Average Medicaid Office Visit Payments in Troy, NY: $70.25
Avg. Paid
$70.25
Range
$7.48 – $142.80
Total Claims
377,568
Providers
195
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 Troy, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samaritan Hospital Of Troy, New York
2215 Burdett Ave |
$86.29 | 61,960 | 56,387 |
|
Rensselaer County Bureau Of Finance
1600 7Th Ave |
$142.80 | 16,136 | 15,351 |
|
Joseph J Schwartz
137 Hoosick St |
$63.27 | 15,437 | 15,165 |
|
Garry Durosier
1300 Massachusetts Ave |
$58.28 | 11,640 | 11,033 |
|
Adetutu Basirat Adetona
595 5Th Ave |
$50.36 | 10,168 | 9,615 |
|
Marius Killian Nikolas Ditursi
1495 15Th St |
$60.50 | 10,149 | 9,221 |
|
Arturo Miranda Gelpi
2215 Burdett Ave |
$68.44 | 8,428 | 8,039 |
|
Conifer Park, Inc.
2435 6Th Ave |
$64.95 | 8,330 | 5,489 |
|
Carrie Jean Gordon-Stacey
2231 Burdett Ave Ste 160 |
$64.54 | 7,769 | 4,074 |
|
Rafael Papaleo
2231 Burdett Avenue |
$54.68 | 7,332 | 7,090 |
|
Tejas Ramesh Pandya
763 Hoosick Street |
$52.04 | 7,159 | 6,792 |
|
Ifeoma Clarissa Ojukwu
1300 Massachusetts Ave |
$67.44 | 6,467 | 6,042 |
|
Meagan Adell Wasacz
2435 6Th Ave |
$117.91 | 5,419 | 3,938 |
|
Denise Catherine Gangi-Pollacek
2215 Burdett Ave |
$48.10 | 5,298 | 3,137 |
|
Marci Ann Reynolds
258 Hoosick St |
$67.14 | 5,228 | 4,910 |
|
Tabasum Nazir
79 Vandenburgh Ave |
$58.01 | 5,152 | 4,893 |
|
Rebecca L Blake
258 Hoosick St |
$66.56 | 5,085 | 4,791 |
|
Mohammed Ismail
1300 Massachusetts Ave |
$44.25 | 5,046 | 3,917 |
|
R Scott Morris
2231 Burdett Ave |
$56.78 | 4,936 | 4,802 |
|
William A Kostun
1300 Massachusetts Ave |
$68.96 | 4,866 | 4,548 |
|
Kevin C Albert
258 Hoosick St Ste 106 |
$59.63 | 4,613 | 4,272 |
|
Syed I Rehman
147 Hoosick St Ste K |
$57.66 | 4,602 | 4,439 |
|
Karyn M Hughes
258 Hoosick St |
$56.94 | 4,599 | 4,351 |
|
Lori Anne Caruso
315 2Nd Ave |
$67.06 | 4,513 | 4,229 |
|
Patricia A Bradt
79 Vandenburgh Ave |
$73.51 | 4,336 | 4,199 |
|
Yogesh Kumar Gupta
147 Hoosick St Ste A |
$59.49 | 4,324 | 4,176 |
|
Ruslan Feygin
2231 Burdett Ave Ste 160 |
$55.03 | 4,228 | 4,163 |
|
Patrick Rockwell
76 N Greenbush Rd |
$63.22 | 4,085 | 4,023 |
|
Joseph Matthew Di Lullo
2215 Burdett Ave |
$16.54 | 4,063 | 3,761 |
|
Ashley Rose Knutson
79 Vandenburgh Ave |
$84.55 | 3,942 | 3,750 |
|
Naveen Achar
2215 Burdett Ave |
$60.89 | 3,827 | 3,454 |
|
Hussain A Khawaja
258 Hoosick St Ste 107 |
$66.98 | 3,678 | 3,649 |
|
Melissa Diane Carter
147 Hoosick St Ste K |
$60.19 | 3,594 | 3,457 |
|
Benjamin Marte
110 8Th St |
$133.60 | 3,593 | 2,970 |
|
Jenny Ann Torre
258 Hoosick St |
$87.43 | 3,010 | 2,948 |
|
Pamela Claire Walders
258 Hoosick St |
$61.43 | 2,989 | 2,855 |
|
Sabira B. Ghauri
2215 Burdett Ave |
$53.92 | 2,929 | 1,953 |
|
Ruth Ann Brandow
147 Hoosick St |
$60.43 | 2,920 | 2,796 |
|
Kelly Lynne Hearne
2215 Burdett Ave |
$88.56 | 2,870 | 2,376 |
|
Christopher Jon Huyck
2414 15Th St |
$77.74 | 2,666 | 2,581 |
|
Rhonda Mae Esposito
433 River St Ste 3000 |
$73.53 | 2,463 | 1,700 |
|
Samaritan Hospital Of Troy, New York
2215 Burdett Avenue |
$70.15 | 2,387 | 2,277 |
|
Rensselaer County Bureau Of Finance
1600 7Th Ave |
$63.24 | 2,198 | 868 |
|
Robert A. Weissberg
6 102Nd St |
$43.40 | 2,143 | 1,314 |
|
Melissa Seaman Feltman
1300 Massachusetts Ave |
$54.05 | 2,136 | 1,289 |
|
Joel Lawrence Nichols
1444 Massachusetts Ave |
$39.56 | 2,060 | 1,960 |
|
Donald Michael Bielawski
258 Hoosick St |
$58.89 | 2,034 | 1,960 |
|
Elecia Novak
1300 Massachusetts Ave |
$65.51 | 1,973 | 1,968 |
|
Darlene Hoffman
1401 Massachusetts Ave |
$59.30 | 1,896 | 1,773 |
|
Jacqueline Weaver
2215 Burdett Ave |
$80.70 | 1,851 | 1,840 |
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 Troy, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Troy, NY is $70.25 per claim, based on 377,568 claims from 195 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 Troy, NY?
There are 195 Medicaid providers offering Office Visit related services in Troy, NY according to public payment data.
What is the price range for Office Visit in Troy, NY?
Medicaid reimbursement for Office Visit in Troy, NY ranges from $7.48 to $142.80 per claim, with an average of $70.25. 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 Troy, NY
Blood Work & Lab Tests
Avg $9.32
401,781 claims
Emergency Room Visit
Avg $107.15
216,033 claims
Home Health Visit
Avg $126.28
171,612 claims
Physical Therapy
Avg $46.94
159,888 claims
Case Management Services
Avg $313.11
141,663 claims
Psychiatric Evaluation
Avg $125.97
125,457 claims
Substance Abuse Treatment
Avg $35.34
124,987 claims
Vaccines & Immunizations
Avg $21.27
105,806 claims