Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in New York, NY: $81.86

Avg. Paid

$81.86

Range

$0.00 – $835.87

Total Claims

23,551,154

Providers

7,530

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 York, NY

Provider	Avg. Paid	Claims	Patients
City Medical Of Upper East Side, Pllc 336 E 86Th St	$109.90	4,054,577	3,831,847
Karen Elaine Thornton 344 W 51St St	$26.29	564,270	178,466
Mount Sinai Hospital 1 Gustave L Levy Pl	$114.41	525,691	465,375
The New York And Presbyterian Hospital 622 W 168Th St	$192.45	523,153	455,505
New York City Health And Hospitals Corporation 462 First Avenue	$90.46	402,134	358,641
New York City Health And Hospitals Corporation 1901 1St Ave	$80.06	306,153	275,870
The New York And Presbyterian Hospital 525 E 68Th St	$194.85	248,560	223,167
New York City Health And Hospitals Corporation 506 Lenox Ave	$95.23	236,621	213,056
St Lukes Roosevelt Hospital Center 1000 10Th Ave	$127.72	236,216	206,093
Robert Louis Buka Bobby Buka M.D. Pc	$112.13	219,676	212,289
Yong Kang He 77 Bowery Fl 3F	$70.56	210,913	164,535
Planned Parenthood Of Greater New York Inc 26 Bleecker St	$153.33	148,932	144,458
Andrew Pomrantz 10 Union Sq E	$32.44	144,188	106,470
New York City Health And Hospitals Corporation 227 Madison St	$87.72	142,050	129,452
George Hall 241 Canal St	$37.00	135,652	117,717
David Leib Diamond 473 W End Ave	$90.06	133,877	106,358
Dmitry Khasak 77 Park Ave	$53.58	118,925	102,200
The Institute For Family Health 1824 Madison Ave	$138.38	103,492	95,443
Yin Yin Win 128 Mott St Ste 601	$61.60	92,897	56,737
Pinkas E. Lebovits 200 W 58Th St	$70.46	92,213	82,643
Cheuk Wai Lau 2 Mott Street	$92.64	91,179	70,372
Quickmed Medical P.C. 175 E 96Th St	$93.73	81,127	73,831
Bn Medicine Pc 752 Saint Nicholas Ave	$8.71	76,492	57,129
Faika Khan 535 8Th Ave Fl 6	$92.50	70,983	62,541
Jewish Board Of Family & Childrens Services Inc 463 7Th Ave Fl 18	$111.40	70,736	66,822
Bobby Buka, M.D., P.C. 220 Front St	$99.77	70,396	67,767
Zoe Zhechun Liu 98 E Broadway	$68.81	69,435	54,291
Ashraf Elshafei 1901 1St Ave	$58.57	64,785	53,941
Hemant Patel 2255 Adam Clayton Powell Jr Blvd # 2257	$43.11	63,512	55,457
David H Lau 139 Centre St	$30.88	60,923	58,362
Community Healthcare Network, Inc 44 W 28Th Street	$62.66	60,591	55,389
Raymond L Yung 217 Grand Street	$79.12	59,875	56,517
New York City Health And Hospitals Corporation 264 W 118Th St	$68.06	58,630	54,568
Eric Yuanchun Zhou 98 E Broadway Fl 4	$76.86	56,818	44,582
Yi Xie 139 Centre St Ste 715A	$76.11	54,895	52,336
Upper Manhattan Mental Health Center, Inc. 1727 Amsterdam Ave	$105.81	54,179	51,392
Ses Operating Corp 2367 -69 Second Ave	$123.29	53,847	30,717
Kevin J Guo 70 Bowery	$62.33	53,634	44,722
Community Health Project Inc. 356 W 18Th St	$92.98	53,258	45,102
Marino Torres 135 Haven Ave	$13.10	51,631	48,620
Yin Sun 185 Canal St Suite 506	$58.93	51,401	41,126
Nyu Langone Hospitals 550 1St Ave	$45.02	50,511	47,544
Nyu Langone Hospitals 301 E 17Th St	$102.01	50,405	47,724
New York Society For The Relief Of Ruptured & Crippled Maintaining 535 E 70Th St	$187.53	50,154	46,273
Giovanny M Nunez Allen Pavilion 3 River East	$52.81	48,851	46,978
Muhammed M Haque 3418 Broadway	$14.27	45,104	39,659
Sejal Majmudar 801 Amsterdam Ave	$38.85	44,900	17,365
Anthony J Ng 139 Centre St	$72.14	44,761	43,357
Dustin Triet Nguyen 202 Canal St	$65.73	44,761	41,247
William Cheung 19 Bowery Fl 2	$53.84	42,341	33,197

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 York, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New York, NY is $81.86 per claim, based on 23,551,154 claims from 7530 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 York, NY?

There are 7530 Medicaid providers offering Office Visit related services in New York, NY according to public payment data.

What is the price range for Office Visit in New York, NY?

Medicaid reimbursement for Office Visit in New York, NY ranges from $0.00 to $835.87 per claim, with an average of $81.86. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in New York, NY: $81.86

Providers Offering Office Visit in New York, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Columbus, OH

Other Procedures in New York, NY

Home Health Visit

Blood Work & Lab Tests

Psychiatric Evaluation

Physical Therapy

Emergency Room Visit

Case Management Services

Eye Exam

Substance Abuse Treatment