Average Medicaid Office Visit Payments in Newburgh, NY: $75.78
Avg. Paid
$75.78
Range
$0.00 – $189.48
Total Claims
527,986
Providers
183
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 Newburgh, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cornerstone Family Healthcare
147 Lake Street |
$90.62 | 51,645 | 46,525 |
|
Megan Nickerson
1 Corwin Ct Ste 202 |
$61.68 | 36,144 | 28,518 |
|
Angela Iannitti-Hulse
147 Lake St |
$71.11 | 21,649 | 16,764 |
|
Mercedes M Blanche
290 Broadway Ste 4 |
$48.74 | 15,165 | 13,156 |
|
Manish Ambalal Raval
313 S William St |
$80.32 | 14,750 | 12,000 |
|
Mehulkumar Ambalal Raval
313 S William St |
$76.74 | 12,329 | 9,921 |
|
Sovan Powell
147 Lake St |
$72.73 | 11,179 | 7,840 |
|
Adeola O Ayodeji
147 Lake Street |
$61.45 | 10,497 | 7,271 |
|
Chanchal Singh
147 Lake St |
$73.78 | 10,321 | 7,546 |
|
Noelle Mary Ziemins
147 Lake St |
$66.65 | 10,312 | 7,409 |
|
Salil Kathpalia
633 Gidney Ave |
$86.00 | 10,254 | 9,055 |
|
Avi Silber
147 Lake St |
$69.29 | 9,733 | 7,502 |
|
Paul I Saladino
407 Gidney Ave |
$73.44 | 9,348 | 8,406 |
|
Ryan Daniel Meshulam
147 Lake St |
$71.95 | 9,335 | 6,957 |
|
Mohammad Mahbubul Islam
10 Little Britain Rd |
$55.72 | 8,976 | 7,905 |
|
Theresa Marie Mastronardi
147 Lake St |
$65.51 | 8,553 | 5,544 |
|
Henry A. Greenblatt
400 Gidney Ave |
$91.48 | 8,163 | 7,990 |
|
Andres Joaquin Greco
377 Broadway |
$79.91 | 8,032 | 7,115 |
|
Maria C David
266 North St |
$102.52 | 7,806 | 6,986 |
|
Wael Fakhoury
1200 Route 300 |
$81.28 | 7,361 | 7,106 |
|
Ronald H Gomez
147 Lake St |
$69.44 | 7,260 | 5,217 |
|
Anna M. Piotrowski
40 N Plank Rd |
$62.05 | 7,075 | 5,904 |
|
Stanley Swaby
147 Lake St |
$70.17 | 6,807 | 4,846 |
|
Vijayalakshmi Rampam
169 N Plank Rd |
$95.11 | 6,738 | 5,399 |
|
Fauzia Paracha
5109 Route 9W Ste 2 |
$64.44 | 6,532 | 4,699 |
|
Hugh L.A Mckenzie
225 S Plank Rd Ste 2 |
$57.68 | 6,049 | 5,017 |
|
Abida K Mallick
1200 Route 300 |
$102.39 | 5,872 | 5,519 |
|
Samir Champak Patel
611 Gidney Ave |
$75.24 | 5,734 | 5,318 |
|
Syed Nasir
5159 Route 9W |
$83.08 | 5,307 | 5,183 |
|
Parth M. Shah
1200 Route 300 |
$89.91 | 4,887 | 4,543 |
|
Monica Francis
147 Lake St |
$63.16 | 4,829 | 3,706 |
|
Ingrid Selma Frengle-Burke
147 Lake St |
$64.40 | 4,672 | 3,509 |
|
Lilia Watson
147 Lake St |
$48.63 | 4,571 | 4,490 |
|
Rehan Ahmad
5159 Route 9W |
$77.33 | 4,525 | 4,349 |
|
Orange Medical Care Pc
313 S William St |
$71.80 | 4,320 | 3,374 |
|
Donna Jean Argenzio
266 North St |
$97.03 | 4,107 | 3,831 |
|
Matthew S. Leone
1200 Route 300 |
$90.28 | 4,007 | 3,855 |
|
Olga Fishman
1200 Route 300 |
$60.57 | 3,805 | 3,776 |
|
Mehul Pravinbhai Patel
5 Jeanne Dr |
$68.04 | 3,805 | 3,656 |
|
Nirav D Shah
5 Jeanne Dr Ste 7 |
$63.44 | 3,641 | 3,522 |
|
New Windsor Family Care Llc
377 Broadway |
$110.49 | 3,588 | 3,231 |
|
Syed Moin
312 N Plank Rd |
$65.99 | 3,568 | 3,095 |
|
Penelope Josephine Guccione
147 Lake St |
$77.32 | 3,565 | 2,436 |
|
Riaz A Chaudhry
5159 Route 9W |
$81.00 | 3,547 | 3,070 |
|
County Of Orange
141 Broadway |
$154.58 | 3,447 | 3,221 |
|
Saed Qaqish
1200 Route 300 |
$84.00 | 3,435 | 3,305 |
|
Alice J Looney
70 Dubois St |
$53.75 | 3,377 | 3,156 |
|
Mauricio Jose Silva
147 Lake St |
$28.20 | 3,236 | 2,240 |
|
Linda J Mason
1607 Route 300 Ste 102 |
$77.76 | 3,220 | 2,869 |
|
Matthew Philip Gordon
1200 Route 300 |
$99.73 | 3,111 | 2,957 |
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 Newburgh, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newburgh, NY is $75.78 per claim, based on 527,986 claims from 183 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 Newburgh, NY?
There are 183 Medicaid providers offering Office Visit related services in Newburgh, NY according to public payment data.
What is the price range for Office Visit in Newburgh, NY?
Medicaid reimbursement for Office Visit in Newburgh, NY ranges from $0.00 to $189.48 per claim, with an average of $75.78. 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 Newburgh, NY
Home Health Visit
Avg $196.92
467,047 claims
Blood Work & Lab Tests
Avg $7.43
255,681 claims
Psychiatric Evaluation
Avg $106.11
141,186 claims
Dental Cleaning & Exam
Avg $37.47
130,237 claims
Emergency Room Visit
Avg $127.06
125,900 claims
Vaccines & Immunizations
Avg $11.80
96,007 claims
Substance Abuse Treatment
Avg $156.09
88,433 claims
Urinalysis & Urine Tests
Avg $2.11
67,948 claims