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
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