Based on public Medicaid payment data.

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
Robert Gerard Mchugh 1101 Nott St	$81.93	12	12
Claire Bianchi 1426 Altamont Ave	$78.97	12	12
Stephen Michael Piacentine 2546 Balltown Rd Ste 300	$37.71	12	12
Lauren Sequeira 624 Mcclellan St	$135.54	12	12
William M Vacca 2546 Balltown Rd	$77.86	12	12
Park Place Pediatrics, Llc 701 Union St	$97.74	12	12
Robert Joseph Parkes 2546 Balltown Rd	$48.94	13	13
Monica Rani Mundra 3757 Carman Rd Ste 100	$87.14	13	13
Amanda Lee Colabello 2546 Balltown Rd Ste 300	$86.18	13	13
Alexander R Scaringe 1101 Nott St	$30.20	14	14
Alyssa Marie Aragosa 600 Mcclellan St	$110.66	14	14
Steven Goldberg 2125 River Rd	$22.25	15	12
Peter Tawfik 624 Mcclellan St Ste 101	$43.43	16	14
Saaket Gupta 2125 River Rd Ste 103	$63.58	16	15
Richard E Lagace 1101 Nott St	$44.33	16	15
Maura Rose Brondi 1101 Nott St	$18.35	18	17
David M Liebers 1101 Nott St	$1.76	21	21
Lusana Ahsan 2546 Balltown Rd Ste 300	$70.85	24	24
Mark Jordan 2546 Balltown Rd	$97.24	24	24
Nancy A Mcdonald 2123 River Rd	$51.88	26	24
Beatrice H Tsao 2123 River Rd	$66.93	26	25
Norbert Basil Kosinski 1354 Union St	$38.73	26	13
Kenneth Andrew Coleman 2546 Balltown Rd	$56.23	27	27
Paul Dworkin 2546 Balltown Rd	$10.16	27	27
Satish Kumar Madiraju Srinivas 2546 Balltown Rd	$17.75	27	26
Francois Marc Andre Vachon 3757 Carman Rd Ste 100	$66.55	27	27
Nicole Paonessa 2125 River Rd Ste 203	$86.23	29	26
Samuel D. Bell 2317 Balltown Rd	$36.73	29	29
Julia Flum-Stockwell 624 Mcclellan St Ste 101	$19.89	29	28
Peter Francis Purcell 2147 Eastern Pkwy	$76.44	30	30
Patricia Rose Sehlmeyer 124 Rosa Rd	$0.00	35	30
David Charles Armenia 2546 Balltown Rd	$16.84	37	37
Jency Thomas Samuel 2125 River Rd Ste 103	$44.26	37	36
Brittany Michelle Sasso 2546 Balltown Rd Ste 300	$115.17	38	38
Parag Dineshkant Parikh 2546 Balltown Rd Ste 300	$52.28	39	39
Shane Diamond 1101 Nott St	$64.32	39	39
Samantha Anne Relyea 1101 Nott St # B5	$117.52	39	38
Eric I Engelmyer 2200 Rosa Rd	$44.70	40	40
Craig Edward Todd 600 Mcclellan St	$21.54	41	40
Colleen M Dibble 624 Mcclellan St	$59.27	41	36
Lauren M. Galimi 1101 Nott St	$27.76	41	41
Susan A Kessler-Schwartz 700 Mcclellan St	$57.32	42	42
Jason J Lee 1667 Elizabeth St	$61.40	43	43
Heidi Vanbellingham 216 Lafayette St	$35.91	44	26
Shannon Knapp 124 Rosa Rd	$123.87	44	42
Louis C Ianniello 2125 River Rd	$73.50	44	44
Brooke Littlefield 624 Mcclellan St Ste 101	$111.87	44	42
Fayanne Maria Fraser-Vuong 1044 State St	$56.90	45	45
Andrew Jonathan Freedman 1044 State St	$62.38	46	45
Jason Joseph Young 1101 Nott St	$77.74	47	47

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.

Average Medicaid Office Visit Payments in Schenectady, NY: $74.00

Providers Offering Office Visit in Schenectady, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit