Average Medicaid Office Visit Payments in Port Chester, NY: $95.98
Avg. Paid
$95.98
Range
$2.71 – $128.62
Total Claims
114,858
Providers
26
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 Port Chester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ali Mohammed Waliul Islam
5 Grace Church St |
$115.70 | 13,963 | 11,330 |
|
Sharon P Tyndall
5 Grace Church St |
$105.55 | 12,639 | 11,172 |
|
Susan J Levine
132 Rectory St |
$106.85 | 12,295 | 6,263 |
|
Lindsay Michele Neptune
40 Olivia St |
$94.44 | 10,250 | 4,673 |
|
Family Services Of Westchester, Inc.
One Gateway Plaza |
$116.02 | 9,979 | 9,187 |
|
Claire Marie Bolan
5 Grace Church St |
$99.04 | 8,450 | 6,434 |
|
Mary Elizabeth White
5 Grace Church St |
$89.28 | 7,171 | 3,134 |
|
Angela Y Mercedes
5 Grace Church St |
$23.84 | 6,871 | 5,004 |
|
Wanda Uribe
5 Grace Church St |
$99.28 | 6,666 | 5,610 |
|
Jorge Martin Espana
5 Grace Church St |
$85.82 | 6,592 | 4,480 |
|
Sandra Stepanovska
5 Grace Church St |
$93.38 | 6,278 | 4,962 |
|
Cherril M Rhamdeow
5 Grace Church St |
$75.87 | 2,675 | 2,384 |
|
Pamela Jackson
5 Grace Church St |
$93.45 | 2,228 | 1,323 |
|
Meghan Mcsherry
5 Grace Church St |
$101.42 | 1,852 | 915 |
|
Leo Caamano
5 Grace Church St |
$106.05 | 1,752 | 1,740 |
|
Jane F Moysak
5 Grace Church St |
$86.38 | 1,460 | 1,025 |
|
Sifat Ara Ameen
10 Pearl St |
$80.46 | 1,014 | 916 |
|
Carlos Alberto Rueda
25 S Regent St |
$57.38 | 857 | 781 |
|
Julie Michelle Griggs
5 Grace Church St |
$94.61 | 724 | 509 |
|
William M Miller
220 Grace Church St |
$34.68 | 457 | 376 |
|
Open Door Family Medical Center Inc
5 Grace Church St |
$75.03 | 385 | 366 |
|
Abby Kemp
1 Tamarack Rd |
$97.91 | 123 | 115 |
|
Port Chester Eyecare Inc
44 N Main St |
$128.62 | 100 | 97 |
|
Luisa M Saavedra
216 Westchester Ave |
$11.61 | 38 | 28 |
|
Michael Stephen Fusco
25 S Regent St |
$2.71 | 24 | 24 |
|
Paul Joseph Avvocato
1 Gateway Plz |
$12.92 | 15 | 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 Port Chester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Port Chester, NY is $95.98 per claim, based on 114,858 claims from 26 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 Port Chester, NY?
There are 26 Medicaid providers offering Office Visit related services in Port Chester, NY according to public payment data.
What is the price range for Office Visit in Port Chester, NY?
Medicaid reimbursement for Office Visit in Port Chester, NY ranges from $2.71 to $128.62 per claim, with an average of $95.98. 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 Port Chester, NY
Home Health Visit
Avg $176.93
724,592 claims
Psychiatric Evaluation
Avg $123.66
152,738 claims
Dental Cleaning & Exam
Avg $25.37
81,021 claims
Ambulance Transport
Avg $97.64
14,168 claims
Dental Filling
Avg $49.37
10,953 claims
Eye Exam
Avg $95.76
8,638 claims
Vaccines & Immunizations
Avg $14.50
6,703 claims
Behavioral & Mental Health Therapy
Avg $117.85
5,155 claims