Average Medicaid Office Visit Payments in Queensbury, NY: $57.16
Avg. Paid
$57.16
Range
$3.78 – $182.90
Total Claims
201,959
Providers
79
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 Queensbury, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert G Hogan
6 Hearts Way |
$9.73 | 12 | 12 |
|
Michael C Parisi
5 Main St Ste 6 |
$66.03 | 12 | 12 |
|
Michael Charles Slaughter
536 Bay Rd |
$65.82 | 19 | 19 |
|
Georgia Knickerbocker Burkhardt
25 Willowbrook Rd |
$63.81 | 20 | 13 |
|
Iqbal Bashir
6 Hearts Way |
$72.29 | 32 | 30 |
|
Roger Thomas Biss
21 Sugar Pine Rd |
$31.56 | 46 | 43 |
|
Ellen F Cosgrove
161 Carey Rd |
$22.42 | 57 | 26 |
|
Patrick Rowley
6 Hearts Way |
$42.30 | 92 | 88 |
|
Scott Munro
6 Hearts Way |
$68.89 | 93 | 83 |
|
Mary Elizabeth Stein
161 Carey Rd |
$55.42 | 94 | 80 |
|
Andrea M Dedona
17 Main St |
$45.76 | 103 | 103 |
|
Deborah Lynn Teppo
527 Bay Rd Ste 101 |
$54.99 | 115 | 82 |
|
Michael A Layden
6 Hearts Way |
$59.03 | 128 | 114 |
|
Atilla Kayalar
6 Hearts Way |
$29.63 | 172 | 162 |
|
Sheryl Munchbach
543 Bay Rd |
$182.90 | 187 | 184 |
|
James Yovanoff
161 Carey Rd |
$44.70 | 192 | 167 |
|
Jenny M Sanford
161 Carey Rd |
$5.50 | 209 | 187 |
|
Abigail Caldwell
161 Carey Rd |
$52.32 | 224 | 171 |
|
John A Sawyer
161 Carey Rd |
$21.56 | 244 | 96 |
|
Shawn P Jorgensen
17 Main St |
$72.75 | 276 | 270 |
|
Gregory A. Kelly
6 Hearts Way |
$40.03 | 308 | 292 |
|
Lynn Collette-Zachar
536 Bay Rd |
$140.87 | 316 | 316 |
|
Jordan C. A. Blackwood
6 Hearts Way |
$59.49 | 323 | 299 |
|
Todd R Jorgensen
17 Main St |
$72.53 | 335 | 328 |
|
Christopher J Weber
161 Carey Rd |
$57.70 | 356 | 284 |
|
Cheryl Ann Marino
161 Carey Rd |
$70.35 | 388 | 360 |
|
Corinne M Robbins
161 Carey Rd |
$53.65 | 394 | 307 |
|
Eileen B Spinelli
161 Carey Rd |
$61.02 | 398 | 294 |
|
Carol S Fisher
68 Quaker Rd |
$72.79 | 461 | 434 |
|
Ashley Marie Adams
25 Willowbrook Rd |
$58.51 | 522 | 406 |
|
Judith Elisa Blakely
375 Bay Rd |
$3.78 | 589 | 497 |
|
Christina Marie Hartman
161 Carey Rd |
$56.71 | 737 | 556 |
|
Heather Jane Richards
161 Carey Rd |
$39.39 | 765 | 417 |
|
Peter Joseph Valastro
37 Everts Ave |
$106.31 | 885 | 784 |
|
Lindsay Marie Swan
161 Carey Rd |
$33.80 | 925 | 432 |
|
Kathleen Mary Emerson
375 Bay Rd Ste 101 |
$61.95 | 1,053 | 943 |
|
Timothy M Duffy
161 Carey Rd |
$56.61 | 1,167 | 921 |
|
Christopher D Hoy
161 Carey Rd |
$41.44 | 1,174 | 718 |
|
Suzanne M Blood
161 Carey Rd |
$33.08 | 1,178 | 540 |
|
Frances C Bollinger
161 Carey Rd |
$35.99 | 1,264 | 535 |
|
Danushan Sooriabalan
161 Carey Rd |
$58.62 | 1,268 | 1,124 |
|
Jennifer L Donovan
152 Upper Sherman Ave |
$68.01 | 1,268 | 1,182 |
|
820 River Street Inc.
551 Bay Rd |
$129.71 | 1,462 | 1,082 |
|
Mary Clarisse L Kilayko
161 Carey Rd |
$24.17 | 1,746 | 1,391 |
|
Alida M King
161 Carey Rd |
$55.45 | 1,859 | 1,314 |
|
Jessica Marie Hassan
28 S Western Ave |
$4.32 | 1,949 | 1,662 |
|
Adrianna Nicole Earl
161 Carey Rd |
$46.85 | 2,050 | 1,345 |
|
Maleah Marie Young
161 Carey Rd |
$35.29 | 2,188 | 1,084 |
|
Kyle S Leonard
161 Carey Rd |
$56.13 | 2,225 | 1,750 |
|
Jennifer L Stratton
161 Carey Rd |
$51.28 | 2,607 | 1,815 |
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 Queensbury, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Queensbury, NY is $57.16 per claim, based on 201,959 claims from 79 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 Queensbury, NY?
There are 79 Medicaid providers offering Office Visit related services in Queensbury, NY according to public payment data.
What is the price range for Office Visit in Queensbury, NY?
Medicaid reimbursement for Office Visit in Queensbury, NY ranges from $3.78 to $182.90 per claim, with an average of $57.16. 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 Queensbury, NY
Case Management Services
Avg $360.24
125,728 claims
Home Health Visit
Avg $110.51
118,208 claims
Psychiatric Evaluation
Avg $78.43
40,037 claims
EKG / ECG (Electrocardiogram)
Avg $5.35
37,682 claims
Substance Abuse Treatment
Avg $57.73
37,119 claims
Speech Therapy
Avg $34.75
33,735 claims
Physical Therapy
Avg $38.81
30,138 claims
X-Ray
Avg $8.45
23,357 claims