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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Saratoga Springs, NY: $82.86

Avg. Paid

$82.86

Range

$3.32 – $521.37

Total Claims

209,991

Providers

214

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 Saratoga Springs, NY

Provider Avg. Paid Claims Patients
Saratoga Hospital

211 Church St

$112.94 49,820 47,883
Saratoga County

135 S Broadway

$140.21 15,267 14,551
Ivan Paul Rappaport

414 Maple Ave

$70.40 9,267 8,840
Timothy A Brooks

211 Church St

$84.99 6,736 6,539
Meghan Mj Promnitz

19 West Ave

$60.79 5,769 3,662
Alex Gregory Villanueva

4 Carpenter Ln

$74.67 4,744 4,563
Bryan Curley

1 West Ave Ste 230

$55.87 4,699 4,658
Laureen Ann Perry

211 Church St

$63.57 4,145 4,091
Kevin E Rosas

5 Care Ln

$75.32 4,083 3,992
Alicia Marie Turner

211 Church St

$50.28 4,052 4,026
Colette Collins Blackington

35 Myrtle Street

$69.57 3,343 3,301
Matthew I Stein

5 Care Ln

$90.97 2,887 2,768
Philip C. James

4 Carpenter Lane

$45.54 2,877 2,694
Susan Dorsey

1 West Ave

$47.76 2,720 2,633
Justin Michael Ferrara

5 Care Ln

$66.29 2,702 2,617
Jodi Lin Burch

30 Crescent Ave

$87.94 2,429 2,063
Amanda R Diamond

204 S Broadway # 303

$58.74 2,391 2,376
Tory Speert

5 Care Ln

$106.65 2,221 2,140
Marie Bitar

5 Care Ln

$65.98 2,178 2,160
Dmitri V Baranov

1 West Ave

$59.74 2,074 2,038
Susan Muller

119 Lawrence St

$44.58 2,034 1,952
Gabriel Radu

3050 Route 50

$54.13 1,881 1,779
Jama Lorynn Peacock Birsett

68 West Ave Ste 3

$65.98 1,784 1,662
Harold V Adams

211 Church St

$40.38 1,768 1,722
Joy Fujii Holcomb

192 Circular St Apt 1

$68.98 1,766 1,760
Walter E. Niedzwiadek

211 Church St

$22.00 1,764 1,731
Pamela Lynn Daly

Onewest Medical

$42.22 1,579 1,457
Willa Delliere

377 Church St

$75.53 1,546 1,495
Erin Guldenstern

211 Church St

$104.61 1,543 1,536
Abigail Lubin

24 Hamilton St

$56.28 1,449 1,311
Eliot L. Birnbaum

59 Myrtle Street

$23.11 1,366 1,207
Renee Rodriguez-Goodemote

24 Hamilton St

$46.83 1,360 1,266
Melissa Cline

30 Crescent Ave

$78.63 1,258 986
Jennifer Beach

37 Friar Tuck Way

$81.78 1,188 1,008
Mark Peter Coseo

5 Care Ln

$91.95 1,132 1,117
Amy Eileen Knoeller

59 Myrtle St

$20.32 1,120 999
Carl W Sgambati

3050 Route 50

$52.43 1,101 995
Timothy Patrick Holley

1 West Ave Ste 330

$60.70 1,017 1,011
Stephanie A Messercola

4 Carpenter Lane

$47.58 982 939
Kathleen Mccann Bango

30 Crescent Ave

$65.26 969 960
Amos Baruch Cutler

59 Myrtle St

$25.56 958 881
Faisal Chaudhary

6 Care Lane

$71.38 949 945
George Sterling Knapp

520 Maple Ave

$84.80 923 796
Rachael Morey

30 Crescent Ave

$79.46 909 870
Todd D Duthaler

211 Church St

$81.61 900 889
Alexander Cardiel

211 Church St

$25.53 856 820
Lara Michele Zwijacz

211 Church St

$84.24 826 791
Daniel R Reilly

211 Church St

$103.89 825 679
Stephanie Susan Verleger

59 Myrtle St

$23.02 823 751
Robert Donnarumma

211 Church St

$79.77 804 794

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 Saratoga Springs, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Saratoga Springs, NY is $82.86 per claim, based on 209,991 claims from 214 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 Saratoga Springs, NY?

There are 214 Medicaid providers offering Office Visit related services in Saratoga Springs, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Saratoga Springs, NY ranges from $3.32 to $521.37 per claim, with an average of $82.86. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Saratoga Springs, NY