Average Medicaid Office Visit Payments in Penn Yan, NY: $84.02
Avg. Paid
$84.02
Range
$47.71 – $220.90
Total Claims
44,062
Providers
22
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 Penn Yan, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rebecca Martin
112 Kimball Ave |
$64.22 | 7,886 | 4,954 |
|
Darlene D Brezinsky
160 Main St |
$69.27 | 6,997 | 4,704 |
|
Deborah L Casson
1 Keuka Business Park |
$78.50 | 4,701 | 4,052 |
|
Shannon Trottier
112 Kimball Ave |
$68.00 | 4,442 | 3,346 |
|
Lisa Lynn Walk-Reinard
207 1/2 Lake St |
$88.55 | 3,796 | 3,587 |
|
Soldiers & Sailors Memorial Hospital
418 N Main St |
$220.90 | 3,642 | 3,378 |
|
Arthur Equinozzi
207 1/2 Lake St |
$72.83 | 2,687 | 2,647 |
|
Lisa Joan Nelson
112 Kimball Ave |
$69.00 | 2,175 | 1,627 |
|
Stacey Ann Walker
112 Kimball Ave |
$72.33 | 2,095 | 1,531 |
|
Robert Anderson
1930 Pre Emption Rd |
$67.73 | 1,666 | 1,619 |
|
Wendy Jensen Hill
1930 Pre Emption Rd |
$78.47 | 1,093 | 1,017 |
|
Vy Le
1930 Pre Emption Rd |
$69.89 | 994 | 962 |
|
Annmarie Flanagan
1930 Pre Emption Rd |
$62.80 | 465 | 452 |
|
Donna M. Fladd
465 N Main St |
$98.18 | 366 | 338 |
|
Andrew Paul Smith
163 Main St |
$86.89 | 359 | 359 |
|
Patsy Ann Ballard
418 N Main St |
$49.20 | 313 | 289 |
|
Paul E Mitchell
1930 Pre Emption Rd |
$53.55 | 250 | 238 |
|
Wayne Steven Strouse
108 Kimball Ave |
$55.33 | 41 | 37 |
|
Marlene Ann Comfort
Soldiers And Sailors Health Center |
$59.64 | 29 | 29 |
|
Flh Medical, Pc
1930 Pre Emption Rd |
$107.69 | 28 | 27 |
|
Eleanor Hinds De Witt
418 N Main St |
$47.71 | 25 | 25 |
|
Jennifer Anne Scott
640 Liberty St |
$56.35 | 12 | 12 |
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 Penn Yan, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Penn Yan, NY is $84.02 per claim, based on 44,062 claims from 22 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 Penn Yan, NY?
There are 22 Medicaid providers offering Office Visit related services in Penn Yan, NY according to public payment data.
What is the price range for Office Visit in Penn Yan, NY?
Medicaid reimbursement for Office Visit in Penn Yan, NY ranges from $47.71 to $220.90 per claim, with an average of $84.02. 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 Penn Yan, NY
Blood Work & Lab Tests
Avg $16.78
35,049 claims
Psychiatric Evaluation
Avg $174.92
14,933 claims
Emergency Room Visit
Avg $354.80
13,019 claims
Physical Therapy
Avg $63.97
11,079 claims
Dental Cleaning & Exam
Avg $43.46
10,957 claims
Urinalysis & Urine Tests
Avg $6.81
5,785 claims
Ambulance Transport
Avg $102.86
5,232 claims
Vaccines & Immunizations
Avg $19.32
3,286 claims