Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Oneonta, NY: $95.64

Avg. Paid

$95.64

Range

$10.34 – $135.20

Total Claims

98,169

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 Oneonta, NY

Provider	Avg. Paid	Claims	Patients
Aurelia Osborn Fox Memorial Hospital Society 1 Norton Ave	$134.18	35,555	32,670
Family Planning Of South Central New York, Inc. 37 Dietz St	$122.36	6,530	6,294
Kenneth G Lucas 179 River St	$87.08	5,949	5,129
William J Fredette 1 Norton Ave	$49.54	4,779	4,482
Diane M Georgeson 1 Norton Ave	$69.68	4,268	4,000
Kathleen Henderson 1 Norton Ave	$57.35	4,004	3,938
Monica Brane 125 Main St	$45.00	3,595	3,458
County Of Otsego 242 Main Street,	$133.17	3,361	3,236
Krystyna Koryzma 5001 State Highway 23	$57.28	3,309	3,272
Douglas H Cannon 125 Main St	$52.59	2,646	2,513
Zubair Majid Butt 1 Foxcare Dr	$43.91	2,549	2,336
Douglas Sivers 179 River St	$87.19	2,463	2,437
Nicholas W Tarricone 179 River St	$78.50	1,464	1,359
Godwin N Njoku 460 Main St Suite 1	$81.63	1,353	1,208
County Of Otsego 242 Main St	$135.20	1,228	1,190
Bridget Abieyuwa Igbinosun 125 Main St	$41.28	1,188	1,116
Jennifer Fuller 179 River St	$85.20	1,145	1,102
Christopher Wolfgould 1 Fox Care Dr	$49.36	1,041	1,030
Lisa Koehl Mooney 125 Main St	$38.23	888	871
Todd Churchill 1 Fox Care Dr	$27.56	885	860
Peipei Zhou 5546 State Highway 7	$49.15	878	836
Elizabeth Blasco 125 Main St	$47.31	809	783
Carolyn Wolfgould 1 Fox Care Dr	$62.60	710	705
Blaine Jones 1 Fox Care Dr	$35.13	689	687
Karen Ross 330 Chestnut St	$76.12	596	416
Joann M Carey 739 New York Highway 28	$58.58	562	557
Kristie Delvecchio 5001 State Highway 23	$64.96	530	526
Benjamin Friedell 1 Fox Care Dr	$44.57	528	494
Dylan Peter Elman 1 Foxcare Dr	$80.39	521	506
Jessica Curran 1 Norton Ave	$132.41	449	434
Heather Elizabeth Kersman 125 Main St	$82.46	430	394
Tariq Mahmood 1 Norton Ave	$91.73	320	305
Lauren Marie Guse 1 Foxcare Dr	$61.32	302	250
Kelley Ann Birmingham 1 Foxcare Dr	$14.87	288	277
Andrea Denise Hoag 179 River St	$92.99	237	203
Jeffrey Alan Cooke 739 State Route 28	$73.91	174	145
Colton Meier St Amand Po Box 1254	$95.26	149	145
Michael M Budin 438 Main St	$15.00	143	141
Phoebe Whitman Fisher Reese 125 Main St	$62.86	138	137
Lia Marta Briggs 739 Nys Route 28	$90.01	136	118
David J Oxley 1 Foxcare Dr	$21.37	119	119
Mallory Delaney 125 Main St	$53.42	111	102
John D Stafford 6 Country Club Rd	$60.19	106	106
John Paul Sweet 41-45 Dietz St	$59.76	100	99
Corinne Smith One Foxcare Drive Suite103	$52.38	97	94
David A Joseph 460 Main St	$29.57	88	83
Lori C. Baldanza 1 Foxcare Dr Ste 308	$72.31	86	80
James W Walker 125 Main St	$53.88	71	62
Kristen A Herbst 1 Associate Dr	$44.33	67	67
Julie Ann Andrews 75 Chestnut St	$58.17	62	57

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 Oneonta, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oneonta, NY is $95.64 per claim, based on 98,169 claims from 65 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 Oneonta, NY?

There are 65 Medicaid providers offering Office Visit related services in Oneonta, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Oneonta, NY ranges from $10.34 to $135.20 per claim, with an average of $95.64. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Oneonta, NY: $95.64

Providers Offering Office Visit in Oneonta, 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 Oneonta, NY

Blood Work & Lab Tests

Psychiatric Evaluation

Urinalysis & Urine Tests

Emergency Room Visit

Non-Emergency Medical Transportation

Dental Cleaning & Exam

X-Ray

Home Health Visit