Average Medicaid Office Visit Payments in Sidney, NY: $53.87
Avg. Paid
$53.87
Range
$28.96 – $70.85
Total Claims
38,416
Providers
11
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 Sidney, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carlton James Rule
39 Pearl St W |
$28.96 | 176 | 164 |
|
Jennifer M Lavare
59 River St |
$70.85 | 386 | 381 |
|
Riaz A. Lone
59 River St |
$30.22 | 550 | 486 |
|
Carissa A Neubert
95 W Main St |
$48.84 | 1,127 | 1,056 |
|
Leibing Tang
39 Pearl St W |
$31.75 | 2,179 | 1,966 |
|
Meaghan Leigh Provost
44 Pearl St W |
$60.10 | 2,280 | 2,112 |
|
Rani Kapur-Pado
43 Pearl Street |
$50.00 | 2,729 | 2,596 |
|
Rochelle Lee Cherrone
39 Pearl St W |
$59.25 | 2,966 | 2,931 |
|
David P Haswell
39 Pearl St W |
$32.09 | 4,599 | 3,918 |
|
Julia Marie Parsons
44 Pearl St W |
$64.84 | 5,604 | 5,093 |
|
Rohan Senerat Jayasena
44 Pearl Street |
$59.17 | 15,820 | 14,608 |
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 Sidney, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sidney, NY is $53.87 per claim, based on 38,416 claims from 11 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 Sidney, NY?
There are 11 Medicaid providers offering Office Visit related services in Sidney, NY according to public payment data.
What is the price range for Office Visit in Sidney, NY?
Medicaid reimbursement for Office Visit in Sidney, NY ranges from $28.96 to $70.85 per claim, with an average of $53.87. 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 Sidney, NY
Ambulance Transport
Avg $130.77
8,264 claims
Emergency Room Visit
Avg $42.32
6,397 claims
Vaccines & Immunizations
Avg $13.26
4,654 claims
Eye Exam
Avg $23.16
4,000 claims
Blood Work & Lab Tests
Avg $2.96
2,937 claims
Psychiatric Evaluation
Avg $96.26
2,472 claims
Physical Therapy
Avg $32.77
1,707 claims
Speech Therapy
Avg $24.43
895 claims