Average Medicaid Office Visit Payments in Watertown, NY: $79.05
Avg. Paid
$79.05
Range
$0.00 – $147.24
Total Claims
475,797
Providers
198
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 Watertown, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samaritan Medical Center
830 Washington St |
$144.42 | 49,976 | 45,625 |
|
Edmund J Roache
200 Mullin St |
$72.29 | 44,028 | 42,117 |
|
Collins F Kellogg
53-59 Public Sq |
$64.58 | 22,575 | 21,439 |
|
Thrive Wellness And Recovery, Inc
611 W Main St |
$113.51 | 15,092 | 13,122 |
|
Rodney Richmond
1575 Washington St |
$64.72 | 15,063 | 14,349 |
|
Stephanie Ann Oliva
18969 Us Route 11 |
$73.15 | 14,382 | 12,866 |
|
Planned Parenthood Of The North Country New York, Inc.
160 Stone St |
$147.24 | 13,282 | 12,645 |
|
Moid Khan
531 Washington St |
$50.35 | 12,875 | 11,149 |
|
Catherine E Veley
238 Arsenal St |
$60.24 | 11,689 | 6,307 |
|
Children'S Home Of Jefferson County
211 Jb Wise Pl |
$102.01 | 9,882 | 9,333 |
|
Myla D Estepa
1571 Washington St |
$74.19 | 9,076 | 8,270 |
|
Sandra Elizabeth Timerman
513 Washington St |
$73.76 | 8,503 | 7,953 |
|
Joseph C Gianfagna
1571 Washington St |
$62.39 | 7,968 | 7,246 |
|
Charles J Moehs
428 Washington St Ste 2 |
$82.80 | 7,786 | 6,188 |
|
Anna Belle Hyde
238 Arsenal St |
$101.30 | 7,196 | 4,681 |
|
Bhupinder S Bolla
26561 State Route 3 Ste A |
$48.39 | 7,132 | 6,831 |
|
North Country Transitional Living Services, Inc
482 City Center Dr |
$99.35 | 6,508 | 6,358 |
|
Astrid Marina Del Rosario Otten Carranza
1575 Washington St |
$28.89 | 6,011 | 4,190 |
|
Robin D Frost
1571 Washington Street |
$59.96 | 5,956 | 3,758 |
|
Ludwig E Khoury
532 Coffeen St |
$49.00 | 5,906 | 4,963 |
|
Josiree Ochotorena
513 Washington St |
$68.70 | 5,858 | 5,552 |
|
Shelby Margaret Scordo
18983 Us Route 11 |
$87.35 | 5,609 | 3,422 |
|
Shari M Hogan
513 Washington Street |
$73.98 | 5,280 | 4,939 |
|
Fernando Ongkingco
513 Washington St |
$68.08 | 5,194 | 4,816 |
|
Andrew Reilly Majak
513 Washington St 2 |
$37.88 | 4,985 | 4,930 |
|
Beth Ann Jayne
238 Arsenal St |
$71.79 | 4,782 | 3,310 |
|
Kimberly Ann Noragong
22670 Summit Dr Bldg 6 |
$68.81 | 4,381 | 3,232 |
|
Abdul Latif
1340 Washington St |
$59.59 | 4,285 | 4,258 |
|
Bruce L Baird
1571 Washington St |
$93.13 | 4,149 | 4,095 |
|
Christine Clara Buckley
826 Washington St Ste 106 |
$55.77 | 4,082 | 4,030 |
|
Steven B Fish
1571 Washington St |
$87.60 | 3,814 | 3,727 |
|
Mohsin Ali
1340 Washington St |
$76.64 | 3,475 | 3,470 |
|
Samah O Mohiuddin
1340 Washington St |
$74.49 | 3,423 | 3,418 |
|
Dariusz Chrostowski
19316 Us Route 11 |
$81.30 | 3,389 | 3,373 |
|
Howard H Huang
1571 Washington St |
$88.75 | 3,185 | 3,130 |
|
Kimberly Anne Welch
20011 Summit View Blvd |
$113.42 | 3,056 | 2,639 |
|
Sundus Latif
1340 Washington St |
$92.28 | 2,961 | 2,937 |
|
Susan Ranae Swatsworth
1575 Washington St |
$49.49 | 2,915 | 2,784 |
|
Jill Christine Peterson
622 Washington St |
$70.24 | 2,894 | 2,846 |
|
Patricia Leone
211 J.B. Wise Plaza |
$55.92 | 2,881 | 2,459 |
|
Stephen Marc Baker
608 Pearl St |
$67.19 | 2,822 | 2,787 |
|
Karen Anne Williams
18983 Us Route 11 |
$62.29 | 2,816 | 2,640 |
|
Alexandra Davies
18969 Us Route 11 |
$40.85 | 2,636 | 2,511 |
|
Khalid P Sindhu
19316 Us Route 11 Ste B |
$43.81 | 2,626 | 2,588 |
|
Teresa Teal Richardson
238 Arsenal St |
$75.48 | 2,587 | 1,810 |
|
Rose Mary Soosairaj
1575 Washington St |
$46.08 | 2,421 | 2,285 |
|
Selina M Villanueva
457 Gaffney Dr |
$79.38 | 2,392 | 1,906 |
|
Michelle Lynne Boulton
171 E. Hoard Street |
$123.92 | 2,361 | 1,600 |
|
Caitlin Maura Donegan-Tartell
830 Washington St |
$47.40 | 2,356 | 2,253 |
|
Ryan E Tyler
1575 Washington St |
$47.03 | 2,319 | 2,220 |
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 Watertown, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Watertown, NY is $79.05 per claim, based on 475,797 claims from 198 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 Watertown, NY?
There are 198 Medicaid providers offering Office Visit related services in Watertown, NY according to public payment data.
What is the price range for Office Visit in Watertown, NY?
Medicaid reimbursement for Office Visit in Watertown, NY ranges from $0.00 to $147.24 per claim, with an average of $79.05. 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 Watertown, NY
Blood Work & Lab Tests
Avg $17.60
294,356 claims
Psychiatric Evaluation
Avg $107.00
233,751 claims
Substance Abuse Treatment
Avg $45.55
175,047 claims
Dental Cleaning & Exam
Avg $36.79
138,555 claims
Emergency Room Visit
Avg $117.44
77,183 claims
Urinalysis & Urine Tests
Avg $13.49
53,458 claims
X-Ray
Avg $7.35
52,531 claims
Eye Exam
Avg $37.35
49,832 claims