Average Medicaid Office Visit Payments in Schenectady, NY: $74.00
Avg. Paid
$74.00
Range
$0.00 – $240.96
Total Claims
721,379
Providers
338
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 Schenectady, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ellis Hospital
1101 Nott St |
$110.58 | 169,704 | 157,015 |
|
Cristine Maria Espinosa
1044 State St |
$52.09 | 54,778 | 26,859 |
|
Alcoholism & Substance Abuse Council Of Schenectady County, Inc.
728 State St |
$120.43 | 16,588 | 13,671 |
|
Stephanie B. Evans
1044 State St |
$54.47 | 15,752 | 7,928 |
|
Venkateswararao Voleti
700 Mcclellan St Ste 103 |
$57.22 | 13,340 | 11,455 |
|
Kimberly Elizabeth Clemente
1044 State St |
$48.74 | 13,320 | 5,417 |
|
David S Skory
1044 State St |
$54.24 | 12,502 | 7,187 |
|
Keara L Sease
1044 State St |
$56.93 | 11,721 | 6,601 |
|
Bethany A Broderick
1044 State St |
$49.42 | 11,034 | 5,122 |
|
Alexander Simao
1044 State St |
$49.60 | 9,947 | 4,730 |
|
Kathryn M Lahn
1044 State St |
$58.50 | 9,344 | 5,402 |
|
Planned Parenthood Mohawk Hudson, Inc
1040 State Street |
$127.34 | 7,731 | 7,392 |
|
Conifer Park, Inc.
600 Franklin St |
$64.88 | 7,340 | 4,545 |
|
Joseph Keith Carrozza
1044 State St |
$61.82 | 7,205 | 4,172 |
|
Northeast Parent And Child Society, Inc.
530 Franklin St |
$98.59 | 6,977 | 6,413 |
|
Misty D Thomas
1044 State St |
$34.70 | 6,917 | 5,785 |
|
Chandradai Datt
1044 State St |
$92.19 | 6,523 | 3,521 |
|
Linda Xuan West
1044 State St |
$59.93 | 6,412 | 4,035 |
|
Emily Taylor Eckes
500 State St |
$88.95 | 5,969 | 5,887 |
|
Hadi Koohsari
701 Union St |
$79.30 | 5,831 | 5,468 |
|
Sarah Mari Picciuto Watson
1044 State St |
$55.29 | 5,418 | 2,876 |
|
Eric R Aronowitz
500 State St |
$76.63 | 5,108 | 4,733 |
|
Daven Jadavji Savla
200 Harborside Dr Ste 101 |
$54.26 | 5,060 | 4,865 |
|
Thomas R Jackson
500 State St |
$81.17 | 4,935 | 4,878 |
|
Michael Figliomeni
1101 Nott St |
$60.65 | 4,843 | 4,828 |
|
Melissa Roberts
624 Mcclellan St Ste 101 |
$45.34 | 4,528 | 4,413 |
|
Laura Kathryn Bailey
1044 State St |
$54.12 | 4,373 | 2,356 |
|
Venkateswarar Voleti
700 Mcclellan St |
$90.82 | 4,367 | 3,803 |
|
Ashley E G Kennedy
1044 State St |
$53.50 | 4,361 | 2,278 |
|
Roberta Buckley Mansen
2125 River Rd |
$24.32 | 4,317 | 4,213 |
|
Michael Ferro
624 Mcclellan St |
$48.41 | 4,241 | 3,945 |
|
Norbert J Woods
700 Mcclellan St |
$65.73 | 3,966 | 3,697 |
|
Lu Zhang
1925 Curry Rd |
$75.16 | 3,960 | 3,819 |
|
Jeena Theresa Madden
624 Mcclellan Street |
$56.62 | 3,939 | 3,833 |
|
John M Petrillo
624 Mcclellan Street |
$44.33 | 3,915 | 3,767 |
|
James M Boler
500 State St |
$80.75 | 3,894 | 3,639 |
|
Nosa Dennis Aigbe Lebarty
624 Mcclellan St |
$97.07 | 3,632 | 3,531 |
|
Mineke E. Etienne
624 Mcclellan Street |
$43.66 | 3,591 | 3,484 |
|
Gurkirpal S. Nijjar
2082 Orchard Park Dr |
$48.74 | 3,544 | 2,181 |
|
Michael J Reilly
600 Mcclellan St |
$80.04 | 3,525 | 3,516 |
|
Timothy Gary Lam
1610 Union St |
$49.90 | 3,488 | 3,443 |
|
Megan E Farrell
1044 State St |
$58.27 | 3,371 | 1,305 |
|
Patricia A Hughes
624 Mcclellan Street |
$55.71 | 3,316 | 3,233 |
|
Richard Yan
700 Mcclellan St |
$68.74 | 3,064 | 2,909 |
|
Joseph Isgro
500 State St |
$80.02 | 3,057 | 2,945 |
|
Jaclyn Shaw
1044 State St |
$63.77 | 2,983 | 2,708 |
|
Mary Elizabeth Mastrianni
1201 Nott St Ste 204 |
$21.76 | 2,939 | 2,814 |
|
Adam D Snider
2546 Balltown Rd |
$51.34 | 2,935 | 2,851 |
|
Manish Shah
1044 State St |
$25.29 | 2,903 | 1,482 |
|
Celecia P Mastrianni
700 Mcclellan St Ste 103 |
$64.95 | 2,902 | 2,857 |
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 Schenectady, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Schenectady, NY is $74.00 per claim, based on 721,379 claims from 338 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 Schenectady, NY?
There are 338 Medicaid providers offering Office Visit related services in Schenectady, NY according to public payment data.
What is the price range for Office Visit in Schenectady, NY?
Medicaid reimbursement for Office Visit in Schenectady, NY ranges from $0.00 to $240.96 per claim, with an average of $74.00. 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 Schenectady, NY
Blood Work & Lab Tests
Avg $7.43
399,352 claims
Ambulance Transport
Avg $93.36
348,375 claims
Substance Abuse Treatment
Avg $67.20
222,483 claims
Psychiatric Evaluation
Avg $94.70
187,720 claims
Physical Therapy
Avg $46.00
168,470 claims
Vaccines & Immunizations
Avg $15.78
166,577 claims
Dental Cleaning & Exam
Avg $28.35
158,066 claims
Emergency Room Visit
Avg $101.76
145,697 claims