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 |
|---|---|---|---|
|
Tanairi Vildoso
5 E 98Th St Fl 3 |
$54.12 | 12 | 12 |
|
Rebecca Stainman
550 1St Ave |
$0.00 | 12 | 12 |
|
Matthew J Matasar
1275 York Ave |
$34.92 | 12 | 12 |
|
So-Young Kim
211 E 80Th St |
$1.75 | 12 | 12 |
|
Ariel Rivera
99 Fort Washington Ave |
$42.90 | 12 | 12 |
|
Srm Radiology Associates Pc
639 W End Ave |
$0.00 | 12 | 12 |
|
Elena Skomorovsky
1901 1St Ave |
$0.00 | 12 | 12 |
|
Christine Wu
215 E 85Th St |
$0.00 | 12 | 12 |
|
Wing Sze Fung
5 E 98Th St |
$163.05 | 12 | 12 |
|
Laura Pisani
3959 Broadway |
$161.03 | 12 | 12 |
|
David Kudlowitz
222 E 41St St Fl 18 |
$0.00 | 12 | 12 |
|
Sarah Yagerman
115 E 57Th St Ste 400 |
$32.05 | 12 | 12 |
|
Jamie Mitchell
1305 York Ave |
$181.96 | 12 | 12 |
|
Kammi Grayson
724 2Nd Ave |
$86.69 | 12 | 12 |
|
Rohan Jotwani
525 E 68Th St |
$137.53 | 12 | 12 |
|
Joseph Nabil Riad
161 Fort Washington Ave Fl 8 |
$184.94 | 12 | 12 |
|
Jonathan Michael Miller
3959 Broadway |
$146.78 | 12 | 12 |
|
Ecaterina Komarnitsky
461 Park Ave S Fl 12 |
$6.88 | 12 | 12 |
|
Margarita Chernovolenko
177 Fort Washington Ave |
$32.89 | 12 | 12 |
|
Sara Paratore Keller
535 E 70Th St |
$30.63 | 12 | 12 |
|
Ashley Goldthwait Vangel
177 Fort Washington Avenue, Mhb 8-004 |
$26.89 | 12 | 12 |
|
Vahid Namdarizandi
1111 Amsterdam Ave |
$93.09 | 12 | 12 |
|
Haley Jordan Rosenberg
662 West 168Th Street |
$67.20 | 12 | 12 |
|
Gabriel Richard Prager
1 Gustave L Levy Pl # 1149 |
$72.39 | 12 | 12 |
|
Philipp Leucht
462 1St Avenue |
$90.04 | 12 | 12 |
|
Xiao Zhao
161 Fort Washington Ave |
$95.70 | 12 | 12 |
|
Geetha Kanakeswaran
10 Union Sq E |
$85.02 | 12 | 12 |
|
Andrea Lynn Betesh
1305 York Ave Fl 4 |
$124.78 | 12 | 12 |
|
Laura Moore
535 E 70Th St |
$1.49 | 12 | 12 |
|
Sananda Isabella Moctezuma
1000 10Th Ave |
$57.41 | 12 | 12 |
|
Miguel Alvarez Villela
130 E 77Th St Fl 9 |
$22.12 | 12 | 12 |
|
Meera Patel
561 3Rd Ave |
$143.42 | 12 | 12 |
|
Ilana Michele Spitz
3 E 101St St |
$41.51 | 12 | 12 |
|
Icahn School Of Medicine At Mount Sinai
1190 5Th Ave |
$49.72 | 12 | 12 |
|
Claudine Lott
25 W 45Th St Fl 11 |
$0.00 | 12 | 12 |
|
Soombal Zahid
555 Madison Ave Fl 2 |
$162.95 | 12 | 12 |
|
Kofi Atiemo
525 E 68Th Street |
$15.22 | 12 | 12 |
|
Kira Lauren Segal
1305 York Ave Fl 1112 |
$85.33 | 12 | 12 |
|
Nicholas Manikis
170 William St |
$120.77 | 12 | 12 |
|
Jensy Clara Kalavelil
523 E 72Nd St Fl 3 |
$80.03 | 12 | 12 |
|
Ritesh Ramdhani
5 E 98Th St |
$10.91 | 12 | 12 |
|
Amie M Kim
550 1St Ave |
$6.85 | 12 | 12 |
|
Grenye O Malley
5 E 98Th St |
$0.00 | 12 | 12 |
|
David En-Kai Hong
123 William St Rm 1503 |
$154.00 | 12 | 12 |
|
Rebecca Kowalski
186 E 76Th St Fl 1 |
$192.86 | 12 | 12 |
|
Victoria Mary Consalvo
161 Fort Washington Ave Fl 5 |
$144.12 | 12 | 12 |
|
Alfredo Juan Astua
1St & 16Th St |
$50.90 | 12 | 12 |
|
Merita Halilhodzic
203 W 12Th St |
$37.50 | 12 | 12 |
|
Carl Terence Mickman
1 Gustave L Levy Pl |
$21.01 | 12 | 12 |
|
Vinay Ganesh Puttanniah
525 E 68Th St |
$19.33 | 12 | 12 |
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.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 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
Columbus, OH
Avg $62.00
8,388,006 claims · 3806 providers
Other Procedures in New York, NY
Home Health Visit
Avg $167.81
48,743,027 claims
Blood Work & Lab Tests
Avg $8.39
10,014,709 claims
Psychiatric Evaluation
Avg $116.70
6,547,727 claims
Physical Therapy
Avg $39.29
5,089,280 claims
Emergency Room Visit
Avg $130.02
3,905,512 claims
Case Management Services
Avg $322.62
3,682,218 claims
Eye Exam
Avg $50.07
3,393,865 claims
Substance Abuse Treatment
Avg $51.51
3,263,067 claims