Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Oneida, NY: $77.82

Avg. Paid

$77.82

Range

$10.55 – $621.89

Total Claims

163,749

Providers

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 Oneida, NY

Provider	Avg. Paid	Claims	Patients
James L Pfeiff 321 Genesee St	$42.00	12	12
Brett Gandhi 301 Genesee St	$64.86	12	12
Nysarc Inc. 165 Main St	$10.55	13	12
Lucinda Anne Coffin 321 Genesee St	$93.44	14	12
Jennifer Musial Cummings 131 Main St	$56.32	15	15
Kathleen Ann Woodruff 139 Fields Dr	$63.75	16	15
Amy Lynn Wardell 131 Main St Ste 202	$59.42	22	22
Joanne Roberts 1144 Meadow Dr	$71.20	26	26
Matthew C. Allen 131 Main St	$51.63	27	27
Joseph John Pierz 357 Genesee Street	$104.95	28	28
Roberto F Martinez 604 Seneca St	$89.13	51	47
Luann Mary Thayer 357 Genesee St Ste 1	$42.90	53	53
Shannon Marie Phillips 357 Genesee St	$23.62	55	54
Patrick A Costello 131 Main St	$89.51	70	63
Krislyn Leigh Flint 1144 Meadow Dr	$64.48	76	76
Jason Lorenc 321 Genesee St	$63.15	87	87
Oneida Indian Health Services 2057 Dream Catcher Plz	$621.89	132	116
Henry Stephen 139 Fields Dr	$70.13	152	142
Diego X Alvarez 322 Main St	$94.82	154	133
Helene L. Hansen 301 Genesee St Ste C	$61.84	168	165
Manoraj Ratnaraj 131 Main St Ste 103	$47.79	196	189
Tammy West 357 Genesee St Ste 2	$80.07	203	202
Christina M Rood 6159 Peterboro Rd	$66.31	219	219
Brent Evans Carlyle 357 Genesee St Ste 1	$58.35	249	246
Tara Magee 139 Fields Dr	$71.95	250	239
Ghassan Jamil Koussa 600 Seneca St	$48.90	251	245
Pedro Jose Delpino 357 Genesee Street	$49.96	254	242
Kristin L Rutherford 603 Seneca St	$84.49	299	289
Miriam Beth Bernstein 1144 Meadow Dr	$90.12	328	322
Christopher P Lott 357 Genesee St	$90.60	338	325
Mehri L Delpino 1144 Meadow Dr	$71.09	350	342
Regina Farrell 1144 Meadow Dr	$46.48	350	338
Elizabeth Skinner 2031 Dream Catcher Plz	$82.92	415	398
John J Costello 131 Main St	$72.33	436	396
Kayla Ackerman 221 Broad St Ste 201	$122.10	447	445
Lindsey J Bailey 421 Main St	$77.48	460	459
Jenna Marie March 109 Genesee St	$52.57	502	498
Kevin James Crable 125 Fields Dr	$62.38	518	508
Ellen Goodwater 357 Genesee St	$78.72	595	593
James E Vanderhoof 321 Genesee St	$16.77	627	620
Joseph Spinale 321 Genesee St Fl 3	$34.88	687	659
Amber Sielski 1144 Meadow Dr	$60.54	703	401
Christina Riggall 2 Territory Rd	$218.46	757	665
Bashar Omarbasha 357 Genesee St	$41.35	793	779
Stephen Dubin 221 Broad St Ste 201	$95.51	819	799
Deborah L. Clarey 131 Main St Ste 103	$84.42	832	781
Uzma Abbasi 301 Genesee St Ste A	$34.80	858	849
Wael F Muakkassa 357 Genesee St	$37.45	931	895
Joseph Charles Lumia 600 Seneca St Ste 4	$75.82	937	899
Kimberly M Quinn 109 Genesee St	$61.36	997	991

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 Oneida, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oneida, NY is $77.82 per claim, based on 163,749 claims from 80 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 Oneida, NY?

There are 80 Medicaid providers offering Office Visit related services in Oneida, NY according to public payment data.

What is the price range for Office Visit in Oneida, NY?

Medicaid reimbursement for Office Visit in Oneida, NY ranges from $10.55 to $621.89 per claim, with an average of $77.82. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Oneida, NY: $77.82

Providers Offering Office Visit in Oneida, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Oneida, NY

Blood Work & Lab Tests

Emergency Room Visit

Urinalysis & Urine Tests

X-Ray

Vaccines & Immunizations

Physical Therapy

Ambulance Transport

Eye Exam