Based on public Medicaid payment data.

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
Meghan Frye 117 Business Park Dr	$68.20	12	12
Johna Lynn Cusworth 120 Hobart St	$4.96	12	12
Nandita Shiva Rao 1676 Sunset Ave	$126.55	12	12
Jessica Skutnik 1676 Sunset Ave	$22.45	12	12
Robert Wasiczko 1656 Champlin Ave	$67.09	12	12
Christina Celina Fearon 1676 Sunset Ave	$46.68	13	12
Hui Shi Lin 1424 Genesee St	$74.90	13	13
Roseanne Theresa Brindisi 2206 Genesee Street	$92.91	14	14
Advanced Physical Medicine & Rehabilitation Llc 110 Business Park Dr	$9.76	14	14
Saba Ilyas 2211 Genesee St Ste 200	$103.96	15	15
Edward M Bach 1400 Noyes St	$219.72	16	13
Eric Lynell Clark 1656 Champlin Ave	$78.80	16	16
Central New York Services, Inc. 1411 Genesee St	$107.80	17	12
Benjamin Johnson 2211 Genesee St	$90.17	24	24
Hamid Moosavi 110 Lomond Ct	$101.51	24	24
Mathew Joseph Ulahannan 1656 Champlin Ave	$61.14	26	25
Nalini J Namassivaya 35 Riverside Dr	$108.29	26	26
Fred L Talarico 2115 Genesee Street	$74.58	27	27
Gina Educate 1658 Champlin Ave	$82.68	27	27
Chelsea L Seamon 1676 Sunset Ave	$100.65	28	28
Norman Neslin 116 Business Park Drive	$59.93	29	28
Carolyn W Lerum 1656 Champlin Ave	$52.68	36	36
Daniel Eric Berg 2211 Genesee St	$47.73	37	37
Central New York Services, Inc. 1213 Court St	$91.33	38	31
Sana Ahmad Din 120 Hobart St	$79.40	41	39
Amanda L Mccabe 1676 Sunset Ave Fl 4	$49.69	42	39
Erin Wellenstein Smith 2211 Genesee St Ste 200	$90.82	50	49
Katlyn Jordan Tersten 1903 Sunset Ave	$75.84	52	52
Sean Phillips 1656 Champlin Ave	$22.55	53	46
Paige Nicole Sullivan 2211 Genesee St	$81.93	57	57
Ajaya Vanumu 120 Hobart St	$73.64	59	57
Barbara Jean Drake 2211 Genesee St Ste 200	$99.84	59	59
Vincent Carmine Fiocco 1903 Sunset Ave	$77.44	65	64
Karen Allard 117 Business Park Dr	$65.30	65	61
Stacey Jaskolka 807 Newell St	$68.32	68	64
Shazia Anwar Chaudhry 417 Trenton Ave	$98.66	69	68
Robert K Silverman 117 Business Park Dr	$123.83	77	77
Steven A. Levine 2215 Genesee St	$83.78	86	86
Katherine Burdick 1656 Champlin Ave	$57.62	87	85
Yagnasri Eagala 120 Hobart St	$108.71	88	82
Brian Bartholomew Hearn 1522 Old Burrstone Rd	$39.36	91	81
David Zaffino 116 Business Park Drive	$18.29	91	91
Aleksey V Bogolyubov 35 Riverside Dr	$25.63	92	85
Vivian Lee Greenfield 100 Seymour Rd	$79.84	93	92
Devayani Namassivaya 1656 Champlin Ave	$17.16	97	87
Molly Taft 111 Hospital Dr	$30.04	98	77
Mario Carrillo 1676 Sunset Ave	$6.21	103	93
Oleg Dulkin 417 Trenton Ave	$47.05	105	101
Jill Francis Ford 1656 Champlin Ave	$53.76	109	109
Gabriella Autumn Pladocostante 117 Business Park Dr	$96.93	110	104

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.

Average Medicaid Office Visit Payments in Utica, NY: $81.63

Providers Offering Office Visit in Utica, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Utica, NY

Home Health Visit

Blood Work & Lab Tests

Psychiatric Evaluation

Case Management Services

Emergency Room Visit

Behavioral & Mental Health Therapy

Urinalysis & Urine Tests

Ambulance Transport