Average Medicaid Office Visit Payments in Wappingers Falls, NY: $78.00
Avg. Paid
$78.00
Range
$36.85 – $203.06
Total Claims
78,932
Providers
47
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 Wappingers Falls, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Diane Volk
1323 Route 9 |
$79.80 | 13 | 12 |
|
Yavor Ivov Geshev
89 E Main St |
$36.85 | 15 | 13 |
|
Kristi Lynn Irish Liebowitz
942 Route 376 |
$106.00 | 27 | 24 |
|
Ursula Petricek
900 Route 376 |
$89.71 | 31 | 31 |
|
Anne M Paden N P P C
11 Marshall Rd Ste 2L |
$68.45 | 33 | 31 |
|
Steven Eric Moskowitz
1207 Route 9 |
$37.41 | 37 | 36 |
|
David J Schlam
89 E Main St |
$43.25 | 45 | 41 |
|
Mohammad F Akhter
1285 Route 9 |
$80.83 | 46 | 42 |
|
Hollowbrook Foot Specialist, Pc
89 E Main St |
$37.41 | 48 | 45 |
|
Fishkill Medical & Associates Pllc
66 Middlebush Rd |
$65.53 | 50 | 45 |
|
Jaime E Chabuz
8 Barristers Row |
$73.04 | 66 | 48 |
|
Ashly Abraham
900 Route 376 |
$88.62 | 76 | 76 |
|
Niah Gibbs
66 Middlebush Rd |
$71.16 | 86 | 83 |
|
Marissa Jill Diescher
900 Route 376 Ste H |
$70.86 | 95 | 95 |
|
Lisa R. Parry-Birnstill
900 Route 376 Ste H |
$84.55 | 103 | 103 |
|
Raman Kumar Sharma
900 Route 376 Ste H |
$66.00 | 138 | 138 |
|
Nora Claire Guschwan
128 Town View Dr |
$84.46 | 154 | 151 |
|
Hilda Jayawardena
17 Sherwood Heights |
$203.06 | 185 | 64 |
|
Maria Mckenna
942 Route 376 |
$96.24 | 226 | 213 |
|
Joseph George Disalvo
1530 Route 9 |
$113.78 | 251 | 249 |
|
Wilfred W Yee
1530 Route 9 |
$80.52 | 261 | 259 |
|
Tam Uyen Lam
1530 Route 9 |
$116.51 | 261 | 260 |
|
Denise Mcgovern
900 Route 376, Suite H |
$83.19 | 319 | 288 |
|
Adam P Whitehead
41 Castle Point Rd |
$82.03 | 324 | 299 |
|
Startnew Medical P.C
66 Middlebush Rd Ste 101 |
$109.53 | 333 | 312 |
|
Vinay Bananda Das
41 Castle Point Rd |
$76.86 | 438 | 420 |
|
Walter Soha
1530 Route 9 |
$112.81 | 533 | 532 |
|
Alice Kathryn Denicola
900 Route 376 |
$80.96 | 569 | 560 |
|
Jennifer Lyn Miano
900 Route 376 |
$80.67 | 638 | 634 |
|
Jerold Barry Millendorf
1530 Route 9 |
$42.39 | 922 | 840 |
|
Hudson Valley Primary Medical Care
1323 Route 9 |
$91.76 | 1,287 | 1,187 |
|
Saeed Iqbal Bhatti
367 Old Hopewell Rd |
$101.77 | 1,308 | 1,149 |
|
Jai K Jalaj
66 Middlebush Rd |
$79.50 | 1,316 | 1,293 |
|
Anna-Marie Dolgov
900 Route 376 |
$83.65 | 1,405 | 1,383 |
|
Hang Kyu Park
942 Route 376 Ste 16 |
$99.21 | 1,477 | 1,383 |
|
Gladys Cardenas
1207 Route 9 Ste 12 |
$78.20 | 1,561 | 1,429 |
|
Mark Foster
1323 Route 9 |
$81.30 | 1,640 | 1,490 |
|
Anne Marie Paden
11 Marshall Rd |
$48.94 | 1,955 | 1,853 |
|
Joseph Ali
11 Marshall Rd Ste 2L |
$56.30 | 2,019 | 1,825 |
|
Joanne Arbusto
66 Middlebush Rd Ste 101 |
$102.75 | 2,111 | 1,925 |
|
Adam Lance Rubinstein
1323 Route 9 |
$79.03 | 2,758 | 2,585 |
|
Surinder P Jindal M D P C.
66 Middlebush Rd |
$105.18 | 3,996 | 3,813 |
|
Rita Kimball
1285 Route 9 Ste 7B |
$41.76 | 4,167 | 3,925 |
|
Ashraf Medical Group Pllc
900 Route 376 |
$78.73 | 5,602 | 5,336 |
|
Juancho Salazar Chan
11 Marshall Rd |
$65.97 | 7,766 | 6,330 |
|
Sharon Leah Weibman
31 Spook Hill Rd |
$83.51 | 13,256 | 8,925 |
|
Surinder Paul Jindal
66 Middlebush Rd |
$76.17 | 18,985 | 18,018 |
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 Wappingers Falls, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wappingers Falls, NY is $78.00 per claim, based on 78,932 claims from 47 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 Wappingers Falls, NY?
There are 47 Medicaid providers offering Office Visit related services in Wappingers Falls, NY according to public payment data.
What is the price range for Office Visit in Wappingers Falls, NY?
Medicaid reimbursement for Office Visit in Wappingers Falls, NY ranges from $36.85 to $203.06 per claim, with an average of $78.00. 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 Wappingers Falls, NY
Home Health Visit
Avg $110.67
148,496 claims
Psychiatric Evaluation
Avg $78.84
47,156 claims
Dental Cleaning & Exam
Avg $31.04
36,815 claims
Physical Therapy
Avg $54.69
7,250 claims
Nursing Facility Care
Avg $6.48
6,878 claims
Blood Work & Lab Tests
Avg $3.38
6,039 claims
Vaccines & Immunizations
Avg $8.76
3,614 claims
Dental Filling
Avg $65.55
2,819 claims