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 |
|---|---|---|---|
|
Rachel Miller
230 N Main St |
$85.50 | 14 | 14 |
|
Christel-Ann B Augustin
263 N Main St |
$0.00 | 24 | 24 |
|
Guslene Belleus
17 Gladys Dr |
$75.69 | 68 | 66 |
|
Refuah Health Center, Inc.
5 Twin Avenue |
$61.48 | 131 | 124 |
|
Liliana Delgado
25 S Main St |
$71.99 | 153 | 151 |
|
Cassandra Filcidor
212 N Pascack Rd |
$121.11 | 166 | 157 |
|
Gary L. Garbus
20 S Main St |
$4.12 | 195 | 193 |
|
Moshe Weiss Md Pc
258 Old Nyack Turnpike |
$127.83 | 231 | 230 |
|
Noemi De Jesus
25 S Main St Ste E |
$75.09 | 238 | 229 |
|
Chaim Silberberg
7 Arcadian Dr |
$55.83 | 247 | 236 |
|
Alleyvalley Llc
290 W Route 59 |
$126.67 | 258 | 228 |
|
Park Avenue Pediatrics, P.C.
12 Deerwood Rd |
$68.26 | 266 | 265 |
|
Sarah Rosenberg
728 N. Main St. |
$68.03 | 283 | 117 |
|
Paul H. Gamarnik
2 Perlman Dr |
$125.95 | 354 | 343 |
|
Sentinel Services Group Inc
232 N Main St |
$118.81 | 372 | 327 |
|
Franklin Asare Ayew
265 N Main St |
$81.71 | 385 | 295 |
|
Womans Way Midwifery Pc
265 N Main St Ste B |
$87.72 | 423 | 339 |
|
Tahira Sanchez Ilarraza
21 Chestnut St |
$133.92 | 450 | 299 |
|
Karolyn Stephany Guzman
25 S Main St Ste E |
$67.67 | 520 | 511 |
|
Marc J Rosenblatt
873 N Main St Ste 102 |
$40.52 | 549 | 469 |
|
Augustin Pediatrics Pllc
263 N Main St |
$77.23 | 565 | 534 |
|
Wendy Gertrude Johnson
728 North Main Street |
$76.01 | 1,069 | 1,001 |
|
Eliezer Gurkov
175 Route 59 |
$92.32 | 1,228 | 1,220 |
|
Cardiology For Life Pc
25 S Main St |
$119.81 | 1,500 | 1,294 |
|
Visiting Services, Llc
240 N Main St |
$115.20 | 1,591 | 1,361 |
|
Katy Baez
25 S Main St Ste D |
$68.41 | 1,595 | 1,312 |
|
Michel Antoine
251 N Main St |
$65.04 | 1,614 | 1,483 |
|
Taryn Singer
728 North Main Street |
$58.90 | 1,658 | 648 |
|
Aaron M Nemes
728 N Main St |
$62.51 | 1,864 | 1,806 |
|
Marlyn Tablo Escalona
8 Lincoln St |
$24.15 | 2,016 | 1,877 |
|
Elizabeth Vazquez
25 S Main St Ste E |
$79.38 | 3,319 | 2,534 |
|
Isela Maria Escobar
25 S Main St E |
$60.09 | 3,576 | 3,128 |
|
Guernithe Cothia
15 Chestnut St |
$188.38 | 4,087 | 3,442 |
|
Gitty Weisz-Nussbaum
295 W Route 59 |
$61.47 | 5,575 | 5,203 |
|
Dan Frimerman
728 N Main St |
$58.50 | 5,647 | 3,170 |
|
Stuart C Birnbaum
263 N Main St |
$45.56 | 6,452 | 6,098 |
|
Flora Adelaide Antwi-Miller
26 E Hickory St |
$92.67 | 8,629 | 7,132 |
|
Moshe Weiss
258 Old Nyack Turnpike |
$110.26 | 10,279 | 10,269 |
|
Jerrold F Schwartz
728 N Main St |
$71.38 | 10,419 | 7,468 |
|
Ruth S Gershen
728 N Main St |
$52.07 | 15,817 | 5,197 |
|
Olivia Margaret Bouquet
25 S Main St Ste E |
$76.29 | 16,049 | 13,247 |
|
Rena Y Dzikowski
728 N Main St |
$51.55 | 17,544 | 9,739 |
|
Refuah Health Center Inc
728 N Main St |
$50.88 | 17,589 | 15,324 |
|
Liliana Lopez
25 S Main St Ste E |
$69.07 | 18,069 | 14,827 |
|
Richard Peralta Hernandez
25 S Main St Ste C |
$100.36 | 18,263 | 15,690 |
|
Tamir B Katz
728 N Main St |
$43.82 | 19,342 | 10,295 |
|
Rina B Chesner
728 N Main St |
$24.57 | 22,528 | 14,692 |
|
Esther Muschel
728 N Main St |
$32.36 | 25,170 | 13,082 |
|
Esther P Diamant
728 N Main St |
$32.38 | 26,200 | 13,818 |
|
Rose E Varon
728 N Main St |
$33.20 | 26,915 | 13,707 |
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