Average Medicaid Office Visit Payments in Newark, NY: $63.86
Avg. Paid
$63.86
Range
$14.75 – $114.84
Total Claims
106,069
Providers
54
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 Newark, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Raissa Madeleine Ong
1200 Driving Park Ave |
$65.27 | 11,335 | 10,548 |
|
Kuljinder Deol
1208 Driving Park Ave |
$64.09 | 10,444 | 9,834 |
|
Nivedita P Prabhu
1200 Driving Park Ave |
$71.63 | 9,993 | 9,331 |
|
Caryl E Bjorseth
1200 Driving Park Ave |
$69.07 | 9,523 | 9,005 |
|
Beth A Orlowski
1200 Driving Park Ave |
$69.47 | 7,726 | 7,231 |
|
Steven T Galutia
1200 Driving Park Ave |
$64.08 | 6,736 | 6,358 |
|
Anthony J Dasilva
1208 Driving Park Ave |
$55.05 | 5,579 | 5,343 |
|
Seung Hur
1208 Driving Park Ave |
$54.88 | 4,993 | 4,781 |
|
Karole M Shafer
201 Frey St |
$55.44 | 4,350 | 4,029 |
|
Ralph R Madeb
1202 Driving Park Ave |
$36.92 | 4,286 | 3,969 |
|
Monifi A Osmen
1208 Driving Park Ave |
$68.06 | 3,488 | 3,343 |
|
Newark Wayne Community Hospital
1200 Driving Park Ave |
$114.84 | 2,948 | 2,276 |
|
John F Centonze
1206 Driving Park Ave |
$66.59 | 2,772 | 2,729 |
|
Deepak Advani
1208 Driving Park Ave |
$44.69 | 2,719 | 2,606 |
|
Alexandre Andreitchouk
1250 Driving Park Ave |
$62.76 | 2,373 | 2,286 |
|
Molly Elizabeth Blume
513 W Union St |
$75.87 | 2,174 | 1,439 |
|
Carrie Z. O'Neill
165 W Shore Blvd |
$43.09 | 1,846 | 1,692 |
|
Jessica Sullivan
1200 Driving Park Ave |
$60.91 | 1,802 | 1,218 |
|
Benjamin Jon Nelson
1202 Driving Park Ave |
$55.43 | 1,544 | 1,518 |
|
Jeffrey Harford
1206 Driving Park Ave |
$53.85 | 1,173 | 1,157 |
|
Emily L Debadts
1250 Driving Park Ave |
$52.73 | 1,161 | 1,124 |
|
Carl Robert Lester
1208 Driving Park Ave |
$48.90 | 853 | 826 |
|
Jessica Nackley
1200 Driving Park Ave Ste 4 |
$51.28 | 661 | 629 |
|
Laura Joyce Johnson
1200 Driving Park Ave |
$92.92 | 657 | 655 |
|
Wade Jason Brandt
1200 Driving Park Ave |
$68.41 | 647 | 606 |
|
Karen S. Roth
1208 Driving Park Ave |
$61.62 | 521 | 513 |
|
Poonam Ramsdell
1304 Driving Park Ave |
$72.05 | 508 | 506 |
|
Charles Lawrence Katz
1250 Driving Park Ave |
$96.79 | 463 | 448 |
|
Sara Q Schlageter
1250 Driving Park Ave |
$50.42 | 342 | 335 |
|
John Koch
1208 Driving Park Ave |
$50.11 | 326 | 315 |
|
Lauren Kelley Wilsey
1250 Driving Park Ave |
$53.67 | 273 | 255 |
|
Paula Kay Dorn
1304 Driving Park Ave |
$45.53 | 261 | 260 |
|
Laura Wells-Spicer
1200 Driving Park Ave |
$38.72 | 252 | 249 |
|
Beverly J Provo
1208 Driving Park Ave |
$61.21 | 189 | 177 |
|
Elizabeth Schwennker
1200 Driving Park Ave |
$76.27 | 140 | 140 |
|
Courtney Laura Bogart
165 W Shore Blvd |
$36.67 | 130 | 124 |
|
Kathleen L Hausman
1250 Driving Park Ave |
$53.09 | 107 | 104 |
|
Jennifer Lynn Torres
1200 Driving Park Ave |
$41.24 | 105 | 104 |
|
Michael R Jordan
1200 Driving Park Ave |
$64.90 | 93 | 89 |
|
Brianne Alissa Howell
1200 Driving Park Ave |
$94.69 | 84 | 84 |
|
Carolyn E. Rhodes
1202 Driving Park Ave |
$53.46 | 67 | 66 |
|
Catherine Bogan
515 Colton Ave |
$63.23 | 65 | 63 |
|
Adrienne Alvaro
1208 Driving Park Ave |
$39.29 | 64 | 64 |
|
Damar Titsy-Ann Mcintyre
1200 Driving Park Ave |
$112.01 | 58 | 58 |
|
Jeffrey S Klempen
1200 Driving Park Ave |
$24.76 | 51 | 50 |
|
Barbara L Holderbaum-Dober
1208 Driving Park Ave |
$62.46 | 38 | 38 |
|
Thomas B Verme
150 Van Buren St |
$108.60 | 32 | 29 |
|
Kelly Diane Farrar
1105 Driving Park Ave |
$69.19 | 28 | 24 |
|
Caroline Cooper
1208 Driving Park Ave |
$54.17 | 19 | 18 |
|
Paige Judge
1200 Driving Park Ave |
$74.85 | 17 | 14 |
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 Newark, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newark, NY is $63.86 per claim, based on 106,069 claims from 54 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 Newark, NY?
There are 54 Medicaid providers offering Office Visit related services in Newark, NY according to public payment data.
What is the price range for Office Visit in Newark, NY?
Medicaid reimbursement for Office Visit in Newark, NY ranges from $14.75 to $114.84 per claim, with an average of $63.86. 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
New York, NY
Avg $81.86
23,551,154 claims · 7530 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
Other Procedures in Newark, NY
Physical Therapy
Avg $58.59
70,073 claims
Blood Work & Lab Tests
Avg $12.67
52,195 claims
Emergency Room Visit
Avg $134.50
47,433 claims
Vaccines & Immunizations
Avg $32.68
16,594 claims
Psychiatric Evaluation
Avg $97.10
15,634 claims
Urinalysis & Urine Tests
Avg $3.16
13,999 claims
X-Ray
Avg $6.89
12,589 claims
Speech Therapy
Avg $55.05
12,075 claims