Average Medicaid Office Visit Payments in Port Jervis, NY: $72.50
Avg. Paid
$72.50
Range
$26.40 – $151.41
Total Claims
69,693
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 Jervis, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Little Pediatrics P.C.
11 Orchard St |
$73.58 | 19,861 | 16,439 |
|
Sara J. Little
11 Orchard St |
$57.50 | 17,530 | 14,944 |
|
Brandon Oconnor
9 Orchard St |
$53.40 | 9,209 | 8,640 |
|
O'Connor Medical Pllc
9 Orchard St |
$87.13 | 6,722 | 6,270 |
|
Herbert M Green
161 E Main St |
$73.16 | 4,607 | 4,404 |
|
County Of Orange
146 Pike Street |
$151.41 | 2,662 | 2,413 |
|
Leah Roth
146 Pike St |
$91.98 | 2,319 | 1,865 |
|
Port Jervis Family Health Np Pc
1 Cole St |
$66.25 | 995 | 825 |
|
Avion J Thomas-Walsh
158 Pike St |
$84.41 | 793 | 443 |
|
Melanie Call
9 Orchard St |
$40.73 | 670 | 666 |
|
Martha Mcphail Thomson
146 Pike Street |
$131.68 | 669 | 593 |
|
Margaret Mitchell
146 Pike St |
$134.90 | 638 | 575 |
|
Kelly Yorke
161 E Main St |
$67.28 | 423 | 403 |
|
Edward Orlando
160 E Main St |
$45.34 | 411 | 405 |
|
Anna Karena Stratis
140 Hammond St |
$73.11 | 330 | 258 |
|
Barbara Marie Marszalek
146 Pike St |
$120.11 | 311 | 264 |
|
Jill Catrin Mclaughlin
7 Ridgeview Ln |
$55.28 | 297 | 289 |
|
Narrow Path Family Health Np Pc
158 Pike St |
$94.81 | 247 | 178 |
|
Moinuddin Ahmed
123 Pike St |
$39.15 | 206 | 202 |
|
Wendy Dawn Rodriguez
140 Hammond St |
$84.26 | 203 | 190 |
|
Thomas A Piserchia
22 Canal St |
$83.95 | 194 | 148 |
|
Heather Jaeger
161 E Main St Ste 300 |
$59.31 | 136 | 133 |
|
Ralph Edward Bowman
170 E Main St |
$71.13 | 88 | 84 |
|
Michele Amundson
161 E Main St |
$26.40 | 83 | 67 |
|
Anthony R Collica
146 Pike St |
$145.31 | 76 | 65 |
|
Walter Ernst Kaufmann
161 E Main St |
$50.71 | 13 | 13 |
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 Jervis, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Port Jervis, NY is $72.50 per claim, based on 69,693 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 Jervis, NY?
There are 26 Medicaid providers offering Office Visit related services in Port Jervis, NY according to public payment data.
What is the price range for Office Visit in Port Jervis, NY?
Medicaid reimbursement for Office Visit in Port Jervis, NY ranges from $26.40 to $151.41 per claim, with an average of $72.50. 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 Jervis, NY
Blood Work & Lab Tests
Avg $23.16
43,863 claims
Emergency Room Visit
Avg $173.75
36,281 claims
Psychiatric Evaluation
Avg $154.09
28,985 claims
Physical Therapy
Avg $62.78
14,818 claims
Vaccines & Immunizations
Avg $15.78
10,350 claims
Ambulance Transport
Avg $74.81
9,128 claims
Dental Cleaning & Exam
Avg $40.24
8,187 claims
Urinalysis & Urine Tests
Avg $26.58
7,856 claims