Based on public Medicaid payment data.

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
Joseph M Roglieri 258 Hoosick St	$7.48	12	12
Marthe A Gabey 1 Conway Ct	$55.50	12	12
Gloria Kwizera 258 Hoosick St	$64.42	12	12
Yusuf Nuruddin Silk 2231 Burdett Ave	$123.47	12	12
Jessica M Falco Capital Cardiology Associates, Pc	$73.39	13	12
Lansingburgh Family Practice, Pc 595 5Th Ave	$55.87	13	12
Selma Kerri Crump 1300 Massachusetts Ave	$9.91	14	14
Arthur Kenneth Gran 2231 Burdett Ave Ste 230	$52.06	14	12
Yvonne Michael Etowa 1401 Massachusetts Ave	$75.03	15	15
John S Janikas 2215 Burdett Ave	$50.51	16	16
Pierrot Jeannot 147 Hoosick St Ste K	$66.22	16	12
Francess Chika George 1600 7Th Ave Ste 3	$61.84	17	15
Erica L Lydon 720 Hoosick Rd	$74.07	25	24
Gregory R. Field 2231 Burdett Ave	$58.92	25	25
Morgan Slusarczyk 101 Jordan Rd Ste 104	$63.34	27	26
Stefanie Lyn Allison 101 Jordan Rd Ste 200	$68.48	27	27
Sarah Marie Pardo 2215 Burdett Ave	$47.22	33	27
Elise Aubrey Morrissey 2215 Burdett Ave	$51.30	33	33
Samantha Lynn Lucca 2215 Burdett Ave	$67.71	35	24
Christine M Cooley 500 Federal Street	$52.38	37	37
Ryan F Romano 2215 Burdett Ave	$48.30	39	39
Shobharani Chitra Sundaram 2 New Hampshire Ave	$30.92	39	39
Irina Montes 2 New Hampshire Ave	$67.35	41	41
Troy Pediatrics, Llp 258 Hoosick St	$65.69	43	36
Dana Marie Laise 2231 Burdett Ave Ste 160	$70.43	45	44
Richard L Eglow 2200 Burdett Ave	$67.47	54	53
Peter R Maggiore 1401 Massachusetts Ave	$51.74	55	51
Ahad Makarachi 1300 Massachusetts Ave	$72.16	57	53
Joseph Farooq 2 New Hampshire Ave	$19.18	63	62
Barbara J Tashjian 2215 Burdett Ave	$43.20	64	55
Cynthia Duncan Bornt 200 Northern Dr	$52.10	65	65
Erica Katherine Ziskin 2215 Burdett Ave	$58.65	66	66
Ania Jankowski 101 Jordan Rd Ste 104	$26.09	68	64
Edward Paul Foley 101 Jordan Rd Ste 100	$53.94	68	67
Kyle Omar Washington 79 Vandenburgh Ave	$70.48	69	67
Dareena D Mirrow 2001 5Th Ave	$33.72	69	64
Mark Wilbur Yarbrough 2215 Burdett Ave	$40.52	70	70
Margaret Isabelle Holcomb 2231 Burdett Ave Ste 160	$54.29	71	68
J. Schwartz, Md, Pllc 137 Hoosick St	$63.29	83	80
Allison R Detommasi 2231 Burdett Ave	$49.14	83	82
William Stoecklin 76 N Greenbush Rd	$86.76	85	85
Sara N Swan 720 Hoosick Rd	$75.06	86	85
Christopher Andrew Bloss 101 Jordan Rd	$64.99	90	88
William Thomas Robinson 2200 Burdett Ave	$90.63	92	91
Dino Joel Valentini 500 Federal St	$65.89	96	93
Jorge Lucas P Constantino 2231 Burdett Ave	$14.02	96	92
Claudia Graham 147 Hoosick St Ste K	$66.32	100	93
Deborah Anne Basso 1300 Massachusetts Ave	$58.27	102	98
Dorothy Starling 137 Hoosick St	$57.72	110	110
Hudson Mohawk Recovery Center 1724 5Th Ave	$109.36	115	87

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.

Average Medicaid Office Visit Payments in Troy, NY: $70.25

Providers Offering Office Visit in Troy, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Troy, NY

Blood Work & Lab Tests

Emergency Room Visit

Home Health Visit

Physical Therapy

Case Management Services

Psychiatric Evaluation

Substance Abuse Treatment

Vaccines & Immunizations