Average Medicaid Office Visit Payments in Vestal, NY: $65.57
Avg. Paid
$65.57
Range
$13.59 – $218.72
Total Claims
168,475
Providers
132
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 Vestal, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mike Joon Choi
2517 Vestal Pkwy E |
$89.55 | 8,628 | 8,143 |
|
Cori A Pane
200 Front St |
$53.63 | 8,217 | 7,949 |
|
Michael F. Hayes
4417 Vestal Pkwy E |
$59.73 | 6,836 | 6,743 |
|
Jeannie L Williams
116 N Jensen Rd |
$71.59 | 6,480 | 3,336 |
|
Anthony Consolazio
4417 Vestal Parkway East |
$59.08 | 5,936 | 5,903 |
|
James R Mckenna
3101 Shippers Rd |
$70.14 | 5,764 | 5,536 |
|
Khalid Sethi
1020 Vestal Pkwy E |
$70.34 | 5,746 | 5,585 |
|
Ahmad A Alwan
200 Front St |
$64.94 | 5,303 | 5,288 |
|
Arianne Borda
4417 Vestal Pkwy E |
$56.13 | 4,680 | 4,375 |
|
Sajid Ali Khan
200 Front St |
$66.83 | 3,937 | 3,852 |
|
Connor Fitzpatrick
105 Ridgehaven Dr |
$67.13 | 3,858 | 3,640 |
|
Jonathan David Brooks
4407 Vestal Pkwy E |
$65.20 | 3,739 | 3,705 |
|
Katarzyna Irena Dudycz-Sulicz
4417 Vestal Pkwy E |
$45.52 | 3,691 | 3,504 |
|
Manish Kumar
4417 Vestal Pkwy E |
$49.10 | 3,535 | 3,365 |
|
Benny Seto
4433 Vestal Pkwy E |
$70.67 | 3,260 | 2,984 |
|
Mohan Ds Dhillon
4104 Old Vestal Rd |
$73.93 | 2,996 | 2,917 |
|
Valerie H Ross
4417 Vestal Pkwy E |
$64.37 | 2,943 | 2,903 |
|
Shelly Rivas
3101 Shippers Rd Ste 102 |
$91.00 | 2,693 | 2,663 |
|
Taseer A Minhas
200 Front St |
$58.58 | 2,644 | 2,637 |
|
Erica Tokos
4417 Vestal Pkwy E |
$57.57 | 2,614 | 2,562 |
|
Georia Libin
4417 Vestal Pkwy E |
$64.72 | 2,579 | 2,574 |
|
Janet Weinberg
4417 Vestal Pkwy E |
$45.57 | 2,570 | 2,375 |
|
Colleen Kramer
4417 Vestal Pkwy E |
$72.26 | 2,565 | 2,560 |
|
Jennifer Theresa Woodford
2220 Vestal Pkwy E Fl 2 |
$69.12 | 2,475 | 2,367 |
|
Cassie Erdmann
4417 Vestal Pkwy E |
$70.09 | 2,432 | 2,417 |
|
Inna Mrsic
4417 Vestal Pkwy E |
$69.36 | 2,423 | 2,411 |
|
Ho Ling Yoest
4417 Vestal Pkwy E |
$63.10 | 2,371 | 2,344 |
|
Christopher James Winterstein
4417 Vestal Pkwy E |
$68.73 | 2,307 | 2,297 |
|
Jessica Cholko
4417 Vestal Pkwy E |
$69.72 | 2,219 | 2,204 |
|
Arun P. Shah
1500 Vestal Pkwy E |
$36.18 | 2,160 | 2,039 |
|
Frances Anne Munroe
3101 Shippers Rd |
$68.50 | 2,126 | 1,957 |
|
Aamir Rasheed
200 Front St |
$70.55 | 2,093 | 2,091 |
|
Michael Yu Zhang
4417 Vestal Pkwy E |
$50.50 | 1,990 | 1,890 |
|
Jennifer L Brenner
200 Front St |
$70.42 | 1,932 | 1,913 |
|
Tayyebeh Nahid Borogerdi
3101 Shippers Rd |
$80.37 | 1,797 | 1,698 |
|
Sreya Singh
4417 Vestal Pkwy E |
$42.06 | 1,720 | 1,657 |
|
John C Welch
105 Ridgehaven Dr |
$71.37 | 1,702 | 1,654 |
|
Kathryn Land
4417 Vestal Pkwy E |
$64.30 | 1,681 | 1,670 |
|
Jeffrey Ryck
3101 Shippers Rd |
$58.76 | 1,674 | 1,654 |
|
Alison Mizera-Micholychak
4417 Vestal Pkwy E |
$55.73 | 1,616 | 1,532 |
|
Michael Lane
4417 Vestal Pkwy E |
$69.01 | 1,483 | 1,478 |
|
Bradly Lantz
4417 Vestal Pkwy E |
$58.87 | 1,397 | 1,379 |
|
Joy Roselle
1500 Vestal Pkwy E |
$82.82 | 1,333 | 1,121 |
|
Monika Freeland
3101 Shippers Rd Ste 202 |
$76.44 | 1,330 | 1,282 |
|
Jessica S Kovalchick
105 Ridgehaven Dr |
$66.97 | 1,297 | 1,237 |
|
Dharmesh R Patel
200 Front St |
$68.06 | 1,293 | 1,287 |
|
Ayyaz M Shah
200 Front St |
$62.63 | 1,282 | 1,270 |
|
Jacqueline Ann Ponticiello
1901 Vestal Pkwy E Ste 2W |
$75.83 | 1,241 | 1,093 |
|
Anndrea Bohn
400 Plaza Dr Ste C |
$71.25 | 1,100 | 1,055 |
|
Kwamia Sanford
4417 Vestal Pkwy E |
$72.55 | 1,082 | 1,048 |
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 Vestal, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Vestal, NY is $65.57 per claim, based on 168,475 claims from 132 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 Vestal, NY?
There are 132 Medicaid providers offering Office Visit related services in Vestal, NY according to public payment data.
What is the price range for Office Visit in Vestal, NY?
Medicaid reimbursement for Office Visit in Vestal, NY ranges from $13.59 to $218.72 per claim, with an average of $65.57. 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 Vestal, NY
Dental Cleaning & Exam
Avg $39.33
83,355 claims
EKG / ECG (Electrocardiogram)
Avg $5.74
37,785 claims
Eye Exam
Avg $28.24
21,636 claims
Durable Medical Equipment (DME)
Avg $47.52
17,009 claims
Physical Therapy
Avg $46.43
16,313 claims
Psychiatric Evaluation
Avg $47.58
15,073 claims
Dental Filling
Avg $82.00
14,300 claims
Tooth Extraction
Avg $80.72
11,039 claims