Average Medicaid Office Visit Payments in Utica, NY: $81.63
Avg. Paid
$81.63
Range
$0.00 – $295.37
Total Claims
464,991
Providers
242
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 Utica, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Upstate Family Health Center Incorporated
1001 Noyes St |
$163.19 | 42,007 | 38,241 |
|
Upstate Cerebral Palsy, Inc
1002 Oswego St |
$102.77 | 38,712 | 37,764 |
|
Fayez Chahfe
2206 Genesee St |
$70.19 | 16,580 | 16,023 |
|
Rebecca Lavalley
6 Hampden Pl |
$66.24 | 14,714 | 14,373 |
|
Stephen Wade
1508 Genesee St |
$78.73 | 13,321 | 12,654 |
|
The Neighborhood Center, Inc.
628 Mary St |
$105.00 | 13,134 | 12,542 |
|
Joseph Michael Dimaria
120 Hobart St |
$64.55 | 10,905 | 7,124 |
|
Minhaj Siddiqi
286 Genesee St |
$65.81 | 10,880 | 10,070 |
|
Amanda Avery
1427 Genesee St |
$96.40 | 8,372 | 4,383 |
|
Cynthia L Jones
1651 Oneida St |
$54.00 | 8,167 | 4,788 |
|
Emile Wassel
1450 Champlin Ave Ste 1 |
$40.48 | 7,718 | 7,536 |
|
Ramzi F Nassif
268 Genesee St Ste B1 |
$72.88 | 6,869 | 6,749 |
|
Elaine Tsukayama
117 Business Park Dr |
$81.28 | 6,516 | 5,814 |
|
Tatyana Misyulya
417 Trenton Ave |
$78.59 | 6,304 | 5,862 |
|
Nameer Haider
1508 Genesee St |
$58.57 | 6,276 | 5,941 |
|
John E. Minor
1508 Genesee St |
$26.50 | 6,054 | 5,282 |
|
Barbara A. Martin
1676 Sunset Ave |
$69.57 | 5,594 | 5,551 |
|
Viktor Ivanovich Petrovets
417 Trenton Ave |
$87.01 | 5,591 | 4,607 |
|
Susan M Jackson
1450 Champlin Ave |
$54.13 | 5,535 | 5,210 |
|
Jayaraju Pasmathoor Raju
1400 Noyes St |
$70.34 | 5,112 | 3,693 |
|
David Senn
230 N Genesee St |
$67.73 | 5,016 | 4,973 |
|
Adam Paul Fenton
2211 Genesee St Ste 200 |
$64.18 | 4,917 | 4,884 |
|
Teresa Martorella
2212 Genesee St |
$31.82 | 4,916 | 4,633 |
|
James E Frederick
1427 Genesee St |
$66.41 | 4,482 | 3,173 |
|
Bijou Kadima
1600 Burrstone Rd |
$28.54 | 4,375 | 900 |
|
Thet Thet Mar
120 Hobart St |
$31.93 | 4,352 | 4,121 |
|
Anwar Wassel
1450 Champlin Ave |
$52.45 | 4,261 | 4,165 |
|
Morales Dennis Brown
2504 Genesee Street |
$83.82 | 3,993 | 3,263 |
|
Amanda M Roublick
1256 Culver Ave. |
$37.09 | 3,895 | 3,692 |
|
Nys Office Of Mental Health
1400 Noyes St |
$243.51 | 3,601 | 3,231 |
|
Sylvia Adel Redmond
1427 Genesee St |
$79.03 | 3,599 | 3,035 |
|
Dilip D Kachare
2037 Genesee St |
$48.36 | 3,584 | 3,390 |
|
Debora Ann Pfluke
1651 Oneida St |
$84.47 | 3,577 | 2,020 |
|
Morgan A Maitland
1256 Culver Ave |
$36.41 | 3,568 | 3,375 |
|
Lee Thompson
1400 Noyes St |
$171.58 | 3,499 | 1,519 |
|
Daniel Zakhary
268 Genesee St # B1 |
$74.50 | 3,363 | 3,328 |
|
Kathy Ann Leach
120 Hobart St |
$30.29 | 3,342 | 3,191 |
|
Christina Stanton Stewart
1651 Oneida St |
$63.96 | 3,268 | 2,443 |
|
Brittie Wintle
1676 Sunset Ave |
$70.23 | 3,179 | 3,132 |
|
Brittany Nicole Brown
1656 Champlin Ave |
$63.10 | 3,163 | 3,134 |
|
Shelia Mae Gallogly
1400 Noyes St |
$211.41 | 3,156 | 1,258 |
|
Virendra Sharma
120 Hobart St |
$70.97 | 3,152 | 3,012 |
|
Marguerite Williams
1424 Genesee St |
$37.55 | 3,015 | 839 |
|
Jaime Michelle Blum
2206 Genesee St Ste 101 |
$58.92 | 3,009 | 2,302 |
|
Carolyn M Smith
120 Hobart St |
$39.64 | 3,008 | 2,864 |
|
Kathryn Hollie Boss
1675 Bennett St |
$46.22 | 2,951 | 2,916 |
|
Sadina Husic
402 Sunlit Ter |
$38.48 | 2,769 | 2,735 |
|
Kayla Lynn Miller
1256 Culver Ave |
$59.09 | 2,752 | 2,746 |
|
Timothy N Baker
1651 Oneida St |
$66.65 | 2,734 | 1,862 |
|
Jillian M Ives
1651 Oneida St |
$62.28 | 2,711 | 1,376 |
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 Utica, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Utica, NY is $81.63 per claim, based on 464,991 claims from 242 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 Utica, NY?
There are 242 Medicaid providers offering Office Visit related services in Utica, NY according to public payment data.
What is the price range for Office Visit in Utica, NY?
Medicaid reimbursement for Office Visit in Utica, NY ranges from $0.00 to $295.37 per claim, with an average of $81.63. 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 Utica, NY
Home Health Visit
Avg $146.48
1,418,271 claims
Blood Work & Lab Tests
Avg $8.00
866,904 claims
Psychiatric Evaluation
Avg $105.72
272,745 claims
Case Management Services
Avg $314.51
242,895 claims
Emergency Room Visit
Avg $214.25
190,597 claims
Behavioral & Mental Health Therapy
Avg $80.73
172,741 claims
Urinalysis & Urine Tests
Avg $3.59
119,563 claims
Ambulance Transport
Avg $99.92
118,138 claims