Average Medicaid Office Visit Payments in North Syracuse, NY: $67.66
Avg. Paid
$67.66
Range
$0.00 – $136.79
Total Claims
101,268
Providers
56
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 North Syracuse, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sandra E Gibson
5496 E Taft Rd |
$105.69 | 12 | 12 |
|
Mary Botsford
792 N Main St |
$71.30 | 15 | 15 |
|
Suchitra Kavety
792 1/2 N Main St |
$75.72 | 38 | 38 |
|
Erin M Carroll
792 N Main St Ste 200 |
$72.41 | 42 | 42 |
|
Ellen Beth Schaeffer
5229 Witz Drive |
$136.79 | 57 | 56 |
|
Barry Rabin
792 North Main Street |
$119.54 | 63 | 63 |
|
Jennifer Lynnrushak Baldwin
792 N Main St |
$68.01 | 117 | 115 |
|
John Oliver Rosser
792 1/2 N Main St |
$76.67 | 132 | 124 |
|
Laura Fernandez Rivas
514 S Bay Rd |
$94.60 | 132 | 126 |
|
James E Brown
729 1/2 N Main St |
$73.70 | 167 | 157 |
|
Mark S Post
514 S Bay Rd |
$62.34 | 190 | 187 |
|
Samantha Taylor Bell
792 1/2 N Main St |
$60.82 | 245 | 245 |
|
Jenny Amanda Barnum
5232 Witz Dr |
$23.52 | 258 | 258 |
|
Linda Schreiber
792 N Main St |
$71.02 | 272 | 240 |
|
Melissa Torrez
5496 E Taft Rd |
$68.20 | 278 | 277 |
|
Parker William Lobel
5496 E Taft Rd |
$69.35 | 420 | 420 |
|
Robert L Tiso
5496 East Taft Road |
$53.32 | 615 | 615 |
|
Rina C Davis
5496 East Taft Raod |
$38.30 | 673 | 672 |
|
Scott William Taylor
514 S Bay Rd |
$60.03 | 828 | 726 |
|
Mary Catherine Trusilo
5496 E Taft Rd |
$36.71 | 903 | 878 |
|
Joseph A Catania
5496 East Taft Road |
$45.81 | 919 | 915 |
|
Rebecca Jennifer Rensy-Tallarico
5496 E Taft Rd |
$54.97 | 924 | 916 |
|
Nicole E Russell
5496 E Taft Rd |
$43.81 | 960 | 953 |
|
Desiree L. Long
5496 E Taft Rd |
$76.95 | 1,157 | 1,143 |
|
Chelsea Taylor
5496 E Taft Rd |
$67.50 | 1,217 | 1,207 |
|
Kirsten P Magowan
7278 Buckley Rd |
$88.51 | 1,265 | 1,212 |
|
Anne M Calkins
5496 E Taft Rd |
$55.71 | 1,343 | 1,304 |
|
Jaime Sheffler
6846 Buckley Rd Ste 1 |
$24.39 | 1,367 | 198 |
|
Sheri Hill
5496 E Taft Rd |
$46.60 | 1,422 | 1,405 |
|
Cynthia Ann Steinem
7278 Buckley Rd |
$80.91 | 1,425 | 1,344 |
|
Jennifer Marie Godlewski
5496 E Taft Rd |
$85.15 | 1,470 | 1,465 |
|
Eric E Edelman
514 S Bay Rd |
$58.83 | 1,510 | 1,370 |
|
Raymond Alcuri
5496 E Taft Rd |
$32.94 | 1,532 | 1,367 |
|
Caitlin Elena Stiglmeier
7270 Buckley Road |
$78.61 | 1,542 | 1,483 |
|
Shelyta Lete Davis
5496 E Taft Rd |
$70.23 | 1,591 | 1,577 |
|
Eric Tallarico
5496 East Taft Road |
$33.83 | 1,669 | 1,531 |
|
Jeffrey William Wike
792 N Main St Ste 200A |
$86.69 | 1,795 | 1,732 |
|
Robert C Richman
5496 East Taft Road |
$73.58 | 1,890 | 1,881 |
|
Krista Switzer
5496 E Taft Rd |
$53.68 | 1,992 | 1,979 |
|
Jane Ogunsede
5496 E Taft Rd |
$60.18 | 2,002 | 1,992 |
|
Mara Morabito
5496 East Taft Road |
$72.71 | 2,157 | 2,129 |
|
Nicole Quilty
5496 E Taft Rd |
$64.73 | 2,339 | 2,321 |
|
Freddie L Edelman
514 S Bay Rd |
$66.78 | 2,533 | 2,340 |
|
Deirdre Keenan
5229 Witz Drive |
$79.74 | 2,722 | 2,508 |
|
Twinkle Sanjay Patel
100 Malta Ln |
$0.00 | 2,836 | 2,001 |
|
Salil Gupta
6846 Buckley Rd |
$48.79 | 2,912 | 2,669 |
|
Julie Glaza
5496 E Taft Rd |
$43.82 | 2,948 | 2,939 |
|
Pawan Rao
6846 Buckley Rd |
$50.17 | 3,356 | 3,126 |
|
Eronmwon Joy Ezomo
5496 E Taft Rd |
$53.05 | 3,470 | 3,454 |
|
Zoryana Moreau
5496 E Taft Rd |
$51.92 | 3,815 | 3,793 |
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 North Syracuse, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Syracuse, NY is $67.66 per claim, based on 101,268 claims from 56 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 North Syracuse, NY?
There are 56 Medicaid providers offering Office Visit related services in North Syracuse, NY according to public payment data.
What is the price range for Office Visit in North Syracuse, NY?
Medicaid reimbursement for Office Visit in North Syracuse, NY ranges from $0.00 to $136.79 per claim, with an average of $67.66. 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 North Syracuse, NY
Ambulance Transport
Avg $110.34
24,242 claims
Physical Therapy
Avg $54.14
23,401 claims
Vaccines & Immunizations
Avg $21.11
22,603 claims
Dental Cleaning & Exam
Avg $39.58
15,347 claims
Psychiatric Evaluation
Avg $89.34
13,799 claims
Durable Medical Equipment (DME)
Avg $47.81
13,306 claims
Blood Work & Lab Tests
Avg $21.28
12,118 claims
Eye Exam
Avg $43.19
6,790 claims