Average Medicaid Office Visit Payments in New Windsor, NY: $76.84
Avg. Paid
$76.84
Range
$12.08 – $133.55
Total Claims
196,477
Providers
76
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 Windsor, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Minoo Pedoem-Shapiro
448 Temple Hill Rd |
$84.63 | 42,243 | 37,722 |
|
Mitchell Tan Cabisudo
3125 Route 9W Ste 204 |
$58.20 | 21,084 | 19,304 |
|
Francis P Murphy
819 Little Britain Road Suite 100 |
$93.68 | 18,954 | 12,174 |
|
New Windsor Pediatrics Llc.
448 Temple Hill Rd |
$89.94 | 17,727 | 15,670 |
|
Santoshi Nath
448 Temple Hill Rd |
$68.78 | 9,246 | 7,634 |
|
Javier Ruiz
575 Hudson Valley Ave |
$45.31 | 7,100 | 4,013 |
|
Dilshad El -Naghy
3068 Route 9W Ste 400 |
$85.72 | 6,470 | 5,853 |
|
Orange Pediatric Care Pc
3206 Route 9W |
$49.71 | 6,219 | 5,462 |
|
Michele M. Doyle
448 Temple Hill Rd |
$45.00 | 4,787 | 4,127 |
|
Quasar Ahmed Choudhury
270 Quassaick Ave |
$86.49 | 4,564 | 4,218 |
|
Perla Joyce Andin
905 Little Britain Rd |
$82.30 | 4,549 | 4,253 |
|
Joseph Reginald Agyemang
17 Oakwood Ter Ste 100 |
$81.37 | 4,157 | 3,600 |
|
Mahavir Singh
3074 9 W South |
$54.33 | 3,873 | 2,999 |
|
Vitality Physicians Group Practice Pc
3125 Route 9W |
$70.71 | 3,530 | 3,320 |
|
Eric Adam Munzer
4 Crotty Ln |
$122.34 | 2,897 | 2,790 |
|
Melissa Kagen
91 Blooming Grove Tpke |
$71.43 | 2,587 | 1,826 |
|
Ronald R Coffey
188 Quassaick Avenue |
$61.44 | 2,542 | 2,386 |
|
Majed G. Zouhairi
955 Little Britain Rd |
$76.78 | 2,432 | 2,343 |
|
Arif M Muslim
955 Little Britain Rd |
$70.77 | 2,130 | 2,047 |
|
Enrique J Sanz
219 Blooming Grove Tpke |
$97.19 | 1,943 | 1,856 |
|
Barry S Hyman
219 Blooming Grove Tpke |
$133.55 | 1,915 | 1,815 |
|
Chana Unger
3206 Route 9W |
$46.36 | 1,887 | 1,202 |
|
Herman Chiu
484 Temple Hill Rd |
$55.32 | 1,773 | 1,720 |
|
John Reed
575 Hudson Valley Ave |
$62.81 | 1,617 | 1,501 |
|
Louis Rocco Cappa
532 Blooming Grove Tpke |
$36.28 | 1,573 | 1,277 |
|
Sashi Kumar Makam
17 Oakwood Ter Ste 100 |
$71.14 | 1,503 | 1,391 |
|
Esteban Cuartas
219 Blooming Grove Tpke |
$102.90 | 1,457 | 1,411 |
|
Shahram Mekhoubad
484 Temple Hill Rd |
$92.23 | 1,328 | 1,308 |
|
Stuart Liederson
3121 Route 9W |
$12.08 | 1,156 | 1,094 |
|
Prashant P Ponda
4 Crotty Ln |
$127.13 | 1,055 | 1,055 |
|
Ariel Yehdua Pedoeem
448 Temple Hill Rd |
$109.46 | 1,035 | 994 |
|
Thien Thanh Huynh
140 Executive Drive |
$61.54 | 983 | 958 |
|
Michael Stern
955 Little Britain Rd |
$106.87 | 872 | 854 |
|
Theresa Marie Dowd
306 Windsor Hwy |
$70.50 | 801 | 797 |
|
Wasik Ashraf
219 Blooming Grove Tpke |
$80.76 | 786 | 763 |
|
Rachel Lynn Paskey
277 Quassaick Ave |
$103.34 | 665 | 629 |
|
Thomas Aquinas Scileppi
277 Quassaick Ave |
$67.03 | 650 | 632 |
|
John David Schwerdt
532 Blooming Grove Tpke |
$44.28 | 579 | 457 |
|
Cassandra Marie Fugo-Tutalo
92 Old Route 9W Suite 100 |
$20.97 | 494 | 463 |
|
George J Profeta
3078 Us Route 9W |
$97.49 | 460 | 448 |
|
Harshan I Weerackody
939 Little Britain Rd |
$110.73 | 453 | 440 |
|
Louis Rocco Cappa Dpm P C
532 Blooming Grove Tpke |
$42.51 | 445 | 408 |
|
Ruth Louisa Keeling
4 Crotty Ln Uppr Level |
$85.52 | 391 | 389 |
|
Praneeth Vemulapalli
955 Little Britain Rd |
$37.58 | 362 | 351 |
|
Nicole Beatrice Simonson
484 Temple Hill Road |
$38.80 | 362 | 352 |
|
Kimberly Poje
448 Temple Hill Rd |
$109.39 | 346 | 306 |
|
Stephen Lazar
575 Hudson Valley Ave |
$86.09 | 316 | 279 |
|
John M. Uhorchak
219 Blooming Grove Tpke |
$105.80 | 311 | 298 |
|
Chinyere Ebere Ofonagoro
537 Blooming Grove Tpke |
$103.66 | 245 | 220 |
|
F P Murphy Md Pc
833 Blooming Grove Tpke |
$81.09 | 230 | 222 |
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 Windsor, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Windsor, NY is $76.84 per claim, based on 196,477 claims from 76 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 Windsor, NY?
There are 76 Medicaid providers offering Office Visit related services in New Windsor, NY according to public payment data.
What is the price range for Office Visit in New Windsor, NY?
Medicaid reimbursement for Office Visit in New Windsor, NY ranges from $12.08 to $133.55 per claim, with an average of $76.84. 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 Windsor, NY
Ambulance Transport
Avg $84.82
229,412 claims
Speech Therapy
Avg $42.82
40,140 claims
Vaccines & Immunizations
Avg $15.62
25,262 claims
Hearing Test (Audiometry)
Avg $25.82
21,653 claims
Durable Medical Equipment (DME)
Avg $48.95
21,235 claims
Blood Work & Lab Tests
Avg $3.03
16,138 claims
Psychiatric Evaluation
Avg $85.79
14,523 claims
Urinalysis & Urine Tests
Avg $2.63
13,962 claims