Average Medicaid Office Visit Payments in Ny, NY: $77.64
Avg. Paid
$77.64
Range
$13.58 – $166.46
Total Claims
23,948
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 Ny, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kumar Singh
1275 York Ave |
$132.17 | 5,432 | 3,561 |
|
Lyudmila Kats
1St Avenue 16Th Street |
$13.58 | 4,962 | 4,627 |
|
Brenda Luisa Brathwaite
1111 Amsterdam Ave Clark 2 |
$83.60 | 3,345 | 1,605 |
|
Pamela Roberts
280 Henry St |
$95.79 | 3,168 | 1,781 |
|
Suzanne Friedman
575 W 181St St |
$71.70 | 1,723 | 1,717 |
|
Joshua Isaac Dorsky
1430 Second Ave |
$20.65 | 768 | 642 |
|
Yael Silverberg-Urian
425 W 59Th St |
$48.58 | 724 | 634 |
|
Jennifer S Collins
380 2Nd Avenue, 9Th Fl |
$83.43 | 710 | 686 |
|
Alyssa Fox
10 Nathan D. Perlman Place |
$94.69 | 630 | 565 |
|
Romina G. Wancier
36 East 57Th Street |
$102.17 | 500 | 467 |
|
Katherine A Mortati
403 East 34Th St 4Th Floor |
$49.72 | 424 | 413 |
|
Karen A Aiello
One Gustavo L Levy Place |
$166.46 | 295 | 294 |
|
Juan Carlos Echevarria
20 East 68 St |
$46.18 | 199 | 88 |
|
Eufemia Nunez Garcia
506 Lenox Ave |
$32.69 | 193 | 191 |
|
Russell George Volpe
55 East 124 Street |
$63.72 | 167 | 162 |
|
Kyoung Choi
462 First Ave |
$26.93 | 138 | 121 |
|
Karen Alison Nichole Myrie
492 First Avenue |
$79.53 | 89 | 71 |
|
Danielle Donnelly
160 East 32Nd Street 2Nd Floor |
$121.58 | 82 | 66 |
|
Sharon E Arnold
2367-69 Second Ave |
$81.96 | 73 | 45 |
|
Ira M Bergman
1160 Park Ave |
$95.65 | 69 | 65 |
|
Gary Jay Sherman
122 East 42Nd St |
$29.82 | 59 | 24 |
|
Benjamin H Chadi
928 Broadway |
$48.27 | 47 | 44 |
|
Theresa Mcintyre
36 East 57Th Street |
$64.10 | 45 | 40 |
|
Karl Heinz Moehlen
128 East 75Th Street |
$76.74 | 41 | 39 |
|
Debra Green
927 Park Avenue |
$114.52 | 38 | 38 |
|
Rebecca Beatrice Batista
515 W 59Th St |
$57.00 | 15 | 15 |
|
Daniel Scott Casper
1150 St Nicholas Ave |
$125.30 | 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 Ny, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ny, NY is $77.64 per claim, based on 23,948 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 Ny, NY?
There are 27 Medicaid providers offering Office Visit related services in Ny, NY according to public payment data.
What is the price range for Office Visit in Ny, NY?
Medicaid reimbursement for Office Visit in Ny, NY ranges from $13.58 to $166.46 per claim, with an average of $77.64. 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 Ny, NY
Home Health Visit
Avg $134.89
129,281 claims
Non-Emergency Medical Transportation
Avg $26.41
87,174 claims
Dental Cleaning & Exam
Avg $36.34
82,525 claims
Pathology & Lab Services
Avg $65.22
19,627 claims
Substance Abuse Treatment
Avg $55.57
14,391 claims
Psychiatric Evaluation
Avg $50.14
13,531 claims
Emergency Room Visit
Avg $66.15
10,568 claims
Dental Filling
Avg $66.77
7,143 claims