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 |
|---|---|---|---|
|
Lynn Beth Satterly
475 Irving Ave |
$100.17 | 12 | 12 |
|
Sarah Ann Marek
301 Prospect Ave |
$75.97 | 12 | 12 |
|
Kriti Devkota
750 E Adams St |
$150.02 | 12 | 12 |
|
Alessia Field
90 Presidental Plaza |
$77.95 | 12 | 12 |
|
Jessica T Ripic
301 Prospect Ave |
$97.04 | 12 | 12 |
|
Amanda Chase Grossi
1419 Salt Springs Rd |
$54.33 | 12 | 12 |
|
Julia Schmutz
4900 Broad Road |
$14.62 | 12 | 12 |
|
Sumendra Joshi
750 E Adams St |
$97.32 | 12 | 12 |
|
Evangeline Koutalianos
750 E Adams St |
$166.73 | 12 | 12 |
|
Annemarie Dixe
739 Irving Ave |
$75.68 | 12 | 12 |
|
John Mathew Ulahannan
739 Irving Ave Ste 500 |
$95.63 | 12 | 12 |
|
Amira Goldberg
739 Irving Ave Ste 200 |
$92.04 | 12 | 12 |
|
Barbara J Kircher
1000 E Genesee St |
$97.22 | 12 | 12 |
|
Lita M Morris
600 E Genesee St |
$72.71 | 12 | 12 |
|
Robert L Beach
90 Presidential Plz |
$27.23 | 12 | 12 |
|
Matthew Hess
725 E. Adams St. |
$20.73 | 12 | 12 |
|
Mary Scozzari
736 Irving Ave |
$78.44 | 12 | 12 |
|
Kasandra Lynne Scales
750 E Adams St |
$52.47 | 12 | 12 |
|
Robert H Hill
3400 Vickery Rd |
$90.76 | 12 | 12 |
|
Joseph Daniel Valentino
725 Irving Ave |
$81.68 | 12 | 12 |
|
Arshia Khorasani-Zadeh
750 E Adams St |
$67.51 | 13 | 12 |
|
Jiri Bem
550 Harrison St |
$123.95 | 13 | 12 |
|
Mae Elizabeth Endres
1419 Salt Springs Rd |
$10.04 | 13 | 13 |
|
Jennifer A Schumacher
725 E Adams St Ste 3C |
$29.46 | 13 | 12 |
|
Kristina Marie Breckenridge
739 Irving Ave Ste 450 |
$58.86 | 13 | 13 |
|
Morgan E Moran
4850 Broad Rd Ste 2C |
$30.64 | 13 | 13 |
|
Erin E. Tomeny
4900 Broad Road |
$66.13 | 13 | 13 |
|
Syracuse Community Health Center, Inc.
930 S Salina St |
$112.63 | 13 | 13 |
|
Michael L Vertino
90 Presidential Plz |
$70.73 | 13 | 13 |
|
Elmer Paul Miller
736 Irving Ave |
$160.33 | 13 | 13 |
|
William P Berkery
739 Irving Ave |
$10.83 | 13 | 13 |
|
Noel David Castro
819 S Salina St |
$20.24 | 13 | 13 |
|
Michael Miller
750 E Adams St |
$10.62 | 13 | 13 |
|
Gizelda Tardin Bonamichi Casella
750 E Adams St |
$30.05 | 13 | 13 |
|
Desiree Kinnison
90 Presidential Plaza |
$89.36 | 13 | 13 |
|
Samantha Heater
4109 W Genesee St |
$42.46 | 13 | 13 |
|
Amanda Kenyon
739 Irving Ave Ste 450 |
$67.34 | 13 | 13 |
|
Jeffrey A Bogart
1000 East Genesee St. Suite 101 |
$6.51 | 13 | 13 |
|
Kristin A Ramella
90 Presidential Plz Ste 5010 |
$121.95 | 13 | 13 |
|
Joseph A. Sojewicz
301 Prospect Ave |
$76.91 | 13 | 13 |
|
Chelsea Sauve Carnie
736 Irving Ave |
$105.39 | 13 | 13 |
|
Lindsay C Groat
5719 Widewaters Pkwy |
$67.22 | 14 | 14 |
|
Markus Gutsche
90 Presidential Plaza |
$84.75 | 14 | 14 |
|
Kamran Khanmoradi
750 East Adams St |
$32.47 | 14 | 12 |
|
Mohamed Ahmed Eldardiri Ismail Aly
550 Harrison St |
$145.78 | 14 | 14 |
|
Gregory R Faltyn
301 Prospect Ave |
$69.16 | 14 | 14 |
|
Taryn Gray Lindquist
750 E Adams St |
$81.47 | 14 | 12 |
|
Angana Mahapatra
725 Irving Ave Ste 311 |
$94.61 | 14 | 13 |
|
Jacob Michael Smiedy
739 Irving Ave Ste 500 |
$94.05 | 14 | 14 |
|
Sherradyn Lee Mack
4900 Broad Rd |
$64.80 | 14 | 14 |
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