Average Medicaid Office Visit Payments in Warwick, NY: $99.29
Avg. Paid
$99.29
Range
$34.02 – $122.29
Total Claims
30,462
Providers
19
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 Warwick, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Dittmeier
15 Maple Ave |
$103.63 | 14,517 | 8,741 |
|
Jeffrey S Horowitz
10 Ronald Reagan Blvd |
$108.71 | 5,096 | 4,541 |
|
Bon Secours Charity Health System Medical Group, P.C.
20 Grand St |
$120.87 | 3,496 | 3,345 |
|
Ralph Joseph Alvarez
9 Grand St |
$86.19 | 2,655 | 2,553 |
|
Maryann Ryan
65 Main St |
$34.02 | 1,711 | 1,443 |
|
Carol P Taylor
21 Maple Ave |
$92.37 | 885 | 843 |
|
Dominic Berlingieri
3 Saint Stephens Ln |
$67.75 | 654 | 598 |
|
Athena Brown
21 Maple Ave |
$76.28 | 287 | 280 |
|
Ralph J Alvarez, Md, Pllc
9 Grand St |
$95.71 | 251 | 246 |
|
Stanislaw T Landau
81 Ronald Reagan Blvd |
$104.45 | 195 | 166 |
|
Warwick Pediatrics, P.C
3 Saint Stephens Ln |
$72.34 | 172 | 157 |
|
Anthony J Martini
8 Forester Ave |
$82.51 | 143 | 138 |
|
Rebeca Caban
81 Ronald Reagan Blvd |
$104.42 | 88 | 79 |
|
James Kirk Brockunier
81 Ronald Reagan Blvd |
$122.29 | 85 | 80 |
|
Christine Scheuer Carter
20 Spring St Ste 2 |
$114.17 | 76 | 74 |
|
John Stephen Juliano
75 Ronald Reagan Blvd |
$56.06 | 65 | 64 |
|
Sally M Levine
81 Ronald Reagan Blvd |
$103.22 | 35 | 35 |
|
John Alfred Ferro
85 Ronald Reagan Blvd |
$115.27 | 27 | 27 |
|
Shuangping Wang
5 Grand St |
$54.72 | 24 | 24 |
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 Warwick, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Warwick, NY is $99.29 per claim, based on 30,462 claims from 19 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 Warwick, NY?
There are 19 Medicaid providers offering Office Visit related services in Warwick, NY according to public payment data.
What is the price range for Office Visit in Warwick, NY?
Medicaid reimbursement for Office Visit in Warwick, NY ranges from $34.02 to $122.29 per claim, with an average of $99.29. 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 Warwick, NY
Physical Therapy
Avg $59.01
30,940 claims
Blood Work & Lab Tests
Avg $7.87
24,945 claims
Emergency Room Visit
Avg $209.12
14,620 claims
Non-Emergency Medical Transportation
Avg $63.62
7,494 claims
Dental Cleaning & Exam
Avg $34.62
7,143 claims
Dental Filling
Avg $68.74
6,737 claims
Speech Therapy
Avg $56.78
4,980 claims
Urinalysis & Urine Tests
Avg $1.69
4,363 claims