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Based on public Medicaid payment data.

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
Frank Rhode

53-59 Public Sq

$51.80 12 12
Kelly Rose Birchenough

830 Washington St

$74.13 13 12
Gerald S Weinstein

228 Sherman St

$82.00 13 13
North Country Neurology Pc

1340 Washington St

$86.90 13 13
Julie M Lapointe

53-59 Public Sq

$5.15 13 12
Heather Irobunda

826 Washington St

$61.65 14 14
Paul D Barter

428 Washington St

$6.81 14 13
Hali Jo Reid

20053 Summit View Blvd Ste 1

$72.06 14 14
Kevin Lenelle Chandler

830 Washington St

$36.23 14 14
Karen A. Williams, Md, Pc

18983 Us Route 11

$59.79 15 13
Abigail Victoria Reed

1575 Washington St

$10.52 18 12
Sharon Tenney

1575 Washington St

$41.26 18 18
Joann L Hill

22567 Summit Dr

$56.52 19 19
Deborah Christine Mccabe

238 Arsenal St

$54.60 20 20
Mary Catherine Castor

53-59 Public Square

$2.49 24 24
Chih-Wen Lin

53-59 Public Sq Ste 202

$0.51 27 27
Samaritan Medical Practice, Pc

826 Washington St

$55.83 28 28
North Country Orthopaedic Group Pc

1571 Washington St

$79.85 29 26
Maggie-Anne Lorraine Smith

830 Washington St

$91.99 36 30
Gina Brandolino

160 Stone St

$74.83 38 12
Tasha L Richards

1340 Washington St

$40.32 39 38
Charles August Wasicek

145 Clinton Street

$81.05 44 44
Melissa Saxton

830 Washington St

$9.10 48 42
Christa M Rick

622 Washington St

$37.63 50 48
Deana E Paley

629 Washington St Ste 1

$28.87 62 62
Anne Jeannette Nans

215 Washington St Ste 221

$37.99 65 52
Andrew Zilka

22567 Summit Dr

$64.76 66 63
Karen Louise Fish

1571 Washington St

$80.40 67 60
Jana Shaw

238 Arsenal St

$120.55 72 58
David Paul Rechlin

19320 Us Route 11

$56.17 84 83
Jane M Prendergast

218 Stone St Fl 2

$100.07 84 63
Chris Anne Jewett

826 Washington St Ste 106

$43.39 93 91
Paul S Curtis

19472 Us Route 11

$55.95 96 93
Jillian Young Marra

53-59 Public Sq Ste 301

$36.76 99 92
David V Reindl

830 Washington St

$98.87 107 105
Ingrid Margot Hall

629 Washington St Ste 2

$49.85 107 107
East Coast Audiology And Physical Therapy, Pllc

53-59 Public Sq Ste 202

$0.00 107 105
James P Pelletier

21017 Nys Rte 12F

$24.35 116 109
Nathanial R Miletta

826 Washington St Ste 100

$61.68 121 117
Joseph Wetterhahn

1575 Washington St

$49.98 126 119
Richard J Bowles

1571 Washington St Ste 200

$100.58 135 132
Pediatric Wellness Of Northern New York

1571 Washington St

$67.31 135 123
Melissa A Charlebois

826 Washington St

$44.13 136 136
Marisa Hamlin

830 Washington St

$41.84 147 146
Kate Elizabeth Symenow

19436 Howell Dr

$31.18 147 146
Trevor James Harry Scudamore

830 Washington St

$85.65 169 158
Jodi L Towne

19320 Us Route 11

$54.36 170 170
Abbey Frances Kerr

165 Coleman Ave

$62.73 177 152
Barratt Matthew Schultz

1571 Washington St

$86.82 203 192
Desiree Starr Fuller

1575 Washington St

$43.75 208 205

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

Other Procedures in Watertown, NY