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 |
|---|---|---|---|
|
Maria Giovanna Trivieri
1 Gustave L Levy Pl |
$7.37 | 12 | 12 |
|
Mark D. Kaufmann
21 E 90Th St |
$68.60 | 12 | 12 |
|
Millenia Vision Corp
469 W 125Th St |
$36.58 | 12 | 12 |
|
Thomas N Bryce
Box 1240B |
$76.76 | 12 | 12 |
|
Ellen Anne Cole Greene
622 W 168Th St |
$64.09 | 12 | 12 |
|
Manjusha Namuduri
1275 York Ave |
$121.72 | 12 | 12 |
|
Nevena Lucic
520 East 70Th Street Starr 341 |
$106.36 | 12 | 12 |
|
Subhash Krishnamoorthy
Columbia University Department Of Surgery General |
$7.70 | 12 | 12 |
|
Despina Tsevdos
5 E 98Th St Fl 10 |
$12.02 | 12 | 12 |
|
Aileen Gariepy
525 E 68Th St, J130 |
$112.76 | 12 | 12 |
|
New York Cardiovascular Specialist Pc
1787 Madison Ave |
$109.61 | 12 | 12 |
|
Claude D Simon
123 Lafayette St 5Th Fl |
$101.99 | 12 | 12 |
|
Barbara Ann Bowe
622 W 168 St Ph 1 137 |
$92.84 | 12 | 12 |
|
Emile Bacha
3959 Broadway |
$64.84 | 12 | 12 |
|
Kevin Bradford Elmore
1275 York Ave |
$46.15 | 12 | 12 |
|
Gabriela Aurora Aguilar
26 Bleecker St |
$39.29 | 12 | 12 |
|
Aida Taye
425 W 59Th Street |
$40.92 | 12 | 12 |
|
Robert M. Minutello
520 E 70Th St # Starr-4 |
$26.73 | 12 | 12 |
|
Deepti Anbarasan
710 W 168Th St |
$117.11 | 12 | 12 |
|
Douglas Unis
200 W 57Th St |
$6.10 | 12 | 12 |
|
Simon Jinwha Hong
305 E 33Rd St |
$104.43 | 12 | 12 |
|
Miwa Karen Geiger
1 Gustave L Levy Pl |
$120.06 | 12 | 12 |
|
Matthew A Crystal
3959 Broadway # Chn2-255 |
$218.02 | 12 | 12 |
|
Shari Ellen Gelber
525 E 68Th St |
$7.92 | 12 | 12 |
|
Risa Alperin
160 E 32Nd St |
$87.04 | 12 | 12 |
|
Al Dermatology,Pc
100 Beekman St |
$88.37 | 12 | 12 |
|
Devika Gajria
1275 York Ave |
$60.07 | 12 | 12 |
|
Steven Marx
630 West 168Th Street |
$44.72 | 12 | 12 |
|
Conrad Stern-Ascher
622 W 168Th St |
$109.18 | 12 | 12 |
|
Naimish Baxi
535 E 70Th St |
$33.25 | 12 | 12 |
|
Philip Felix Saltiel
150 E 58Th St |
$29.85 | 12 | 12 |
|
Peter M. Izmirly
560 First Avenue Buyon |
$69.79 | 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 |
|
Stephen Arthur Lund
423 W 55Th St |
$68.75 | 12 | 12 |
|
Alanna Elizabeth Kavanaugh
425 E 61St St |
$0.00 | 12 | 12 |
|
Nikole Alana Ostrov
90 Maiden Ln |
$93.18 | 12 | 12 |
|
Johanna Martinez
505 E 70Th St |
$32.55 | 12 | 12 |
|
Paula Castano
161 Fort Washington Ave |
$84.21 | 12 | 12 |
|
Geeta Devi Ganda
53 W 23Rd St Fl 6 |
$32.56 | 12 | 12 |
|
Sapna Rao Palep
75 Spring St Fl 2 |
$7.05 | 12 | 12 |
|
Grigoriy Grenader
100 Haven Ave Ste 201 |
$56.01 | 12 | 12 |
|
Metropolitan Center For Mental Health
1090 San Nicholas Ave |
$99.44 | 12 | 12 |
|
Aveena Kaur Kochar
1 Gustave L Levy Pl |
$27.88 | 12 | 12 |
|
Reade Andrew De Leacy
1450 Madison Avenue, Box 1136 |
$107.19 | 12 | 12 |
|
Ioanna Kosmidou
51 W 51St St |
$107.95 | 12 | 12 |
|
Richard Shapiro
160 E 34Th St |
$67.11 | 12 | 12 |
|
Gaetano Vincent Bello
18 E 77Tth St #1B |
$43.81 | 12 | 12 |
|
Jeffrey H. Wisoff
317 E 34Th St |
$80.66 | 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