 27 | 27 |
|
John D Giampietro
421 Huguenot St |
$61.50 | 27 | 27 |
|
Marcelo Cruz Laiz
140 Lockwood Avenue |
$80.32 | 27 | 25 |
|
Michael C Mutone
175 Memorial Hwy |
$74.59 | 28 | 24 |
|
Mark A. Tobias
420 North Ave |
$223.55 | 29 | 12 |
|
Justin Andrew Joy
16 Guion Pl |
$0.00 | 30 | 30 |
|
Andreas Iyeke
1 Shearwood Pl Apt 918 |
$20.00 | 30 | 28 |
|
Sheldon Marc Wasserman
421 Huguenot Street |
$138.41 | 39 | 39 |
|
Lourdu Sireesha Pentareddy
16 Guion Pl |
$51.77 | 41 | 40 |
|
Paul Gerardi
175 Memorial Hwy |
$131.74 | 41 | 41 |
|
Marianne T. Prior-Boyer
16 Guion Pl |
$76.10 | 42 | 39 |
|
Montefiore New Rochelle Hospital
140 Lockwood Ave |
$74.50 | 42 | 42 |
|
Aznehan Cemal Batirbek
171 Huguenot St |
$173.54 | 43 | 41 |
|
Prasanta Basak
16 Guion Pl |
$51.14 | 43 | 39 |
|
Annmarie Teresa Baldanti
1296 North Ave |
$94.38 | 49 | 49 |
|
Sarah Tabet
70 Locust Ave Apt B106 |
$25.73 | 52 | 51 |
|
Ma Pamela Gallardo Demigillo
16 Guion Pl |
$72.55 | 53 | 50 |
|
Larry P Roberts
175 Memorial Hwy |
$37.99 | 60 | 52 |
|
Priscilla Hirst
16 Guion Pl |
$42.35 | 63 | 54 |
|
Michelle Renee Ewart
16 Guion Pl |
$121.44 | 83 | 76 |
|
Safwan Zar
490 Pelham Rd |
$34.01 | 84 | 59 |
|
Ana E Collado
255 Huguenot St Apt 1014 |
$0.97 | 87 | 83 |
|
Michael Palmeri
108 Van Guilder Ave |
$47.99 | 99 | 97 |
|
Stephen Carl Klass
421 Huguenot St |
$122.36 | 102 | 97 |
|
Gitika Gupta
16 Guion Pl |
$47.46 | 103 | 99 |
|
Bradley Hal Scharf
140 Lockwood Ave |
$24.98 | 119 | 118 |
|
Denise A Byrd
16 Guion Pl |
$98.47 | 121 | 120 |
|
Andrea Celina Brown
173 Huguenot St Ste 200 |
$79.66 | 122 | 114 |
|
Barbara S Ehrenreich
515 North Ave |
$71.36 | 125 | 122 |
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