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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

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

Other Procedures in Oneonta, NY