Average Medicaid Office Visit Payments in Poughkeepsie, NY: $92.42
Avg. Paid
$92.42
Range
$0.00 – $272.75
Total Claims
701,126
Providers
390
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 Poughkeepsie, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Family Services, Inc.
29 North Hamilton Street |
$107.11 | 54,902 | 50,862 |
|
Joseph Malak
207 Washington St |
$73.21 | 41,764 | 37,015 |
|
Sumita S Mazumdar
375 Hooker Ave |
$82.19 | 19,965 | 17,619 |
|
The Childrens Medical Group
301 Manchester Rd Ste 105 |
$109.51 | 19,116 | 17,984 |
|
Kishor Zinzuvadia
488 Freedom Plains Rd |
$19.42 | 18,171 | 14,882 |
|
Hani Issa Khalil
230 North Rd |
$60.14 | 17,705 | 16,928 |
|
Nuvance Health Medical Practice, Pc
45 Reade Place |
$108.65 | 17,561 | 16,586 |
|
Premier Medical Group Of The Hudson Valley P.C.
50 Eastdale Ave N |
$96.81 | 13,241 | 12,508 |
|
David L. Fenner
301 Manchester Rd |
$99.18 | 10,325 | 9,770 |
|
Westchester County Health Care Corporation
241 North Rd |
$123.66 | 9,037 | 7,949 |
|
Prameela Alapati
45 Reade Pl |
$80.53 | 9,034 | 5,910 |
|
Christopher Jude George
1 Webster Ave Ste 202 |
$87.79 | 8,988 | 5,383 |
|
Sonia R Simpson
29 N Hamilton St |
$76.82 | 8,986 | 5,341 |
|
John Mazzei
74 West Cedar St |
$138.72 | 8,246 | 4,079 |
|
Michelle E Patrick
301 Manchester Rd. |
$112.61 | 8,232 | 8,047 |
|
Robert L. Felix
301 Manchester Rd |
$105.12 | 8,192 | 8,052 |
|
Dominique Aristide
301 Manchester Rd. |
$107.10 | 8,187 | 7,855 |
|
Keith B Lescale
68 W Cedar St |
$51.52 | 8,177 | 6,760 |
|
Glenn Y Castaneda
21 Fox St. |
$124.28 | 7,905 | 7,855 |
|
Kira K Lawton
301 Manchester Rd. |
$105.74 | 7,741 | 7,580 |
|
Oluchi N. Nwahiwe
301 Manchester Rd. |
$103.90 | 7,369 | 7,238 |
|
Adrian J. Gruszko
301 Manchester Rd |
$98.94 | 7,084 | 6,864 |
|
Michael Christian Kirpan
104 Fulton Ave |
$99.47 | 6,943 | 6,774 |
|
Zaw Zaw Aye
29 N Hamilton St |
$79.73 | 6,580 | 3,744 |
|
Puja H Singh
301 Manchester Rd. |
$120.52 | 6,300 | 6,188 |
|
Maria E.D. Bernardez
104 Fulton Avenue |
$77.63 | 6,120 | 5,482 |
|
John George Sarris
230 North Rd |
$16.51 | 5,766 | 4,939 |
|
Samuel E. Koszer
21 Fox Street |
$67.33 | 5,755 | 5,685 |
|
Christine A. Lee
301 Manchester Rd. |
$111.81 | 5,602 | 5,387 |
|
Marc Habert
301 Manchester Rd. |
$113.46 | 5,380 | 5,268 |
|
Julian Nelson
301 Manchester Rd Ste 105 |
$96.03 | 5,378 | 4,962 |
|
Jennifer Bybel Lown
207 Washington St |
$62.60 | 5,271 | 5,082 |
|
Caitlin R Smart
301 Manchester Rd. |
$126.09 | 5,091 | 4,913 |
|
Kimberly Ann Heller
9 Livingston St |
$77.61 | 5,043 | 4,688 |
|
Natasha A. Tzagoloff
301 Manchester Rd. |
$112.06 | 5,037 | 4,912 |
|
Megan E. Hays
301 Manchester Rd |
$109.63 | 5,032 | 4,793 |
|
Nicole Pasheek
45 Reade Pl |
$71.52 | 5,002 | 4,950 |
|
Sejal N. Dalwadi
301 Manchester Rd |
$112.49 | 4,798 | 4,643 |
|
Karl Andrew Ziermann
1910 South Rd |
$102.80 | 4,707 | 4,514 |
|
Jospeh Calabro
1 Webster Ave |
$94.04 | 4,609 | 4,396 |
|
Marjorie Elizabeth Seale
178 Church St |
$39.56 | 4,539 | 869 |
|
Ari Jay Namon
30 Columbia St |
$31.70 | 4,507 | 4,166 |
|
Arlene R Solomon
301 Manchester Rd. |
$98.28 | 4,234 | 4,108 |
|
Vandana K Bacon
301 Manchester Rd. |
$105.13 | 4,181 | 4,012 |
|
David J. Robida
301 Manchester Rd. |
$120.34 | 4,064 | 3,984 |
|
Orthopedic Assoc Of Dutchess County P C
1910 South Rd |
$143.91 | 4,029 | 3,870 |
|
Tatyana Shkolnikov
301 Manchester Rd Ste 105 |
$95.85 | 3,847 | 3,406 |
|
Vassar Brothers Hospital
45 Reade Place |
$158.91 | 3,686 | 3,421 |
|
Richard Anthony Dentico
1910 South Rd |
$92.52 | 3,662 | 3,512 |
|
Shani Lowe
301 Manchester Rd Ste 105 |
$78.81 | 3,657 | 3,181 |
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 Poughkeepsie, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Poughkeepsie, NY is $92.42 per claim, based on 701,126 claims from 390 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 Poughkeepsie, NY?
There are 390 Medicaid providers offering Office Visit related services in Poughkeepsie, NY according to public payment data.
What is the price range for Office Visit in Poughkeepsie, NY?
Medicaid reimbursement for Office Visit in Poughkeepsie, NY ranges from $0.00 to $272.75 per claim, with an average of $92.42. 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 Poughkeepsie, NY
Blood Work & Lab Tests
Avg $8.71
384,542 claims
Psychiatric Evaluation
Avg $89.96
296,033 claims
Emergency Room Visit
Avg $128.72
204,049 claims
X-Ray
Avg $7.14
129,983 claims
Vaccines & Immunizations
Avg $14.68
121,175 claims
EKG / ECG (Electrocardiogram)
Avg $9.77
103,879 claims
Dental Cleaning & Exam
Avg $34.59
100,271 claims
Physical Therapy
Avg $51.51
96,354 claims