Average Medicaid Office Visit Payments in Oneonta, NY: $95.64
Avg. Paid
$95.64
Range
$10.34 – $135.20
Total Claims
98,169
Providers
65
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 |
|---|---|---|---|
|
Nancy Codd-Cook
125 Main St |
$73.94 | 12 | 12 |
|
Kelly Ann Butler
179 River St |
$97.76 | 12 | 12 |
|
Amulya Pingali
1 Foxcare Dr Ste 308 |
$10.34 | 12 | 12 |
|
Andrea Barbara Close
125 Main St |
$91.93 | 13 | 12 |
|
Kassandra Claudy
179 River St |
$64.70 | 13 | 12 |
|
Theresa Vonhassel
189 Main St |
$113.94 | 15 | 13 |
|
Tally Edward Lassiter
1 Associate Dr |
$45.33 | 21 | 14 |
|
Hailey Suzanne Ryan
739 State Route 28 |
$29.23 | 29 | 28 |
|
Celia Catherine Seigers
1 Norton Ave |
$47.97 | 41 | 41 |
|
Yoshiro Matsuo
One Foxcare Drive |
$16.23 | 43 | 41 |
|
Mohamed Egal
432 Main St |
$26.85 | 46 | 40 |
|
Theresa Lynn Outman
125 Main St |
$115.29 | 48 | 47 |
|
Jennifer Lynne Panzarella
1 Foxcare Dr Ste 308 |
$67.94 | 54 | 51 |
|
Fern J. Thomas
531 Southside Dr |
$108.51 | 55 | 55 |
|
Elizabeth Cramer
179 River St |
$95.36 | 59 | 55 |
|
Julie Ann Andrews
75 Chestnut St |
$58.17 | 62 | 57 |
|
Kristen A Herbst
1 Associate Dr |
$44.33 | 67 | 67 |
|
James W Walker
125 Main St |
$53.88 | 71 | 62 |
|
Lori C. Baldanza
1 Foxcare Dr Ste 308 |
$72.31 | 86 | 80 |
|
David A Joseph
460 Main St |
$29.57 | 88 | 83 |
|
Corinne Smith
One Foxcare Drive Suite103 |
$52.38 | 97 | 94 |
|
John Paul Sweet
41-45 Dietz St |
$59.76 | 100 | 99 |
|
John D Stafford
6 Country Club Rd |
$60.19 | 106 | 106 |
|
Mallory Delaney
125 Main St |
$53.42 | 111 | 102 |
|
David J Oxley
1 Foxcare Dr |
$21.37 | 119 | 119 |
|
Lia Marta Briggs
739 Nys Route 28 |
$90.01 | 136 | 118 |
|
Phoebe Whitman Fisher Reese
125 Main St |
$62.86 | 138 | 137 |
|
Michael M Budin
438 Main St |
$15.00 | 143 | 141 |
|
Colton Meier St Amand
Po Box 1254 |
$95.26 | 149 | 145 |
|
Jeffrey Alan Cooke
739 State Route 28 |
$73.91 | 174 | 145 |
|
Andrea Denise Hoag
179 River St |
$92.99 | 237 | 203 |
|
Kelley Ann Birmingham
1 Foxcare Dr |
$14.87 | 288 | 277 |
|
Lauren Marie Guse
1 Foxcare Dr |
$61.32 | 302 | 250 |
|
Tariq Mahmood
1 Norton Ave |
$91.73 | 320 | 305 |
|
Heather Elizabeth Kersman
125 Main St |
$82.46 | 430 | 394 |
|
Jessica Curran
1 Norton Ave |
$132.41 | 449 | 434 |
|
Dylan Peter Elman
1 Foxcare Dr |
$80.39 | 521 | 506 |
|
Benjamin Friedell
1 Fox Care Dr |
$44.57 | 528 | 494 |
|
Kristie Delvecchio
5001 State Highway 23 |
$64.96 | 530 | 526 |
|
Joann M Carey
739 New York Highway 28 |
$58.58 | 562 | 557 |
|
Karen Ross
330 Chestnut St |
$76.12 | 596 | 416 |
|
Blaine Jones
1 Fox Care Dr |
$35.13 | 689 | 687 |
|
Carolyn Wolfgould
1 Fox Care Dr |
$62.60 | 710 | 705 |
|
Elizabeth Blasco
125 Main St |
$47.31 | 809 | 783 |
|
Peipei Zhou
5546 State Highway 7 |
$49.15 | 878 | 836 |
|
Todd Churchill
1 Fox Care Dr |
$27.56 | 885 | 860 |
|
Lisa Koehl Mooney
125 Main St |
$38.23 | 888 | 871 |
|
Christopher Wolfgould
1 Fox Care Dr |
$49.36 | 1,041 | 1,030 |
|
Jennifer Fuller
179 River St |
$85.20 | 1,145 | 1,102 |
|
Bridget Abieyuwa Igbinosun
125 Main St |
$41.28 | 1,188 | 1,116 |
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.
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 Oneonta, NY
Blood Work & Lab Tests
Avg $13.07
85,410 claims
Psychiatric Evaluation
Avg $151.17
51,202 claims
Urinalysis & Urine Tests
Avg $22.08
49,736 claims
Emergency Room Visit
Avg $162.90
47,968 claims
Non-Emergency Medical Transportation
Avg $25.73
35,239 claims
Dental Cleaning & Exam
Avg $38.37
35,191 claims
X-Ray
Avg $6.46
25,474 claims
Home Health Visit
Avg $157.21
22,871 claims