Average Medicaid Office Visit Payments in Pulaski, NY: $105.94
Avg. Paid
$105.94
Range
$24.29 – $118.32
Total Claims
68,592
Providers
22
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 Pulaski, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cheryl Youker
61 Delano St |
$106.85 | 13 | 13 |
|
David J Dexter Od Pc
3333 Maple Ave |
$56.18 | 17 | 17 |
|
Jay W Chapman
61 Delano St |
$107.76 | 39 | 39 |
|
Valerie Salazar
61 Delano St |
$91.02 | 41 | 38 |
|
Jill Brushaber
61 Delano St |
$112.39 | 56 | 56 |
|
Deanna May Grimshaw
61 Delano St |
$82.54 | 87 | 86 |
|
Sarah L Oddo
61 Delano St |
$59.92 | 153 | 140 |
|
Jody Lee Hipple
61 Delano Street |
$102.67 | 190 | 160 |
|
Grace Nasri
61 Delano St |
$112.23 | 350 | 342 |
|
Blaze Fahnestock
61 Delano St |
$113.01 | 379 | 341 |
|
Jessica Kimball
61 Delano St |
$101.85 | 817 | 744 |
|
Amy Michelle Nicoll
3858 County Rte 13 |
$71.05 | 856 | 831 |
|
Jay Frederick Sullivan
4882B North Jefferson Street |
$24.29 | 1,226 | 1,124 |
|
Dean Gardner
61 Delano St |
$118.16 | 1,350 | 1,288 |
|
Elaine J Shaben
61 Delano St |
$106.81 | 2,690 | 2,576 |
|
Amanda Ray
61 Delano St |
$109.34 | 3,537 | 3,246 |
|
Mary Ellen Xavier Flanagan
61 Delano St |
$112.51 | 4,028 | 3,551 |
|
Megan Michelle Pecha
61 Delano St |
$107.79 | 5,950 | 5,379 |
|
Crystal Marie Burrows
61 Delano St |
$68.37 | 7,413 | 7,265 |
|
Glenn F Thibault
61 Delano St |
$118.32 | 8,607 | 7,057 |
|
Northern Oswego County Health Services, Inc.
61 Delano St |
$116.23 | 9,589 | 8,811 |
|
Patrick J Carguello
61 Delano St |
$112.75 | 21,204 | 19,635 |
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 Pulaski, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pulaski, NY is $105.94 per claim, based on 68,592 claims from 22 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 Pulaski, NY?
There are 22 Medicaid providers offering Office Visit related services in Pulaski, NY according to public payment data.
What is the price range for Office Visit in Pulaski, NY?
Medicaid reimbursement for Office Visit in Pulaski, NY ranges from $24.29 to $118.32 per claim, with an average of $105.94. 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 Pulaski, NY
Dental Cleaning & Exam
Avg $40.22
65,413 claims
Psychiatric Evaluation
Avg $75.12
26,986 claims
Vaccines & Immunizations
Avg $7.41
16,377 claims
Dental Filling
Avg $82.30
9,585 claims
Ambulance Transport
Avg $136.81
8,729 claims
Physical Therapy
Avg $52.02
8,639 claims
Hearing Test (Audiometry)
Avg $6.86
2,061 claims
Tooth Extraction
Avg $61.41
1,569 claims