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
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