Average Medicaid Office Visit Payments in Spring Valley, NY: $54.40
Avg. Paid
$54.40
Range
$0.00 – $188.38
Total Claims
652,482
Providers
55
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 Spring Valley, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Meir M Adler
15 Briar Ct |
$58.88 | 108,040 | 52,520 |
|
Delsa I Compres
2 Perlman Dr Ste 302 |
$56.71 | 76,332 | 67,120 |
|
Iwuozo L Obilo
21 Chestnut St |
$56.51 | 68,874 | 59,794 |
|
Mahmood Behnam
728 N Main St |
$37.42 | 50,052 | 26,098 |
|
Michael Kaplan
728 N Main St |
$36.36 | 47,688 | 28,791 |
|
Rose E Varon
728 N Main St |
$33.20 | 26,915 | 13,707 |
|
Esther P Diamant
728 N Main St |
$32.38 | 26,200 | 13,818 |
|
Esther Muschel
728 N Main St |
$32.36 | 25,170 | 13,082 |
|
Rina B Chesner
728 N Main St |
$24.57 | 22,528 | 14,692 |
|
Tamir B Katz
728 N Main St |
$43.82 | 19,342 | 10,295 |
|
Richard Peralta Hernandez
25 S Main St Ste C |
$100.36 | 18,263 | 15,690 |
|
Liliana Lopez
25 S Main St Ste E |
$69.07 | 18,069 | 14,827 |
|
Refuah Health Center Inc
728 N Main St |
$50.88 | 17,589 | 15,324 |
|
Rena Y Dzikowski
728 N Main St |
$51.55 | 17,544 | 9,739 |
|
Olivia Margaret Bouquet
25 S Main St Ste E |
$76.29 | 16,049 | 13,247 |
|
Ruth S Gershen
728 N Main St |
$52.07 | 15,817 | 5,197 |
|
Jerrold F Schwartz
728 N Main St |
$71.38 | 10,419 | 7,468 |
|
Moshe Weiss
258 Old Nyack Turnpike |
$110.26 | 10,279 | 10,269 |
|
Flora Adelaide Antwi-Miller
26 E Hickory St |
$92.67 | 8,629 | 7,132 |
|
Stuart C Birnbaum
263 N Main St |
$45.56 | 6,452 | 6,098 |
|
Dan Frimerman
728 N Main St |
$58.50 | 5,647 | 3,170 |
|
Gitty Weisz-Nussbaum
295 W Route 59 |
$61.47 | 5,575 | 5,203 |
|
Guernithe Cothia
15 Chestnut St |
$188.38 | 4,087 | 3,442 |
|
Isela Maria Escobar
25 S Main St E |
$60.09 | 3,576 | 3,128 |
|
Elizabeth Vazquez
25 S Main St Ste E |
$79.38 | 3,319 | 2,534 |
|
Marlyn Tablo Escalona
8 Lincoln St |
$24.15 | 2,016 | 1,877 |
|
Aaron M Nemes
728 N Main St |
$62.51 | 1,864 | 1,806 |
|
Taryn Singer
728 North Main Street |
$58.90 | 1,658 | 648 |
|
Michel Antoine
251 N Main St |
$65.04 | 1,614 | 1,483 |
|
Katy Baez
25 S Main St Ste D |
$68.41 | 1,595 | 1,312 |
|
Visiting Services, Llc
240 N Main St |
$115.20 | 1,591 | 1,361 |
|
Cardiology For Life Pc
25 S Main St |
$119.81 | 1,500 | 1,294 |
|
Eliezer Gurkov
175 Route 59 |
$92.32 | 1,228 | 1,220 |
|
Wendy Gertrude Johnson
728 North Main Street |
$76.01 | 1,069 | 1,001 |
|
Augustin Pediatrics Pllc
263 N Main St |
$77.23 | 565 | 534 |
|
Marc J Rosenblatt
873 N Main St Ste 102 |
$40.52 | 549 | 469 |
|
Karolyn Stephany Guzman
25 S Main St Ste E |
$67.67 | 520 | 511 |
|
Tahira Sanchez Ilarraza
21 Chestnut St |
$133.92 | 450 | 299 |
|
Womans Way Midwifery Pc
265 N Main St Ste B |
$87.72 | 423 | 339 |
|
Franklin Asare Ayew
265 N Main St |
$81.71 | 385 | 295 |
|
Sentinel Services Group Inc
232 N Main St |
$118.81 | 372 | 327 |
|
Paul H. Gamarnik
2 Perlman Dr |
$125.95 | 354 | 343 |
|
Sarah Rosenberg
728 N. Main St. |
$68.03 | 283 | 117 |
|
Park Avenue Pediatrics, P.C.
12 Deerwood Rd |
$68.26 | 266 | 265 |
|
Alleyvalley Llc
290 W Route 59 |
$126.67 | 258 | 228 |
|
Chaim Silberberg
7 Arcadian Dr |
$55.83 | 247 | 236 |
|
Noemi De Jesus
25 S Main St Ste E |
$75.09 | 238 | 229 |
|
Moshe Weiss Md Pc
258 Old Nyack Turnpike |
$127.83 | 231 | 230 |
|
Gary L. Garbus
20 S Main St |
$4.12 | 195 | 193 |
|
Cassandra Filcidor
212 N Pascack Rd |
$121.11 | 166 | 157 |
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 Spring Valley, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Spring Valley, NY is $54.40 per claim, based on 652,482 claims from 55 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 Spring Valley, NY?
There are 55 Medicaid providers offering Office Visit related services in Spring Valley, NY according to public payment data.
What is the price range for Office Visit in Spring Valley, NY?
Medicaid reimbursement for Office Visit in Spring Valley, NY ranges from $0.00 to $188.38 per claim, with an average of $54.40. 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 Spring Valley, NY
Home Health Visit
Avg $136.76
3,040,112 claims
Psychiatric Evaluation
Avg $90.91
205,415 claims
Vaccines & Immunizations
Avg $8.72
158,025 claims
Dental Cleaning & Exam
Avg $30.36
145,009 claims
Physical Therapy
Avg $56.92
90,174 claims
Non-Emergency Medical Transportation
Avg $28.49
82,169 claims
Dental Filling
Avg $81.87
50,698 claims
Hearing Test (Audiometry)
Avg $24.36
39,265 claims