Average Medicaid Office Visit Payments in Somers, NY: $80.02
Avg. Paid
$80.02
Range
$4.56 – $210.24
Total Claims
36,578
Providers
17
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 Somers, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carol Theodore
Colonial Court |
$37.26 | 13,664 | 7,291 |
|
Steven C Friedman
247 Route 100 |
$130.77 | 9,869 | 9,805 |
|
Alice B Gottlieb
336 Route 202 Ste 2 |
$58.64 | 5,287 | 5,196 |
|
Jordan S Gitlin
247 Route 100 |
$130.84 | 3,594 | 3,567 |
|
Urmil R Gupta
340 Route 202 |
$99.96 | 1,147 | 892 |
|
Steven Marshall Andelman
325 Route 100 |
$115.41 | 808 | 782 |
|
Jane Alice Mcsweeney
293 Route 100 |
$4.56 | 582 | 426 |
|
Robert Louis Pitaro
293 Route 100 |
$105.67 | 507 | 474 |
|
Rose B Ghersin
293 Route 100 |
$111.57 | 399 | 376 |
|
Michael David Levy
356 Route 202 |
$53.65 | 240 | 238 |
|
Nicole Michele Cardwell
325 Ny-100 |
$19.87 | 203 | 199 |
|
John More O'Hanlon
268 Route 202 |
$53.74 | 101 | 101 |
|
Izzy Jazz Behling
16 Dunhill Dr |
$50.01 | 77 | 77 |
|
Christopher Jason Robles
325 Route 100 |
$118.62 | 53 | 52 |
|
Deanna Sandor
Route 100 Millpond Road |
$53.43 | 19 | 12 |
|
Subhanna Asrar-Khan
325 Routes 100 |
$135.83 | 15 | 14 |
|
David Gotlieb
342 Route 202 |
$210.24 | 13 | 13 |
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 Somers, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Somers, NY is $80.02 per claim, based on 36,578 claims from 17 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 Somers, NY?
There are 17 Medicaid providers offering Office Visit related services in Somers, NY according to public payment data.
What is the price range for Office Visit in Somers, NY?
Medicaid reimbursement for Office Visit in Somers, NY ranges from $4.56 to $210.24 per claim, with an average of $80.02. 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 Somers, NY
Podiatry (Foot Care)
Avg $14.02
6,052 claims
Ultrasound
Avg $87.72
4,890 claims
Nursing Facility Care
Avg $4.71
3,034 claims
Urinalysis & Urine Tests
Avg $2.78
2,418 claims
Vaccines & Immunizations
Avg $10.69
1,578 claims
Psychiatric Evaluation
Avg $80.00
947 claims
EKG / ECG (Electrocardiogram)
Avg $8.10
860 claims
Circumcision
Avg $229.14
748 claims