Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Rome, NY: $74.23

Avg. Paid

$74.23

Range

$0.00 – $206.42

Total Claims

112,812

Providers

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 Rome, NY

Provider	Avg. Paid	Claims	Patients
Vivienne Elaine Taylor 1801 Black River Blvd N	$71.36	15,366	14,633
Rome Memorial Hospital, Inc. 1500 N James St	$112.96	12,209	9,494
Hamid Joseph Obeid 110 E Chestnut St	$61.55	7,985	7,535
Kinkee Chung 117 W. Liberty Street	$40.85	7,663	7,245
Kathleen Grabo Pallay 91 Perimeter Rd	$73.18	5,853	5,806
Glady Jacob 267 Avery Ln Ste 300	$52.54	5,738	5,716
Linda E. Talerico 195-199 West Dominick Street	$201.11	5,370	2,327
Olubukola T Adeyeye 1801 Black River Blvd N	$48.17	4,533	4,258
Margaret Cooper 1819 Black River Blvd N	$38.73	4,345	4,116
Martin Ross 107 E Chestnut St Ste 106	$62.65	3,000	2,876
Lawrence Michael Glantz 117 W Liberty St	$49.57	2,687	2,546
Patricia Flihan 7845 Rome Westernville Rd	$62.71	2,654	2,620
Ankur Desai 107 East Chestnut St	$55.55	2,623	2,346
Ajay Goel 91 Perimeter Rd Ste 120	$69.72	2,535	2,511
Ahmed Nawaz 1500 N James St	$73.26	2,260	2,143
Kristin Lynn Gallagher 1819 Black River Blvd N	$65.09	2,137	2,058
Mahmoud Ahmed 1500 N James St	$78.95	2,004	1,964
Tracey Lynn Downs 1819 Black River Blvd N	$67.07	1,724	1,668
Desmond Francis 1801 Black River Blvd N	$68.50	1,468	1,416
Aysen Gurrea 1500 N James St	$10.11	1,409	853
Rachel Reising Corbin 205 W Dominick St	$80.85	1,313	1,078
Apparao I Poonati 509 N Washington St	$57.48	1,250	1,146
Magdalena Skowron 1819 Black River Blvd N	$65.64	1,085	1,054
Courtney Nicole Pineau 1614 N James St	$52.93	1,081	972
Ronald Thesee 195 - 199 W. Dominick St.	$206.42	1,040	603
Gibran Tallim 1801 Black River Blvd N	$66.21	1,037	1,011
Bridget M Arquette 1819 Black River Blvd N	$62.85	914	882
Michael S Parslow 1500 N James St	$68.89	863	813
Carolyn Getchell 103 W Dominick St	$60.47	849	849
Mohammed S Seedat 1316 Black River Blvd N	$41.32	735	731
Jaskirt Kaur Chahal 1617 N James St	$98.58	676	672
Heidi Cannan 1500 N James St	$49.54	637	635
David M O'Connor 264 W Dominick St	$65.51	530	330
Lynne Kathleen Philley 1819 Black River Blvd N	$76.64	517	497
Maree Joy 1819 Black River Blvd N	$74.34	506	492
Erin Destito 1500 N James St	$67.81	481	481
Diane P Clute 1801 Black River Blvd N	$69.18	471	464
Shiv S Bhatt 1617 North James Street	$62.67	465	373
Lauren Ann Giustra 107 East Chestnut Street	$70.64	424	384
Patricia C Marrello 1819 Black River Blvd N	$65.82	409	403
Quentin Wandyke Johnson 6514 State Route 26	$71.54	409	346
Michael S Rosenfeld 91 Perimeter Rd Ste 120	$64.29	356	343
Robert Allan Weir 1500 N James St	$25.55	317	300
April Frank 1500 N James St	$72.28	283	277
Florica Ochotorena-Acosta 117 West Liberty St	$41.17	283	281
Robert Mitchell Rubinovich 107 E Chestnut St	$58.55	281	269
Ryan Thachen-Cary 107 E Chestnut St Ste 106	$72.98	269	254
Restituto B Acosta 117 West Liberty St	$51.40	212	208
Katlynn Ann Hovey 1500 N James St	$56.49	191	188
Betty Jean Guisinger 107 East Chestnut Street	$61.70	179	154

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 Rome, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rome, NY is $74.23 per claim, based on 112,812 claims from 68 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 Rome, NY?

There are 68 Medicaid providers offering Office Visit related services in Rome, NY according to public payment data.

What is the price range for Office Visit in Rome, NY?

Medicaid reimbursement for Office Visit in Rome, NY ranges from $0.00 to $206.42 per claim, with an average of $74.23. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Rome, NY: $74.23

Providers Offering Office Visit in Rome, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit

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Physical Therapy

Urinalysis & Urine Tests

X-Ray

Durable Medical Equipment (DME)