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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
Park Place Pediatrics, Llc

701 Union St

$97.74 12 12
William M Vacca

2546 Balltown Rd

$77.86 12 12
Lauren Sequeira

624 Mcclellan St

$135.54 12 12
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
Amanda Lee Colabello

2546 Balltown Rd Ste 300

$86.18 13 13
Robert Joseph Parkes

2546 Balltown Rd

$48.94 13 13
Monica Rani Mundra

3757 Carman Rd Ste 100

$87.14 13 13
Alyssa Marie Aragosa

600 Mcclellan St

$110.66 14 14
Alexander R Scaringe

1101 Nott St

$30.20 14 14
Steven Goldberg

2125 River Rd

$22.25 15 12
Saaket Gupta

2125 River Rd Ste 103

$63.58 16 15
Richard E Lagace

1101 Nott St

$44.33 16 15
Peter Tawfik

624 Mcclellan St Ste 101

$43.43 16 14
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
Beatrice H Tsao

2123 River Rd

$66.93 26 25
Norbert Basil Kosinski

1354 Union St

$38.73 26 13
Nancy A Mcdonald

2123 River Rd

$51.88 26 24
Satish Kumar Madiraju Srinivas

2546 Balltown Rd

$17.75 27 26
Francois Marc Andre Vachon

3757 Carman Rd Ste 100

$66.55 27 27
Paul Dworkin

2546 Balltown Rd

$10.16 27 27
Kenneth Andrew Coleman

2546 Balltown Rd

$56.23 27 27
Julia Flum-Stockwell

624 Mcclellan St Ste 101

$19.89 29 28
Samuel D. Bell

2317 Balltown Rd

$36.73 29 29
Nicole Paonessa

2125 River Rd Ste 203

$86.23 29 26
Peter Francis Purcell

2147 Eastern Pkwy

$76.44 30 30
Patricia Rose Sehlmeyer

124 Rosa Rd

$0.00 35 30
Jency Thomas Samuel

2125 River Rd Ste 103

$44.26 37 36
David Charles Armenia

2546 Balltown Rd

$16.84 37 37
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
Colleen M Dibble

624 Mcclellan St

$59.27 41 36
Lauren M. Galimi

1101 Nott St

$27.76 41 41
Craig Edward Todd

600 Mcclellan St

$21.54 41 40
Susan A Kessler-Schwartz

700 Mcclellan St

$57.32 42 42
Jason J Lee

1667 Elizabeth St

$61.40 43 43
Brooke Littlefield

624 Mcclellan St Ste 101

$111.87 44 42
Louis C Ianniello

2125 River Rd

$73.50 44 44
Shannon Knapp

124 Rosa Rd

$123.87 44 42
Heidi Vanbellingham

216 Lafayette St

$35.91 44 26
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.

Office Visit in Other Cities

Other Procedures in Schenectady, NY