Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Ossining, NY: $97.36

Avg. Paid

$97.36

Range

$33.12 – $190.04

Total Claims

121,382

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 Ossining, NY

Provider	Avg. Paid	Claims	Patients
Open Door Family Medical Center, Inc. 165 Main St	$98.97	22,368	21,150
Andrew Christopher Swiderski 165 Main St	$102.36	14,745	8,552
Sophia Worth 29 S Highland Ave	$108.47	14,220	6,366
John Russell Hawkins 165 Main St	$86.82	11,764	7,229
Michael Franklin Chen-Illamos 165 Main St	$96.26	8,512	4,629
Serena Margaret Allen 165 Main St	$91.82	6,605	3,009
Leslie R Plachta 165 Main St	$94.81	6,423	3,444
Nicole Lynn Arraiano 165 Main St	$100.22	6,392	3,636
Sarah G.M. Steinberg 165 Main St	$99.70	6,369	3,640
Anupama Pani 240D S Highland Ave	$82.83	3,237	2,925
Bella Pace 165 Main St	$96.92	2,550	1,298
Oneil Anthony Goulbourne 10 Fowler Ave	$119.97	2,130	1,870
Lucy Rovito 165 Main St	$98.61	2,015	1,061
Alicia Ruth Christian 165 Main St	$95.05	1,563	736
Pani Family Medicine Llc 240D S Highland Ave	$96.54	1,396	1,256
Alice Sarah Teich 165 Main St	$81.63	1,261	907
Jacob A Samander 165 Main St	$75.47	1,180	996
Lidia Pousada 162 Croton Ave	$85.96	1,036	809
Dean R Cummins 310 N Highland Ave	$44.65	959	921
Brian M Rodrigues 57 Croton Ave Ste 3	$106.16	950	941
Nancy Solomon 165 Main St	$85.84	890	675
Leneika E Satchell 165 Main St	$102.90	866	584
Debra Dresden 165 Main St	$50.97	797	734
Heng Chao Wei 30 S Highland Ave	$37.13	544	527
Frank Foto 310 N Highland Ave	$121.29	490	480
Charles J Abate 310 N Highland Ave	$121.93	438	426
Robert T Goldman 310 N Highland Ave Ste 4	$190.04	357	317
Elizabeth Zalduondo 15 Spring Valley Rd	$33.12	270	262
Alex E Fijman 310 N Highland Ave Ste 2	$164.14	248	235
Ossining Family Optometry Pllc 57 Croton Ave # 3	$132.20	225	225
Amy Dall 165 Main St	$92.48	205	141
Zisi Berkowitz Advanced Dermatology, Pc	$86.04	175	168
Julie Bouchet 19 Pine Ave	$144.59	76	76
Maya Veliyathukudy Menon 310 N Highland Ave Ste 2	$117.56	57	55
Healthy Steps Family Foot Care, P.C 310 N Highland Ave Ste 1	$37.14	25	24
Silvy Emmanuel Mathew 100 S Highland Ave	$55.52	24	24
Jessica Alexandra Patino Sanmartin 165 Main St	$105.57	20	20

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 Ossining, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ossining, NY is $97.36 per claim, based on 121,382 claims from 37 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 Ossining, NY?

There are 37 Medicaid providers offering Office Visit related services in Ossining, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Ossining, NY ranges from $33.12 to $190.04 per claim, with an average of $97.36. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Ossining, NY: $97.36

Providers Offering Office Visit in Ossining, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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