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 |
|---|---|---|---|
|
Custodio Ricacho Borgueta
9 Hudson Valley Professional Plz |
$78.72 | 12 | 12 |
|
Janelle Cassidy
1400 Route 300 |
$100.97 | 12 | 12 |
|
Maria Riaz Chaudhry
5159A Route 9W |
$100.56 | 13 | 12 |
|
Michelle Yuting He
147 Lake St |
$107.24 | 13 | 13 |
|
Noriel Deguzman
70 Dubois St |
$59.83 | 14 | 14 |
|
Paul Reichman
460 Gidney Avenue |
$141.05 | 15 | 15 |
|
Kyle O'Rourke
147 Lake St |
$4.92 | 15 | 15 |
|
Mary K Michalak
147 Lake St |
$72.09 | 22 | 16 |
|
Kellie Cummings
400 Gidney Ave |
$58.84 | 26 | 26 |
|
Larry Koreen
450 Gidney Ave |
$136.67 | 29 | 29 |
|
Michele Doubrava
21 23 Grand Street |
$72.60 | 29 | 25 |
|
Vida Arhin
17 N Plank Rd |
$31.80 | 32 | 32 |
|
John T Hughes
275 North St |
$2.78 | 38 | 38 |
|
Mid-Hudson Anesthesiologists, Pc.
St. Lukes Hospital |
$20.40 | 39 | 38 |
|
Paul A Pomerantz
600 Stony Brook Ct |
$5.87 | 41 | 41 |
|
Integrated Medical Healthcare Services Pllc
600 Stony Brook Ct |
$83.76 | 43 | 42 |
|
Lavinia E. Park
141 Broadway |
$135.41 | 44 | 43 |
|
Shmuel Shapira
33 Far Horizons Dr |
$33.52 | 49 | 36 |
|
Kenessa B Edwards
70 Dubois Street |
$109.21 | 51 | 51 |
|
Alberto De Jesus Gonzalez Zacarias
147 Lake St |
$72.66 | 58 | 48 |
|
Susan Cardona
355 Grand St |
$126.07 | 59 | 58 |
|
Eileen Gayle Bogursky
1200 Route 300 |
$107.18 | 60 | 57 |
|
Family Medical Care Pc
169 N Plank Rd |
$81.95 | 83 | 71 |
|
Comprehensive Blood &Cancer Medical Care,Pc
5109 Route 9W |
$103.35 | 98 | 80 |
|
Stanley John
3 Washington Ctr |
$73.12 | 104 | 93 |
|
Janet J Guzman
1200 Route 300 |
$95.88 | 105 | 103 |
|
Judith Ann Branche
3 Commercial Pl |
$79.34 | 111 | 76 |
|
Nilson Tapia
1200 Route 300 |
$108.77 | 111 | 109 |
|
Yolanda Phillip
1200 Route 300 |
$84.48 | 123 | 111 |
|
Ethan Levine
70 Dubois St |
$133.25 | 126 | 126 |
|
Psyprobill, Llc
633 Gidney Ave |
$63.99 | 129 | 125 |
|
Munyaradzi Ephie Rwakonda
147 Lake St |
$68.30 | 141 | 138 |
|
Feliciana Erminia Montalico Juli
147 Lake St |
$38.90 | 143 | 128 |
|
Abdul Qayyum
21 Grand St |
$136.76 | 150 | 131 |
|
Ayushi Dixit
20 Willets Way |
$80.52 | 153 | 126 |
|
Brian P Grant
54 Dalfonso Rd |
$74.22 | 163 | 151 |
|
Veronica Ferencz
1200 Route 300 |
$104.94 | 172 | 169 |
|
Trevor Flynn
1200 Route 300 |
$112.45 | 181 | 181 |
|
Todd Alvin Rochman
400 Stony Brook Ct 1 |
$59.59 | 183 | 168 |
|
St. Luke'S Cornwall Hospital
70 Dubois St |
$30.18 | 197 | 70 |
|
Cassi Smithem
1200 Route 300 |
$97.42 | 217 | 212 |
|
Charles Nathan Walker
1200 Route 300 |
$108.87 | 220 | 218 |
|
Best Internal Medicine, P.C.
312 N Plank Rd |
$68.28 | 221 | 164 |
|
Krishna Kant Dixit
338 Meadow Avenue |
$29.52 | 224 | 187 |
|
Riaz A Chaudhry Md Pc
5159 Route 9W |
$107.16 | 232 | 193 |
|
East Orange Psychiatric Associates, Llp
400 Stony Brook Ct |
$57.04 | 237 | 223 |
|
Tameka Denise Bland
12 Hdsn Vly Prof Plz |
$92.96 | 245 | 139 |
|
Theodean Smith-Lawrence
147 Lake St |
$53.02 | 270 | 270 |
|
Paul Feldman
425 Robinson Ave. |
$46.60 | 273 | 269 |
|
West Hudson Imaging Associates, Pllc
70 Dubois St |
$0.00 | 315 | 289 |
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