Average Medicaid Office Visit Payments in Niskayuna, NY: $67.00
Avg. Paid
$67.00
Range
$5.17 – $135.14
Total Claims
17,927
Providers
27
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 Niskayuna, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tammy J Russo
2141 Eastern Pkwy |
$57.04 | 3,310 | 3,025 |
|
Nargis J Minhas
2123 River Road |
$63.21 | 2,303 | 2,204 |
|
John Pramenko
2310 Nott St E |
$61.95 | 2,034 | 1,862 |
|
Susan Peng Demarest
2125 River Rd Ste 303 |
$42.95 | 1,871 | 1,866 |
|
Sara Beverley Hitchcock
1769 Union St |
$93.36 | 1,129 | 1,122 |
|
Daniel Edward Breeyear
1758 Union St |
$77.23 | 1,119 | 1,020 |
|
Michael Grant O'Rourke
2125 River Rd Ste 303 |
$74.49 | 1,002 | 995 |
|
Heather Nicole Jansen
2141 Eastern Pkwy |
$79.25 | 865 | 716 |
|
Alanna Garcia Miller
1769 Union St |
$100.63 | 781 | 777 |
|
Michelyn Marie Myers
1769 Union St |
$93.68 | 770 | 768 |
|
Rana Bitar Jacob
2125 River Road |
$80.85 | 441 | 414 |
|
Jonas Wilson-Leedy
2210 Troy Schenectady Rd |
$67.88 | 436 | 406 |
|
Allison Godfrey
40 Linda Ln |
$52.22 | 433 | 411 |
|
Kelsey Hoar
1769 Union St |
$67.58 | 364 | 351 |
|
Carrin Elizabeth Brown
2125 River Rd Ste 103 |
$61.06 | 340 | 293 |
|
Alexandra Olsiewski
2310 Nott Street East |
$49.68 | 170 | 150 |
|
Taylor Harvey
2125 River Rd Ste 302 |
$32.17 | 161 | 146 |
|
Sarah Dolan Lashway
2125 River Rd Ste 100 |
$83.54 | 121 | 117 |
|
Melissa A Raduazzo
2125 River Rd Ste 100 |
$78.34 | 80 | 80 |
|
Erin P Adams
2125 River Rd |
$24.50 | 43 | 42 |
|
Rebecca Rose Fichtner
2125 River Rd Ste 100 |
$83.45 | 39 | 39 |
|
Alyson Demitraszek
2125 River Rd Ste 100 |
$82.29 | 34 | 33 |
|
Darcy Connor
2125 River Rd Ste 100 |
$27.95 | 29 | 25 |
|
Malene Kay Ingram
2125 River Rd |
$64.01 | 15 | 15 |
|
Nicholas J Montalto
2210 Troy Schenectady Rd |
$57.81 | 13 | 13 |
|
Mabel M.P. Cheng
3140 Troy Schenectady Rd |
$135.14 | 12 | 12 |
|
Benjamin Rosenstadt
2566 Banker Ave |
$5.17 | 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 Niskayuna, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Niskayuna, NY is $67.00 per claim, based on 17,927 claims from 27 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 Niskayuna, NY?
There are 27 Medicaid providers offering Office Visit related services in Niskayuna, NY according to public payment data.
What is the price range for Office Visit in Niskayuna, NY?
Medicaid reimbursement for Office Visit in Niskayuna, NY ranges from $5.17 to $135.14 per claim, with an average of $67.00. 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 Niskayuna, NY
Psychiatric Evaluation
Avg $70.19
11,818 claims
Blood Work & Lab Tests
Avg $3.82
7,972 claims
Speech Therapy
Avg $29.83
4,091 claims
Vaccines & Immunizations
Avg $29.30
2,947 claims
Eye Exam
Avg $45.58
1,974 claims
Ambulance Transport
Avg $101.88
1,305 claims
Non-Emergency Medical Transportation
Avg $16.48
798 claims
Emergency Room Visit
Avg $16.98
623 claims