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 |
|---|---|---|---|
|
Jennifer P Beller
3050 Route 50 |
$85.24 | 12 | 12 |
|
Kayla Irwin
211 Church St |
$90.43 | 12 | 12 |
|
James Joseph Murray
377 Church St |
$22.76 | 12 | 12 |
|
Gordan N. Kuhar
3050 Route 50 |
$82.80 | 12 | 12 |
|
Eric C. Borden
3044 Route 50 |
$64.53 | 12 | 12 |
|
Alexander Michael Nelson
4 Congress Plaza |
$78.58 | 12 | 12 |
|
Karen Schick
1 West Ave |
$68.79 | 12 | 12 |
|
Shelby A Sleasman
30 Crescent Ave |
$55.10 | 12 | 12 |
|
Karen Hu
211 Church St |
$90.83 | 12 | 12 |
|
Hal Fletcher Starnes
381 Church St |
$41.03 | 13 | 12 |
|
Kathrin Lafaver
6 Care Ln |
$62.94 | 13 | 13 |
|
Carolyn H Shafer
5 Care Lane |
$78.71 | 13 | 13 |
|
Jeff J Kim
211 Church St |
$58.97 | 13 | 12 |
|
Seth W Wharton
7 Wells St |
$3.37 | 13 | 13 |
|
Elizabeth Bogovich
211 Church St |
$83.07 | 13 | 13 |
|
John F. Miller
3050 Route 50 |
$18.25 | 14 | 14 |
|
Manuel Astruc, Md, Pllc
414 Maple Ave Ste 700 |
$94.00 | 14 | 13 |
|
Amy Eckstein-Vangelder
3050 Route 50 |
$9.51 | 14 | 14 |
|
David I Garfinkel
Wilson Square 3039 Route 50 |
$35.54 | 15 | 15 |
|
Albert Jagoda
211 Church St |
$47.00 | 15 | 15 |
|
Paul Gebhard
1 West Ave |
$39.40 | 15 | 13 |
|
Bernice Moeller-Bloom
59 Myrtle Street |
$54.77 | 16 | 16 |
|
Zachary Novakovic
3044 Route 50 |
$62.03 | 16 | 16 |
|
Richard Kermit Monroe
6 Care Ln |
$84.17 | 16 | 15 |
|
Kevin Martin
30 Crescent Ave |
$89.82 | 17 | 13 |
|
Angela Grace Condy
19 West Ave |
$18.56 | 17 | 13 |
|
Jessica Leigh Mccoy
377 Church St |
$68.84 | 18 | 18 |
|
Elise Moinzadeh
5 Care Ln |
$79.24 | 20 | 19 |
|
Manuel Astruc
409 Maple Ave |
$94.00 | 22 | 18 |
|
Numan Tariq Rashid
19 West Ave |
$5.79 | 24 | 24 |
|
Carsten P Stracke
211 Church St |
$26.08 | 26 | 26 |
|
Christina Goldsmith
3044 Route 50 |
$24.68 | 26 | 26 |
|
Jamie Nicole Albucher
5 Care Ln |
$95.71 | 27 | 25 |
|
Andrij O Baran
6 Care Lane |
$34.14 | 27 | 27 |
|
Bayly Marie Rittmiller
3044 Route 50 |
$46.30 | 28 | 26 |
|
William W O'Connor
5 Care Ln |
$82.49 | 28 | 27 |
|
Paul R Dittes
454 Maple Ave |
$70.62 | 30 | 29 |
|
Theodoros Laddis
254 Church St |
$43.70 | 31 | 31 |
|
Amanda Lynne Dow
211 Church St |
$70.68 | 35 | 35 |
|
Harry D Lindman
3 Care Ln Ste 100 |
$91.15 | 43 | 41 |
|
William M Kufs
6 Care Lane |
$38.36 | 43 | 43 |
|
Rodney Lloyd Ying
59 Myrtle St |
$28.13 | 44 | 44 |
|
Catherine Pugliani
211 Church St |
$29.50 | 45 | 43 |
|
Brian S Yamada
19 West Ave |
$46.72 | 48 | 48 |
|
Daniel C. Dorsey
3050 Route 50 |
$75.68 | 49 | 49 |
|
Sophia Conroy
24 Hamilton St |
$53.55 | 51 | 49 |
|
Norman Bovee
59 Myrtle St Ste 300 |
$41.28 | 55 | 55 |
|
Heather M Hynick
211 Church St. / Surgical Services |
$49.03 | 58 | 53 |
|
Martha Lynn Vanyo
211 Church St |
$103.65 | 59 | 49 |
|
Robert Nielson
3044 Route 50 |
$62.79 | 59 | 56 |
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
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 Saratoga Springs, NY
Blood Work & Lab Tests
Avg $8.71
166,201 claims
Psychiatric Evaluation
Avg $107.09
104,948 claims
EKG / ECG (Electrocardiogram)
Avg $4.92
54,248 claims
Emergency Room Visit
Avg $109.88
50,858 claims
Physical Therapy
Avg $60.98
47,380 claims
Dental Cleaning & Exam
Avg $33.89
44,109 claims
X-Ray
Avg $6.67
40,502 claims
Urinalysis & Urine Tests
Avg $1.57
37,550 claims