Average Medicaid Office Visit Payments in Rock Hill, NY: $80.01
Avg. Paid
$80.01
Range
$29.15 – $143.70
Total Claims
70,235
Providers
30
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 Rock Hill, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Florence Lazaroff
61 Emerald Pl |
$107.85 | 9,342 | 8,660 |
|
Anmar Al-Qaisi
61 Emerald Pl |
$98.90 | 7,295 | 6,756 |
|
Konstantin Lipelis
61 Emerald Pl |
$83.35 | 5,601 | 5,532 |
|
Zoltan Fekete
61 Emerald Pl |
$76.08 | 4,287 | 4,235 |
|
Syed Z Jafri
61 Emerald Pl |
$57.21 | 3,868 | 3,798 |
|
Michael A Miller
61 Emerald Pl |
$100.67 | 3,514 | 3,266 |
|
Maya Sahan Bissonette
61 Emerald Pl |
$77.25 | 3,284 | 3,244 |
|
Laurence A Tawil
61 Emerald Pl |
$55.52 | 3,104 | 2,973 |
|
Robert J Scoyni
61 Emerald Pl |
$59.94 | 2,947 | 2,918 |
|
Heidi E Pavese
61 Emerald Pl |
$69.99 | 2,811 | 2,665 |
|
Alexey Amchentsev
61 Emerald Pl |
$65.63 | 2,694 | 2,639 |
|
Maria Kristin P Mercado
61 Emerald Pl |
$59.66 | 2,119 | 2,092 |
|
Rajan S Karuvelankulam Subbiah
61 Emerald Pl |
$76.81 | 2,054 | 2,031 |
|
Lunique L Denis
61 Emerald Pl |
$67.87 | 1,770 | 1,737 |
|
Scot T Selbo
61 Emerald Pl |
$63.23 | 1,736 | 1,679 |
|
Julie K Starner
61 Emerald Pl |
$78.85 | 1,681 | 1,676 |
|
Becky Heins
61 Emerald Pl |
$75.35 | 1,656 | 1,595 |
|
Todd P Jessup
61 Emerald Pl |
$40.34 | 1,639 | 1,630 |
|
Claudia Ann Finnegan
61 Emerald Pl |
$76.65 | 1,518 | 1,461 |
|
Morgan Turnbull
61 Emerald Pl |
$82.67 | 1,403 | 1,342 |
|
Aruna S Panini
61 Emerald Pl |
$72.13 | 1,299 | 1,255 |
|
Jennifer Shamah
61 Emerald Pl |
$111.47 | 966 | 924 |
|
Michael Edward Angeline
61 Emerald Pl |
$29.15 | 863 | 794 |
|
Bruce Alan Ellsweig
61 Emerald Pl |
$77.08 | 746 | 730 |
|
Marie Abougou
61 Emerald Pl |
$96.57 | 565 | 542 |
|
Kate M. Ingber
61 Emerald Pl |
$90.32 | 537 | 534 |
|
Timothy Rydell
61 Emerald Pl |
$87.06 | 430 | 402 |
|
Tapti Panda
61 Emerald Pl |
$110.62 | 309 | 283 |
|
Melissa Coll Kubenik
61 Emerald Pl |
$83.07 | 177 | 166 |
|
Shane Thomas Bealer
61 Emerald Pl |
$143.70 | 20 | 20 |
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 Rock Hill, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rock Hill, NY is $80.01 per claim, based on 70,235 claims from 30 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 Rock Hill, NY?
There are 30 Medicaid providers offering Office Visit related services in Rock Hill, NY according to public payment data.
What is the price range for Office Visit in Rock Hill, NY?
Medicaid reimbursement for Office Visit in Rock Hill, NY ranges from $29.15 to $143.70 per claim, with an average of $80.01. 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 Rock Hill, NY
Vaccines & Immunizations
Avg $12.42
14,784 claims
Blood Work & Lab Tests
Avg $10.55
11,040 claims
Dental Cleaning & Exam
Avg $39.61
5,470 claims
EKG / ECG (Electrocardiogram)
Avg $7.64
3,949 claims
Hearing Test (Audiometry)
Avg $1.75
3,044 claims
Nursing Facility Care
Avg $12.46
1,815 claims
Echocardiogram
Avg $99.43
1,571 claims
Culture & Microbiology Tests
Avg $9.90
471 claims