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 |
|---|---|---|---|
|
Nathaniel Nelson
222 E 41St St Fl 21 |
$51.54 | 12 | 12 |
|
Jeffrey Dayton
525 E 68Th St # F-695B |
$122.61 | 12 | 12 |
|
Mark J Kupersmith
1000 10Th Ave |
$83.61 | 12 | 12 |
|
Yuying Luo
425 W 59Th St |
$130.41 | 12 | 12 |
|
Milton Waner
1725 York Ave |
$113.55 | 12 | 12 |
|
Tanairi Vildoso
5 E 98Th St Fl 3 |
$54.12 | 12 | 12 |
|
Hossein Sadeghi Nejad
222 E 41St St Fl 12 |
$92.47 | 12 | 12 |
|
Qing Mei Wang
One Gustave Levy Place |
$47.48 | 12 | 12 |
|
Pooja Amy Shah
220 5Th Ave Fl 11 |
$55.16 | 12 | 12 |
|
Hani Members
50 Cooper Sq # B |
$97.06 | 12 | 12 |
|
Kathleen Mcginnis
525 E 68Th St |
$98.51 | 12 | 12 |
|
Esther Rochelle Butler
462 1St Ave |
$57.12 | 12 | 12 |
|
Rebecca Stainman
550 1St Ave |
$0.00 | 12 | 12 |
|
Stella Lou Lee
17 Elizabeth St |
$94.27 | 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 |
|
Gary J Lelli Jr
1305 York Ave Fl 11 |
$107.28 | 12 | 12 |
|
Michael T Lin
428 E 72Nd St Ofc 500 |
$31.67 | 12 | 12 |
|
Trustees Of Columbia University In The City Of New York
3959 Broadway |
$37.40 | 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 |
|
Peter S Maran
120 E 56Th St, 14 Fl |
$77.68 | 12 | 12 |
|
Wing Sze Fung
5 E 98Th St |
$163.05 | 12 | 12 |
|
Timothy Dale Mcclure
525 East 68Th Street |
$81.42 | 12 | 12 |
|
Zebulon Charles Taintor
19 E 93Rd St |
$84.91 | 12 | 12 |
|
Yuriy Gurevich
317 E 17Th St |
$103.61 | 12 | 12 |
|
Laura Pisani
3959 Broadway |
$161.03 | 12 | 12 |
|
Alan J Tuchman
975 Park Ave |
$237.11 | 12 | 12 |
|
David Kudlowitz
222 E 41St St Fl 18 |
$0.00 | 12 | 12 |
|
Yosef Shimon Golowa
800 2Nd Ave Fl 9 |
$56.34 | 12 | 12 |
|
Marek Paliwoda
200 W 58Th St |
$0.00 | 12 | 12 |
|
Jamie Mitchell
1305 York Ave |
$181.96 | 12 | 12 |
|
Sarah Yagerman
115 E 57Th St Ste 400 |
$32.05 | 12 | 12 |
|
Gerard P Varlotta
20 E 46Th St Rm 304 |
$68.69 | 12 | 12 |
|
Rohan Jotwani
525 E 68Th St |
$137.53 | 12 | 12 |
|
George Pianka
73 E 71St St |
$122.35 | 12 | 12 |
|
Kammi Grayson
724 2Nd Ave |
$86.69 | 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 |
|
Vahid Namdarizandi
1111 Amsterdam Ave |
$93.09 | 12 | 12 |
|
Haley Jordan Rosenberg
662 West 168Th Street |
$67.20 | 12 | 12 |
|
Ashley Goldthwait Vangel
177 Fort Washington Avenue, Mhb 8-004 |
$26.89 | 12 | 12 |
|
Gregory Lee
462 1St Ave |
$74.57 | 12 | 12 |
|
Nicholas Sanfilippo
160 E 34Th St |
$108.27 | 12 | 12 |
|
Gabriel Richard Prager
1 Gustave L Levy Pl # 1149 |
$72.39 | 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