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 |
|---|---|---|---|
|
Matthew A Crystal
3959 Broadway # Chn2-255 |
$218.02 | 12 | 12 |
|
Risa Alperin
160 E 32Nd St |
$87.04 | 12 | 12 |
|
Al Dermatology,Pc
100 Beekman St |
$88.37 | 12 | 12 |
|
Melanie Choi
220 Front St |
$46.82 | 12 | 12 |
|
Fabrizio Toscano
156 William St Fl 6 |
$41.67 | 12 | 12 |
|
Conrad Stern-Ascher
622 W 168Th St |
$109.18 | 12 | 12 |
|
Naimish Baxi
535 E 70Th St |
$33.25 | 12 | 12 |
|
Helai Hesham
622 W 168Th St Ste 16-22 |
$90.24 | 12 | 12 |
|
Elena A, Ivanina
178 E 85Th St Fl 4 |
$184.07 | 12 | 12 |
|
Meera Bhardwaj
17 E 102Nd St |
$17.97 | 12 | 12 |
|
Danielle Stansky Wright
550 1St Ave |
$53.90 | 12 | 12 |
|
Alanna Elizabeth Kavanaugh
425 E 61St St |
$0.00 | 12 | 12 |
|
Geeta Devi Ganda
53 W 23Rd St Fl 6 |
$32.56 | 12 | 12 |
|
Grigoriy Grenader
100 Haven Ave Ste 201 |
$56.01 | 12 | 12 |
|
Aveena Kaur Kochar
1 Gustave L Levy Pl |
$27.88 | 12 | 12 |
|
Adam Marc Raymond
156 William St Rm 303 |
$103.41 | 12 | 12 |
|
Reade Andrew De Leacy
1450 Madison Avenue, Box 1136 |
$107.19 | 12 | 12 |
|
Cody Dashiell-Earp
160 W 26Th St Fl 4 |
$49.24 | 12 | 12 |
|
Theresa Waltina Schwanke
158 W 75Th St Apt B |
$0.00 | 12 | 12 |
|
Jihan Guerrero
1 Penn Plz Fl 8 |
$0.00 | 12 | 12 |
|
Sammita Satyanarayan
5 E 98Th St |
$82.72 | 12 | 12 |
|
Jennifer Marie Johnson
160 W 26Th St |
$56.97 | 12 | 12 |
|
Msk Ralph Lauren Center
1919 Madison Ave |
$20.29 | 12 | 12 |
|
Sonja Sanae Howard
506 Lenox Avenue |
$17.08 | 12 | 12 |
|
Carol Jiarou Duh
550 1St Ave |
$70.04 | 12 | 12 |
|
Kristin T Fujita
3959 Broadway |
$200.37 | 12 | 12 |
|
Barry Fine
622 W 168Th St |
$44.09 | 12 | 12 |
|
Connie Dy
161 Fort Washington Ave |
$79.01 | 12 | 12 |
|
Colleen M Mccarthy
1275 York Ave Rm Mri-1007 |
$62.94 | 12 | 12 |
|
Naikhoba Munabi
161 Fort Washington Ave |
$57.74 | 12 | 12 |
|
Lyubov Avshalumova
80 Beekman Street |
$83.89 | 12 | 12 |
|
Christina Zheng
233 Broadway Rm 2750 |
$54.48 | 12 | 12 |
|
Eric Losada
100 Church St Rm 800 |
$90.38 | 12 | 12 |
|
Connie Truong
525 E 68Th St |
$0.00 | 12 | 12 |
|
Ashley Warner
139 Centre St Ph 120 |
$79.14 | 12 | 12 |
|
Valerie Anne Pierre
570 1St Ave |
$85.08 | 12 | 12 |
|
Matthew Del Guzzo
1000 10Th Ave |
$27.08 | 12 | 12 |
|
Prabhjot Singh
4405 Broadway |
$19.03 | 12 | 12 |
|
Robert Lynn Finney
333 Hudson St Rm 701 |
$18.73 | 12 | 12 |
|
Christopher James Agrusa
525 E 68Th St |
$32.23 | 12 | 12 |
|
Joshua Seth Silverman
160 E 34Th St |
$19.23 | 12 | 12 |
|
Manhattan Ent And Facial Plastic Surgery, P.C.
196 Canal St Fl 4 |
$78.98 | 12 | 12 |
|
Bienvenido Fajardo, M.D.P.C.
37 Nagle Ave Apt 1D |
$57.31 | 12 | 12 |
|
Krina Shah
530 1St Ave Fl 5 |
$73.81 | 12 | 12 |
|
Sameh Elguizaoui
159 E 74Th St |
$89.83 | 12 | 12 |
|
Shankar Thampi
130 E 77Th St |
$31.36 | 12 | 12 |
|
Asieh Kazem Haghighi
1 Gustave L Levy Pl |
$0.00 | 12 | 12 |
|
Eric Stephen Hamberger
160 E 32Nd St |
$94.02 | 12 | 12 |
|
Danielle S Jackson
109 W 27Th St Rm 5S |
$198.37 | 12 | 12 |
|
Lindsey Carey Wright
57 W 75Th St Apt 1A |
$50.52 | 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