Average Medicaid Office Visit Payments in Syracuse, NY: $84.69
Avg. Paid
$84.69
Range
$0.00 – $253.34
Total Claims
1,665,939
Providers
988
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 Syracuse, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St Josephs Hospital Health Center
301 Prospect Ave |
$120.25 | 156,885 | 135,857 |
|
Suny Health Science Center At Syracuse
750 E Adams St |
$165.51 | 115,611 | 105,209 |
|
Frankie B Quarles
819 S Salina St |
$69.14 | 67,860 | 36,110 |
|
Ted J Triana
311 Green St |
$86.60 | 60,757 | 54,843 |
|
Liberty Resources Inc.
1045 James St |
$102.17 | 31,704 | 28,852 |
|
Helio Health, Inc.
847 James St |
$91.24 | 28,785 | 22,140 |
|
Harold Horowitz
819 S Salina St |
$41.74 | 25,866 | 13,394 |
|
Crouse Health Hospital, Inc.
736 Irving Ave |
$129.54 | 17,716 | 15,486 |
|
Carmen J Federico
311 Green St |
$79.57 | 16,799 | 15,827 |
|
Tammy L Balamut
719 Harrison St |
$41.69 | 15,357 | 13,600 |
|
Nasri N Ghaly
614 S Salina St |
$26.93 | 14,176 | 12,911 |
|
Digant M. Nanavati
182 Intrepid Ln |
$76.99 | 13,808 | 12,815 |
|
Francisca Nneka Okafor
819 S Salina St |
$69.67 | 13,729 | 8,621 |
|
Tyonna L Johnson-Whitlock
819 S Salina St |
$77.48 | 13,245 | 12,684 |
|
Myles Howard
819 S Salina St |
$68.44 | 13,046 | 12,446 |
|
Yola Augustin
311 Green St |
$92.78 | 12,923 | 11,774 |
|
Felipe Diaz
301 Prospect Ave |
$75.09 | 12,154 | 8,318 |
|
Toni Heather Picerno
311 Green St |
$83.46 | 11,838 | 11,105 |
|
Angela M Pericozzi
750 E Adams St |
$89.63 | 11,432 | 10,672 |
|
Olivia Suzanne Dixon
4900 Broad Rd |
$23.24 | 11,200 | 5,165 |
|
Loretto Rest Realty Corporation
700 E Brighton Ave |
$0.00 | 10,989 | 4,281 |
|
Alanna Janine Albano
841 E Fayette St |
$77.18 | 10,457 | 6,974 |
|
Liberty Resources, Inc.
1045 James St |
$115.67 | 10,134 | 9,536 |
|
Nys Office Of Mental Health
620 Madison St |
$253.34 | 9,942 | 9,094 |
|
Hom P Neupane
90 Presidential Plz |
$82.59 | 9,639 | 9,421 |
|
Stephen W Merriam
5792 Widewaters Pkwy |
$93.65 | 9,623 | 9,563 |
|
Shuja Uddin
750 E Adams St |
$59.94 | 9,081 | 6,290 |
|
James Anthony Steinman
301 Prospect Ave |
$31.23 | 8,736 | 8,200 |
|
Roy A Smith
819 S Salina St |
$61.73 | 7,977 | 4,246 |
|
Monica Michele Panzer Jones
3175 E Genesee St |
$78.83 | 7,889 | 7,462 |
|
Arise Child And Family Service Inc.
635 James St |
$103.48 | 7,775 | 7,335 |
|
Syracuse Recovery Services
319 E Water St |
$118.11 | 7,643 | 5,745 |
|
Suraiya A Aziz
819 S Salina St |
$60.37 | 7,568 | 3,761 |
|
Abdalla Mohamed Yousif
90 Presidential Plz |
$28.94 | 7,320 | 7,156 |
|
Sarah Burgess Marsh
321 Gifford St |
$40.58 | 7,097 | 6,663 |
|
Katharine Liegel
5792 Widewaters Pkwy Ste 101 |
$93.30 | 7,032 | 6,759 |
|
Jessica Wilcox
321 Gifford St |
$38.65 | 6,970 | 6,602 |
|
Kamal Prasad Gautam
739 Irving Ave Ste 200 |
$71.94 | 6,922 | 6,474 |
|
Charles F. Rinn
475 Irving Ave Ste 210 |
$78.67 | 6,919 | 6,590 |
|
Nagib Thabet
819 S Salina St |
$56.09 | 6,397 | 6,347 |
|
Ryan Planer
301 Prospect Ave |
$43.81 | 6,306 | 6,207 |
|
Shailaja Potdar
311 Green St |
$73.98 | 6,253 | 5,875 |
|
Tingyin Chee
550 Harrison St Ste I |
$42.66 | 6,227 | 5,840 |
|
Bernard J Poiesz
750 E Adams St |
$43.77 | 6,024 | 4,742 |
|
Srinivasa Sarvabhouma Thota
750 E Adams St |
$27.68 | 5,944 | 4,522 |
|
Patrick J Goncalves
Dept. Of Medicine Medical Service Group |
$56.49 | 5,585 | 5,507 |
|
Paul Stasko
183 Intrepid Ln |
$51.92 | 5,406 | 5,073 |
|
Jianghong Yu
90 Presidential Plz |
$86.55 | 5,394 | 5,278 |
|
Helen Mary Oneill
321 Gifford St |
$27.45 | 5,149 | 4,938 |
|
Maryellen Cathleen Lewis
216 Seymour St |
$29.88 | 5,125 | 4,797 |
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 Syracuse, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Syracuse, NY is $84.69 per claim, based on 1,665,939 claims from 988 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 Syracuse, NY?
There are 988 Medicaid providers offering Office Visit related services in Syracuse, NY according to public payment data.
What is the price range for Office Visit in Syracuse, NY?
Medicaid reimbursement for Office Visit in Syracuse, NY ranges from $0.00 to $253.34 per claim, with an average of $84.69. 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 Syracuse, NY
Home Health Visit
Avg $141.48
1,490,559 claims
Blood Work & Lab Tests
Avg $11.75
1,425,614 claims
Psychiatric Evaluation
Avg $119.44
1,038,180 claims
Substance Abuse Treatment
Avg $62.37
1,023,428 claims
Emergency Room Visit
Avg $125.62
815,459 claims
Physical Therapy
Avg $66.66
496,488 claims
Case Management Services
Avg $215.74
389,365 claims
Ambulance Transport
Avg $107.29
334,765 claims