Average Medicaid Office Visit Payments in Oswego, NY: $100.99
Avg. Paid
$100.99
Range
$0.00 – $184.57
Total Claims
266,215
Providers
94
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 Oswego, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Oswego Hospital
110 W 6Th St |
$155.94 | 89,960 | 85,249 |
|
Andrew Casi Catalone
74 Bunner St |
$36.95 | 16,919 | 14,582 |
|
Cecile Matip
110 W 6Th St |
$72.32 | 12,809 | 7,461 |
|
Scott C. Van Gorder
10 George St |
$104.46 | 12,554 | 11,921 |
|
Meredith M Potter
110 W 6Th St |
$67.14 | 12,361 | 11,842 |
|
Vilma Junio
101 W Utica St |
$61.53 | 10,964 | 9,762 |
|
Raj Kumar Mahajan
42 Montcalm St |
$55.78 | 10,512 | 9,889 |
|
Farnham Inc.
283 West Second Street |
$113.21 | 6,270 | 5,406 |
|
Lina Wu
69 W Utica St |
$42.05 | 6,182 | 5,408 |
|
Shannon Leigh Strong
8 Stanley Ave |
$66.88 | 5,003 | 4,942 |
|
Alexander William Filipski
120 E 1St St |
$100.85 | 4,564 | 4,338 |
|
Francis Clifford Arce
101 W Utica St |
$85.30 | 4,560 | 4,397 |
|
Lori L Marshall
1 Buccaneer Blvd |
$111.54 | 4,173 | 3,900 |
|
Nicholas Richard Groch
140 W 6Th St |
$96.08 | 3,764 | 3,731 |
|
Joseph William Nimeh
10 George St |
$83.92 | 3,718 | 3,513 |
|
Carmen S Bautista Dator
177 W 4Th St |
$73.98 | 3,237 | 2,871 |
|
Padma Ram
300 State Route 104 |
$51.41 | 3,193 | 2,965 |
|
Shannon M Dwyer
10 George St Ste 200 |
$109.04 | 2,816 | 2,687 |
|
Young Hee Kim
50 West Utica St |
$55.49 | 2,623 | 2,261 |
|
William H Stilwell
110 W 6Th St |
$53.16 | 2,584 | 2,571 |
|
Beverly S Aubin
120 E 1St St |
$113.68 | 2,564 | 2,440 |
|
Kamaljeet Banga
140 W 6Th St Ste 280 |
$85.13 | 2,509 | 2,389 |
|
Melanie Lynn Groch
140 W 6Th St |
$90.56 | 2,330 | 2,301 |
|
Toni Andon Usev
74 Bunner St |
$43.01 | 2,305 | 1,462 |
|
Douglas Paul Guenter
110 W Utica St |
$77.83 | 2,221 | 2,081 |
|
Michael Carey
140 W 6Th St Ste 200 |
$74.44 | 2,162 | 2,153 |
|
Katie Rebecca Beebe
120 E 1St St |
$109.25 | 2,133 | 2,023 |
|
Jon Robert Vanderweele
140 W 6Th St |
$83.65 | 2,127 | 2,104 |
|
Micheal D Stephens
110 W Utica St |
$76.70 | 2,114 | 1,992 |
|
Mark Anthony Humphrey
110 W Utica St |
$72.05 | 1,892 | 1,759 |
|
Renato Yap Mandanas
144 W 5Th St |
$82.32 | 1,790 | 1,715 |
|
Matthew John Liepke
33 E Schuyler St |
$66.56 | 1,330 | 1,260 |
|
Joy E. Dolorico-Magsino
10 George St |
$114.74 | 1,213 | 1,171 |
|
Mohammad Ali
105 County Route 45A Ste 400 |
$120.22 | 1,097 | 1,076 |
|
Ajoy Kumar Roy
105 County Route 45A |
$52.70 | 1,043 | 1,032 |
|
Omar A. Colon
110 W 6Th St |
$34.67 | 997 | 962 |
|
Megan Rae Irland
110 W 6Th St |
$52.25 | 954 | 929 |
|
Marilyn A Buckley
140 West 6Th Street |
$68.18 | 917 | 904 |
|
Ronald Damani Howell
140 W 6Th St |
$52.42 | 889 | 745 |
|
Dinah M. Olson
10 George St Ste 100 |
$73.93 | 828 | 503 |
|
David Bass
140 W 6Th St Ste 280 |
$85.31 | 822 | 818 |
|
Joan Newell
33 E Schuyler St Lowr Level |
$86.43 | 764 | 714 |
|
Nathaniel Michael Farden
110 W 6Th St |
$24.64 | 744 | 656 |
|
Robert Charles Morgan
110 W Utica St |
$62.77 | 703 | 652 |
|
Shashikant G Bhopale
33 E 1St St |
$50.07 | 679 | 604 |
|
Harry F Cowart
74 Bunner St |
$18.53 | 669 | 627 |
|
Lynn E. Miller
1 Rudolph Road, |
$54.81 | 648 | 644 |
|
Thomas Austin Grady
140 West Sixth Street, Ste 270 |
$76.23 | 624 | 619 |
|
Nickolas K Togias
110 W 6Th St |
$184.57 | 579 | 338 |
|
Bruce T Pecorella
110 West Sixth Street |
$45.54 | 549 | 529 |
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 Oswego, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oswego, NY is $100.99 per claim, based on 266,215 claims from 94 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 Oswego, NY?
There are 94 Medicaid providers offering Office Visit related services in Oswego, NY according to public payment data.
What is the price range for Office Visit in Oswego, NY?
Medicaid reimbursement for Office Visit in Oswego, NY ranges from $0.00 to $184.57 per claim, with an average of $100.99. 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 Oswego, NY
Blood Work & Lab Tests
Avg $10.23
358,847 claims
Psychiatric Evaluation
Avg $113.31
165,074 claims
Substance Abuse Treatment
Avg $34.45
121,293 claims
Physical Therapy
Avg $57.24
89,311 claims
Urinalysis & Urine Tests
Avg $18.91
66,227 claims
Speech Therapy
Avg $44.30
55,125 claims
Emergency Room Visit
Avg $147.65
53,203 claims
X-Ray
Avg $5.73
36,175 claims