Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Plattsburgh, NY: $81.03

Avg. Paid

$81.03

Range

$0.00 – $234.62

Total Claims

352,712

Providers

147

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 Plattsburgh, NY

Provider	Avg. Paid	Claims	Patients
Champlain Valley Physicians Hospital Medical Center 75 Beekman St	$121.73	66,391	57,953
Glenn S Schroyer 675 State Route 3	$72.30	23,006	20,819
Harold H Chaskey 151 Bridge Street	$81.72	22,035	20,320
Dino Santoro 8 Broad St	$94.85	16,277	13,297
Melissa L Meyer 159 Margaret St	$90.22	9,959	9,060
Ricardo A. Leano 75 Beekman St	$46.24	8,539	7,597
Anthony Ludwig Ching 159 Margaret St	$78.59	8,306	7,522
Dawn Marie Ashline 87 Plaza Blvd	$59.06	8,291	6,304
Yamilee Aparecida Jacques 87 Plaza Blvd	$51.81	7,670	5,410
Brian Lecuyer 4 Feathers Dr	$63.61	7,548	7,271
David P Beguin 159 Margaret St	$87.62	7,278	6,614
Suzanne Laborde 25 Degrandpre Way	$65.33	7,039	5,893
Anthony A Garami 459 Margaret St	$78.20	6,875	6,546
David F Ellsworth 87 Plaza Blvd	$58.58	6,299	4,571
Champlain Valley Family Center 20 Ampersand Dr	$119.22	6,287	5,049
Sobia A Qudsi 25 Degrandpre Way	$75.97	6,138	5,777
Christina A Gallus 25 Degrandpre Way	$73.31	5,922	5,259
Philip Matthew Magcalas 18 Feathers Dr	$78.89	5,546	5,266
Anita M Bodrogi 96 Court St	$58.83	5,424	4,988
Archil Chechelashvili 8 Broad St	$112.13	4,960	4,782
Robert William Moore 18 Feathers Dr	$74.28	4,811	4,620
Maegan Boulerice Cabrera 159 Margaret St	$43.80	4,593	4,423
Steven G Heintz 159 Margaret St	$43.04	4,527	4,239
Erin Laura Spees 18 Feathers Dr	$75.37	4,300	4,109
Clinton County 130 Arizona Ave Ste 1500	$119.10	4,120	3,986
Kristin L Cassevah-Pond 87 Plaza Blvd	$54.66	4,092	2,799
Jane Zhengyu Liu 75 Park Ave	$67.06	3,682	3,171
Rebecca Gem Heywood 87 Plaza Blvd	$47.62	3,595	2,345
Kailene Leila Tedford 87 Plaza Blvd	$52.10	3,492	2,376
Rachelle A Grad 87 Plaza Blvd	$47.98	3,386	2,152
Ashley Marie Laforest 75 Beekman St	$55.75	3,354	3,319
Lindsey Brooke Wilhelm 159 Margaret St	$39.54	3,075	2,978
Laurie O'Connell Eamer 25 Degrandpre Way	$66.19	3,023	2,703
Jeffrey T Delamater 8 Broad St	$68.97	3,013	2,714
Pamela J Cook 87 Plaza Blvd	$53.92	2,946	2,261
James David Vanness 8 Broad St	$98.76	2,850	1,266
Stephanie Polk Moore 159 Margaret St	$75.33	2,690	2,621
Eye Care For The Adirondacks Associates In Ophthalmology Pc 450 Margaret St	$36.37	2,570	2,504
Danielle M Baker 25 Degrandpre Way	$66.54	2,475	2,246
Joseph Samaras 675 State Route 3	$64.48	2,103	1,992
Richard J. D'Amico 74 Margaret St	$68.50	1,814	1,695
Dennis Evgenyevich Radoshkevich 206 Cornelia St	$57.78	1,793	1,672
Jeffrey Alan Dodge 46 Broad Street, Suite A	$91.73	1,706	1,609
Rebecca Mary Daggett 75 Beekman St	$218.96	1,459	1,389
Russell A. Jones 85 Plaza Blvd Ste 102	$62.91	1,449	1,401
Viqar A Qudsi 87 Plaza Blvd	$34.16	1,443	678
Marc A Downs 675 State Route 3	$55.61	1,435	1,312
Ruchika Saini 20 Ampersand Dr	$98.75	1,324	748
Cristina Andreea Trutia 22 Us Oval	$103.46	1,220	1,153
Bijoy Sarmaroy 52 Court St	$13.29	1,142	848

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 Plattsburgh, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plattsburgh, NY is $81.03 per claim, based on 352,712 claims from 147 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 Plattsburgh, NY?

There are 147 Medicaid providers offering Office Visit related services in Plattsburgh, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Plattsburgh, NY ranges from $0.00 to $234.62 per claim, with an average of $81.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Plattsburgh, NY: $81.03

Providers Offering Office Visit in Plattsburgh, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Plattsburgh, NY

Blood Work & Lab Tests

Psychiatric Evaluation

Emergency Room Visit

Vaccines & Immunizations

Physical Therapy

Substance Abuse Treatment

EKG / ECG (Electrocardiogram)

Urinalysis & Urine Tests