Average Medicaid Office Visit Payments in Warrensburg, NY: $60.91
Avg. Paid
$60.91
Range
$20.67 – $120.54
Total Claims
126,944
Providers
30
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 Warrensburg, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Katherine Kashinsky
3767 Main St |
$103.54 | 32 | 30 |
|
Alexandra Maliha
3767 Main St |
$120.54 | 38 | 38 |
|
Paul F Bachman
3767 Main St |
$86.85 | 80 | 80 |
|
Timothy A Culliton
3767 Main St |
$64.28 | 128 | 109 |
|
Sarah A Walton
3767 Main St |
$64.20 | 268 | 258 |
|
Richard C Robertson
3767 Main St |
$20.67 | 552 | 209 |
|
Mia Patricia Georgia Kennedy
3767 Main St |
$42.83 | 674 | 408 |
|
Elizabeth L Maher
3767 Main St |
$57.24 | 691 | 537 |
|
Heather J Johnson
3767 Main St |
$33.21 | 787 | 391 |
|
Ashley E Harris
3767 Main St |
$48.37 | 1,530 | 924 |
|
Suzanne E Bergin
3767 Main St |
$50.36 | 1,541 | 1,188 |
|
Carrie B Miron
3767 Main Street |
$68.19 | 1,958 | 1,828 |
|
Lauren A Winn
3767 Main St |
$53.56 | 2,186 | 1,363 |
|
Christina S Kay
3767 Main St |
$62.83 | 2,743 | 2,530 |
|
Briana Jean Balch
3767 Main St |
$55.89 | 2,774 | 2,318 |
|
Kevin Andrew Gallagher
3767 Main Street |
$51.93 | 3,174 | 2,886 |
|
Michael S Bailey
3767 Main St |
$78.94 | 3,823 | 3,521 |
|
Cheryl M Morris
3767 Main St |
$62.13 | 4,380 | 3,383 |
|
Thomas E Morey
3767 Main St |
$56.27 | 4,420 | 3,256 |
|
Michael Randolph Bell
3767 Main Street |
$63.35 | 4,474 | 4,028 |
|
Hudson Headwaters Health Network
3767 Main St |
$76.47 | 4,563 | 4,264 |
|
Andrew P Paszko
3767 Main St |
$71.56 | 4,983 | 4,611 |
|
Jeremy Andrew Di Bari
3767 Main Street |
$59.19 | 6,624 | 4,992 |
|
Michael E Adams
3767 Main St |
$51.18 | 7,086 | 4,935 |
|
Janine N Gadjo
3767 Main St |
$55.45 | 7,447 | 5,452 |
|
Amanda M Abrams
3767 Main St |
$62.48 | 9,804 | 7,858 |
|
Olivia Mae Maxam
3767 Main Street |
$63.52 | 10,445 | 8,471 |
|
Robert J French
3767 Main St |
$60.70 | 11,349 | 8,704 |
|
Eugene J Mctiernan
3767 Main St |
$60.73 | 12,443 | 11,090 |
|
James A Mcdonough
3767 Main St |
$62.20 | 15,947 | 12,980 |
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 Warrensburg, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Warrensburg, NY is $60.91 per claim, based on 126,944 claims from 30 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 Warrensburg, NY?
There are 30 Medicaid providers offering Office Visit related services in Warrensburg, NY according to public payment data.
What is the price range for Office Visit in Warrensburg, NY?
Medicaid reimbursement for Office Visit in Warrensburg, NY ranges from $20.67 to $120.54 per claim, with an average of $60.91. 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 Warrensburg, NY
Psychiatric Evaluation
Avg $76.58
31,495 claims
Dental Cleaning & Exam
Avg $43.84
27,617 claims
Vaccines & Immunizations
Avg $7.93
10,590 claims
Physical Therapy
Avg $59.78
3,571 claims
Ambulance Transport
Avg $84.39
2,042 claims
Dental Filling
Avg $85.40
800 claims
Mammogram
Avg $67.79
664 claims
Speech Therapy
Avg $24.47
575 claims