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Based on public Medicaid payment data.

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