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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

80

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
Ofrona A Reid

321 Genesee St

$79.10 34,519 24,268
Oneida Health Systems, Inc

321 Genesee St

$99.17 27,439 23,816
Kapriel Danadian

421 Main St

$78.58 9,995 9,384
Rezkallah Toro

421 Main St

$71.88 9,801 9,109
Anthony Chiodi

1145 Glenwood Ave

$78.91 6,792 6,390
Lisa F Keicher

1145 Glenwood Ave

$77.47 5,256 4,954
Mona Lisa Smith

321 Genesee St

$70.99 5,187 4,204
Mark Slaven

607 Seneca St

$62.16 4,979 3,113
M Irene Vanderhoof

1145 Glenwood Ave

$79.63 4,861 4,601
Meghan Mohran

Wellnow Urgent Care

$56.27 4,672 4,577
Timothy Mihm

357 Genesee St

$75.81 3,783 3,723
Patricia Gorman

357 Genesee St Ste 2

$73.82 2,388 2,348
Jennifer Lynn Quinn

600 Seneca St

$48.12 2,274 2,130
Marina Anne Rathika Martyn

600 Seneca Street

$52.88 2,118 2,036
Erin Catherine Murphy

2031 Dream Catcher Plz

$52.84 2,010 1,936
Nancy Jane Dean-Grosack

264 Main St

$16.81 1,982 1,921
Andrew Jennings

221 Broad St

$88.28 1,897 1,857
Renee Frawley

357 Genesee St

$79.56 1,754 1,679
Kimberly Ann Pisarczyk

321 Genesee St

$34.67 1,725 527
Peter Daniel Fleming

221 Broad St

$81.94 1,561 1,520
Purnachandra R Popuri

225 Broad St

$42.40 1,544 1,424
Islam Ahmed Hassan

301 Genesee St Ste C

$41.58 1,439 1,435
Mohammed Asad Khalid

357 Genesee St

$85.60 1,337 1,290
Jessica Jean Khalid

357 Genesee St

$78.61 1,180 1,093
Corey Corbin

321 Genesee St

$86.41 1,153 894
Eilis Wagner Byrnes

109 Genesee St

$54.66 1,124 1,110
Bradley W Layton

2 Territory Rd

$238.28 1,100 896
Kristin Deanne Tooker

221 Broad St

$72.64 1,075 1,012
Jessica Jeong

357 Genesee St Ste 2

$70.39 1,017 999
Rebecca A Heysler

603 Seneca St

$45.29 1,003 320
Kimberly M Quinn

109 Genesee St

$61.36 997 991
Joseph Charles Lumia

600 Seneca St Ste 4

$75.82 937 899
Wael F Muakkassa

357 Genesee St

$37.45 931 895
Uzma Abbasi

301 Genesee St Ste A

$34.80 858 849
Deborah L. Clarey

131 Main St Ste 103

$84.42 832 781
Stephen Dubin

221 Broad St Ste 201

$95.51 819 799
Bashar Omarbasha

357 Genesee St

$41.35 793 779
Christina Riggall

2 Territory Rd

$218.46 757 665
Amber Sielski

1144 Meadow Dr

$60.54 703 401
Joseph Spinale

321 Genesee St Fl 3

$34.88 687 659
James E Vanderhoof

321 Genesee St

$16.77 627 620
Ellen Goodwater

357 Genesee St

$78.72 595 593
Kevin James Crable

125 Fields Dr

$62.38 518 508
Jenna Marie March

109 Genesee St

$52.57 502 498
Lindsey J Bailey

421 Main St

$77.48 460 459
Kayla Ackerman

221 Broad St Ste 201

$122.10 447 445
John J Costello

131 Main St

$72.33 436 396
Elizabeth Skinner

2031 Dream Catcher Plz

$82.92 415 398
Mehri L Delpino

1144 Meadow Dr

$71.09 350 342
Regina Farrell

1144 Meadow Dr

$46.48 350 338

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.

Office Visit in Other Cities

Other Procedures in Oneida, NY