Average Medicaid Office Visit Payments in Potsdam, NY: $114.05
Avg. Paid
$114.05
Range
$20.14 – $139.63
Total Claims
240,383
Providers
65
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 Potsdam, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Canton-Potsdam Hospital
50 Leroy Street |
$139.63 | 163,566 | 142,833 |
|
Alexander M Clark
49 Lawrence Ave |
$53.63 | 8,436 | 6,932 |
|
Katherine A Baker
50 Leroy St |
$56.03 | 5,567 | 5,512 |
|
Magendra Thakur
7957 Us Highway 11 |
$44.97 | 5,187 | 5,054 |
|
Alicia Lorraine Sienkiewycz
Suny Potsdam Student Health Services |
$52.75 | 3,715 | 3,544 |
|
Eboni Christina January
50 Leroy St |
$78.23 | 3,683 | 2,842 |
|
Syed Armoghan Wali
15 Raymond St |
$77.73 | 3,557 | 3,403 |
|
Brenda J Healey
50 Leroy St |
$47.94 | 3,213 | 3,037 |
|
Heather Genevieve Jones
15 Raymond St |
$67.41 | 2,987 | 2,841 |
|
Ashley Grimshaw
49 Lawrence Ave |
$64.31 | 2,466 | 2,338 |
|
Megan Mae Mir
50 Leroy St |
$55.80 | 2,142 | 2,091 |
|
Vineet Bansal
49 Lawrence Ave |
$67.18 | 2,018 | 1,846 |
|
Jessica Erin Martin
50 Leroy Street |
$54.07 | 1,870 | 1,849 |
|
Leslie E Strickland
50 Leroy St |
$63.36 | 1,807 | 1,671 |
|
Samantha Weller
49 Lawrence |
$53.19 | 1,803 | 1,780 |
|
Emily Louise Wood
49 Lawrence Ave |
$61.42 | 1,774 | 1,688 |
|
Wendy Alice Wais
49 Lawrence Ave |
$56.50 | 1,587 | 1,564 |
|
Frank Bateman
49 Lawrence Ave |
$56.04 | 1,459 | 1,424 |
|
Matthew Bonner Mclain
50 Leroy St |
$66.93 | 1,389 | 1,129 |
|
Velmalia Danette Matthews-Smith
50 Leroy St |
$70.69 | 1,317 | 960 |
|
Tayla Lyn Durant
15 Raymond St |
$68.87 | 1,232 | 1,161 |
|
Maurice Bettez
50 Leroy St |
$67.16 | 1,229 | 1,187 |
|
Mallory Sprague
49 Lawrence Ave |
$81.49 | 1,162 | 1,133 |
|
Mazin Ismail Abdullah
49 Lawrence Ave |
$67.85 | 1,137 | 976 |
|
Mariam Hasanali Asar
50 Leroy St |
$47.56 | 1,110 | 1,098 |
|
Cynthia Mondesir
15 Raymond St |
$83.20 | 1,100 | 1,015 |
|
Joseph John Adams
50 Leroy St |
$58.45 | 1,093 | 1,087 |
|
Atif Suhail Iqbal
49 Lawrence Ave |
$53.43 | 1,040 | 1,010 |
|
John C Devine
15 Raymond St |
$59.53 | 995 | 937 |
|
Alison Grabowski
6805 Us Highway 11 |
$73.72 | 993 | 899 |
|
David Abbatematteo
49 Lawrence Ave |
$57.16 | 855 | 817 |
|
Terry Howland Knowles
50 Leroy St |
$62.57 | 774 | 726 |
|
Meade Lent
50 Leroy St |
$52.94 | 722 | 716 |
|
Rosemarie Heisse
50 Leroy St |
$45.09 | 644 | 638 |
|
Jayaram Radhakrishnan
50 Leroy St |
$57.44 | 631 | 578 |
|
Zachary Randall Willis
50 Leroy St |
$55.67 | 609 | 608 |
|
Jay F Schechter
49 Lawrence Ave |
$74.57 | 606 | 590 |
|
John Ho Kim
50 Leroy St |
$51.03 | 553 | 542 |
|
Michelle L Kent
50 Leroy St |
$51.98 | 505 | 501 |
|
Rishi Kumar
49 Lawrence Ave |
$48.29 | 455 | 416 |
|
Tatiana Dicoby
49 Lawrence Ave |
$60.97 | 414 | 401 |
|
Amit J Shanker
50 Leroy St |
$44.53 | 364 | 304 |
|
Bernadette Avila
49 Lawrence Ave |
$54.48 | 350 | 345 |
|
Kris Adwards Vanwagner
49 Lawrence Ave |
$47.75 | 344 | 317 |
|
Madeline Twiss
50 Leroy St |
$75.60 | 244 | 242 |
|
Frederic D. Seifer
49 Lawrence Ave |
$45.79 | 228 | 213 |
|
Matthew Cheevers
50 Leroy St |
$45.68 | 173 | 168 |
|
Ricardo Luis Baez
49 Lawrence Ave |
$20.14 | 173 | 168 |
|
Joseph Dominic Zollo
12 Elm St |
$25.70 | 160 | 156 |
|
Paul G. Walker
50 Leroy St |
$54.44 | 150 | 147 |
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 Potsdam, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Potsdam, NY is $114.05 per claim, based on 240,383 claims from 65 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 Potsdam, NY?
There are 65 Medicaid providers offering Office Visit related services in Potsdam, NY according to public payment data.
What is the price range for Office Visit in Potsdam, NY?
Medicaid reimbursement for Office Visit in Potsdam, NY ranges from $20.14 to $139.63 per claim, with an average of $114.05. 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 Potsdam, NY
Blood Work & Lab Tests
Avg $16.59
165,719 claims
Home Health Visit
Avg $79.23
106,110 claims
X-Ray
Avg $4.15
64,421 claims
Emergency Room Visit
Avg $121.43
63,407 claims
Urinalysis & Urine Tests
Avg $18.79
39,853 claims
Vaccines & Immunizations
Avg $15.29
35,973 claims
Psychiatric Evaluation
Avg $105.47
33,924 claims
Physical Therapy
Avg $72.51
32,591 claims