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Based on public Medicaid payment data.

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
Elyse M Romaniak

200 Front St

 $48.80 12 12
Michael Albert Christensen

3455 Vestal Pkwy E

 $55.93 12 12
Beth Stewart

2220 Vestal Pkwy E Fl 2

 $83.57 12 12
Southern Tier Women'S Health Services Llc

149 Vestal Parkway West

 $155.62 13 12
Shannon C. Toomey-Belanger

3455 Vestal Pkwy E

 $13.59 16 16
Lisa Palkert-Dawes

1020 Vestal Pkwy E

 $78.65 16 13
Shabana Jamil

1020 Vestal Pkwy E

 $62.78 16 15
Nancy E Shumeyko

4417 Vestal Parkway East

 $56.68 24 24
Michael W Barrett

2517 Vestal Pkwy E

 $66.46 26 25
Jessica Webb

4417 Vestal Pkwy E

 $111.26 26 25
Cody C Garner

4100 Vestal Rd

 $16.76 26 26
Michael Barton

200 Front St

 $48.59 27 27
Michael J Farrell

4417 Vestal Parkway East

 $95.08 29 28
Stephanie Marie Guzelak

4433 Vestal Pkwy E

 $85.90 30 30
Courtney L Ellis-Jamison

4433 Vestal Pkwy E

 $56.15 33 33
Uzma Sana Ullah

4417 Vestal Pkwy E

 $58.61 33 33
Nicholas J Kenhart

4417 Vestal Pkwy E

 $54.12 39 38
Melissa Ann Most

4417 Vestal Pkwy E

 $69.02 40 39
Rachel Lynn Devine

3101 Shippers Rd Ste 202

 $63.38 42 41
Nathaniel S. Baer

4433 Vestal Pkwy E

 $176.69 43 41
David E Sperber

113 S Jensen Rd

 $64.23 48 43
Kelly Elizabeth Miller

4417 Vestal Parkway East

 $52.99 48 48
Regina M Meis

4433 Vestal Pkwy E

 $55.23 50 49
Louis Mateya

4417 Vestal Parkway East

 $43.19 51 50
Mackenzie Hartmann

4417 Vestal Pkwy E

 $57.82 55 55
Ryan Paul Lowrie

4433 Vestal Pkwy E

 $53.09 62 53
Rachelle Del Rio

1901 Vestal Pkwy E Ste 2W

 $79.32 62 59
Sarah Elizabeth Park

4417 Vestal Pkwy E

 $70.84 65 62
Marita Florini

3101 Shippers Road Suite 202

 $84.58 70 67
Ramy Hassan

4417 Vestal Pkwy E

 $68.25 71 70
Samantha Klenchik

4433 Vestal Pkwy E

 $58.57 73 70
Megan Macken

3101 Shippers Rd Ste 202

 $82.18 88 85
Emily A West

4401 Vestal Pkwy E

 $53.44 93 91
Michelle Johnson Winsor

2220 Vestal Pkwy E Fl 2

 $80.59 95 92
Caitlin S Digiulio

4433 Vestal Pkwy E

 $59.12 96 93
Jeffrey Louis Avery

4433 Vestal Pkwy E

 $60.90 100 96
Matthew Schmidt

4433 Vestal Pkwy E

 $218.72 107 78
Gregory Hilton Stonier

3101 Shippers Rd Ste 203

 $68.73 107 105
Maria Sy-Vinluan

105 Ridgehaven Dr

 $83.01 112 108
Susan Wenzinger

4513 Old Vestal Rd

 $77.11 127 126
Marilyn S Boyuka

4104 Old Vestal Rd

 $58.88 128 119
Emily Barvinchak

200 Front St Ste C

 $87.95 134 131
Chloe A Pusey

4104 Vestal Rd

 $62.19 138 137
Fnu Shailesh

4417 Vestal Pkwy E

 $57.05 170 166
Jessica Woodmansee

200 Front St

 $55.08 175 168
Helene Claire Longacre

4417 Vestal Pkwy E

 $51.80 175 173
Dennis Perenyi

4417 Vestal Pkwy E

 $64.03 183 178
Mark Wells

4433 Vestal Pkwy E

 $36.68 183 176
Eric Reeves

200 Front St Ste C

 $86.15 188 188
Emily Carpenter

4417 Vestal Pkwy E

 $59.57 197 187

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