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
Dennis C Lu 450 Margaret St	$152.54	12	12
Hanna Boutros Slim 214 Cornelia St	$8.44	12	12
Diego J Grinberg-Funes 15 Degrandpre Way	$3.19	12	12
Karen B Case 206 Cornelia St Ste 202	$72.41	12	12
Marc R Sarnow 79 Hammond Ln Ste 9	$10.39	12	12
Lauren Ann Caniano 206 Cornelia St	$105.39	13	13
Dana C Rohleder 110 Consumer Square	$56.18	13	13
Navjot Singh 4 Feathers Dr	$103.51	13	13
John M Banko 15 Degrandpre Way	$2.81	14	14
Laurel E Colvin 96 Court St	$23.50	15	12
Craig A Nachbauer 24 Hammond Ln	$73.38	16	15
Robert Ira Adler 450 Margaret St	$30.07	16	12
Joshua Enrique Bu 96 Court St	$28.10	16	13
Sarah Hepworth 25 Degrandpre Way	$0.00	17	16
Lindsay Spencer Daniels 75 Beekman St	$234.62	17	17
Julia M Marsala 75 Beekman St	$63.51	18	18
Elissa J Gadelha Pierotti 75 Beekman St	$30.62	21	16
Laura G. Carbone 159 Margaret St	$42.74	25	25
Howard M Black 96 Court St	$67.10	26	26
Wajih Aksamawati Dit Arja 206 Cornelia St Ste 307	$49.19	30	28
Jessica Veltkamp 206 Cornelia St	$96.28	41	36
Kayla Leigh Rumack 206 Cornelia St Ste 202	$89.91	42	37
Carla Kay Hausrath 210 Cornelia St	$57.90	42	40
Maurice Andre Paquette 75 Beekman St	$5.07	42	20
Judy Ann Murphy Gorman 8 Broad Street	$62.17	43	41
Delina Fajardo 1942 Military Turnpike	$71.85	55	54
Reinier F Ultee 159 Margaret St Ste 100	$56.72	58	57
Robert L. Benak 75 Beekman St	$41.73	58	53
Kelley Lynne Abrams 4 Feathers Dr	$88.70	68	66
Laura Elizabeth Fischer 22 Us Oval Ste 100	$46.13	70	45
Michael Trafford Darst 91 Hammond Lane	$69.37	70	70
Stanley Yang 159 Margaret St Ste 100	$80.17	75	70
Jose Maria Acostamadiedo 212 Cornelia St	$12.00	77	72
Glenn P Lyons 96 Court St	$10.17	85	77
Lynn E Schneider 210 Cornelia St	$64.71	106	99
Molly E. Mentzer 25 Degrandpre Way	$71.36	108	104
Caroline Hamel 206 Cornelia St	$82.64	123	113
Jan E Duus 75 Beekman St	$47.32	126	117
Katharine Meyers 22 Us Oval Ste 100	$49.61	127	82
Kimberly Ann Branham 75 Beekman St	$26.63	129	121
Michael Kosters 206 Cornelia St Ste 307	$16.41	131	129
Vanessa Fiorini Furtado 75 Beekman St	$65.02	135	116
Mark L Mudano 75 Beekman St	$47.38	139	124
Sadaf N Mir 206 Cornelia St	$39.76	144	138
Jennifer Amber Facteau-Rabideau 345 Cornelia St	$84.37	145	140
Julie Sona Lumingu 75 Beekman St	$74.49	149	149
Todd J Whitman 75 Beekman St	$51.04	155	105
Stuart M. Hoffman 214 Cornelia St	$81.78	160	149
Meagan Goodwin 79 Hammond Ln Ste 2	$60.81	170	149
Beth Anne Garrison 214 Cornelia St Ste 203	$71.12	176	96

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