Average Medicaid Office Visit Payments in Yorktown Heights, NY: $98.77
Avg. Paid
$98.77
Range
$1.37 – $204.18
Total Claims
330,538
Providers
62
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 Yorktown Heights, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Divinity Medical Services Pllc
3379 Crompond Rd |
$100.04 | 264,876 | 245,970 |
|
Cindy Francyn Hoffman
2050 Saw Mill River Rd |
$72.23 | 9,765 | 9,458 |
|
Christian Piccolo
1940 Commerce Street |
$61.08 | 5,069 | 4,839 |
|
The Westchester Medical Practice, Pc
2649 Strang Blvd Ste 304 |
$111.19 | 5,050 | 4,713 |
|
Jamie Beth Odell
157 Tomahawk St |
$75.85 | 3,684 | 3,376 |
|
Gregory N Odell
157 Tomahawk St |
$78.26 | 2,767 | 2,502 |
|
Sybil M. Mouzon
1940 Commerce St |
$76.55 | 2,746 | 2,567 |
|
Daniel Mike Rothberg
225 Veterans Rd |
$129.98 | 2,557 | 2,544 |
|
Frederick Allen Walther
225 Veterans Rd |
$127.66 | 2,504 | 2,492 |
|
Joseph D Depietro
2651 Strang Blvd |
$108.11 | 2,093 | 1,998 |
|
George A Pazos
2651 Strang Blvd |
$105.58 | 2,011 | 1,916 |
|
James Spencer
225 Veterans Rd |
$67.62 | 1,977 | 1,925 |
|
Juliette Othilia Flam Yoffe
2651 Strang Blvd |
$127.69 | 1,930 | 1,788 |
|
Lawrence Medical Associates, Pc
2649 Strang Blvd Ste 304 |
$92.75 | 1,851 | 1,758 |
|
Ellen Giorgadze
225 Veterans Rd |
$122.87 | 1,791 | 1,787 |
|
Kelly Marra
225 Veterans Rd |
$115.97 | 1,548 | 1,538 |
|
Irwin Martin Kofsky
120 Emerson Ct |
$98.23 | 1,441 | 1,044 |
|
Amy Popko
157 Tomahawk St |
$59.08 | 1,356 | 1,218 |
|
Patrice Sonara
225 Veterans Rd |
$128.25 | 1,316 | 1,310 |
|
John C County
2651 Strang Blvd |
$120.28 | 1,284 | 1,268 |
|
Rodd A Stein
1880 Commerce St |
$102.81 | 1,279 | 1,192 |
|
Emily Puntillo
1825 Commerce St |
$132.47 | 1,229 | 1,139 |
|
Daniela Spitzer
2050 Saw Mill River Rd |
$108.25 | 1,221 | 1,155 |
|
Jeffrey Ambinder
2649 Strang Blvd |
$62.78 | 942 | 893 |
|
Alice Wei Shu Huang
1825 Commerce St |
$138.97 | 764 | 714 |
|
Maryellen D'Ambrosio
1940 Commerce St |
$72.33 | 651 | 599 |
|
Nick Florio
3379 Crompond Rd |
$74.08 | 626 | 512 |
|
Bridget Lucille Coccaro
1838 Commerce St |
$49.67 | 614 | 273 |
|
Jaime Tsay
1825 Commerce St |
$188.67 | 586 | 585 |
|
Jerry I Kleinbaum
48 Mahopac Ave Route 6 |
$128.36 | 531 | 528 |
|
Ricardo Esquitin
2651 Strang Blvd |
$42.11 | 411 | 400 |
|
Ragnar Jonas Clarke
157 Tomahawk St |
$39.85 | 399 | 373 |
|
Sophia Zeb
48 Route 6 |
$119.75 | 324 | 287 |
|
Lawrence Z. Meiteles
2651 Strang Blvd |
$127.16 | 307 | 294 |
|
Mark G Brauning
355 Kear St |
$142.06 | 304 | 283 |
|
Tomahawk Farm Pediatrics
157 Tomahawk St |
$75.74 | 273 | 218 |
|
Crystel Kathleen Lewis
1893 Commerce St |
$25.51 | 265 | 264 |
|
Cindy Hoffman Do Pc
200 Veterans Rd |
$84.31 | 259 | 256 |
|
Ellen F Morris
225 Veterans Rd |
$114.22 | 205 | 116 |
|
Glenn D Weinfeld
48 Route 6 |
$98.63 | 197 | 190 |
|
Hudson Valley Pain Management, Pllc
1940 Commerce St |
$80.14 | 169 | 156 |
|
Genevieve Lama
2050 Saw Mill River Rd Ste 1 |
$117.03 | 161 | 161 |
|
John Timothy Noble
2649 Strang Blvd Ste 206 |
$26.92 | 135 | 129 |
|
Debra S Reich
2651 Strang Blvd |
$120.06 | 125 | 121 |
|
Nandini Singh-Ramdass
168 Tomahawk St |
$74.27 | 122 | 119 |
|
Kimberley P Poirier-Schmidt
3535 Hill Blvd Ste R |
$35.70 | 120 | 94 |
|
Joseph Souto
2649 Strang Blvd |
$115.13 | 110 | 105 |
|
Philip Sebastien Jocelyn
2649 Strang Blvd Ste 304 |
$1.37 | 85 | 82 |
|
Robert Marcus
225 Veterans Rd |
$116.45 | 78 | 78 |
|
Jimmy L Koo
48 Route 6 Ste 102 |
$118.33 | 71 | 66 |
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 Yorktown Heights, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Yorktown Heights, NY is $98.77 per claim, based on 330,538 claims from 62 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 Yorktown Heights, NY?
There are 62 Medicaid providers offering Office Visit related services in Yorktown Heights, NY according to public payment data.
What is the price range for Office Visit in Yorktown Heights, NY?
Medicaid reimbursement for Office Visit in Yorktown Heights, NY ranges from $1.37 to $204.18 per claim, with an average of $98.77. 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 Yorktown Heights, NY
Dental Cleaning & Exam
Avg $39.10
32,215 claims
Eye Exam
Avg $46.02
23,048 claims
Blood Work & Lab Tests
Avg $4.90
15,875 claims
EKG / ECG (Electrocardiogram)
Avg $7.03
11,670 claims
Dental Filling
Avg $105.16
8,717 claims
Vaccines & Immunizations
Avg $8.79
5,587 claims
Speech Therapy
Avg $26.53
5,547 claims
Nursing Facility Care
Avg $8.25
5,454 claims