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 |
|---|---|---|---|
|
Kalsang Phuntsok
1940 Commerce St |
$123.91 | 12 | 12 |
|
Jing Grace Wang
1940 Commerce St |
$110.70 | 12 | 12 |
|
Binoy K Singh
2649 Strang Blvd |
$75.19 | 12 | 12 |
|
Amy B Fleming
1825 Commerce St |
$148.30 | 15 | 14 |
|
David Todd Ennis
1838 Commerce St |
$74.30 | 17 | 15 |
|
Samantha Fairchild
3379 Crompond Rd |
$73.41 | 23 | 23 |
|
Ellie Nam
355 Kear St |
$152.75 | 25 | 25 |
|
Richard Cho
1825 Commerce St |
$131.55 | 32 | 31 |
|
Melody Hope Oppedisano
1880 Commerce St |
$129.00 | 40 | 38 |
|
Michael E Daniels
1940 Commerce St Ste 201 |
$204.18 | 41 | 39 |
|
Michael A Rizzi
Mount Kisco Medical Group, Pc |
$119.50 | 62 | 62 |
|
Christine W Ashour
3379 Crompond Rd |
$109.66 | 68 | 57 |
|
Jimmy L Koo
48 Route 6 Ste 102 |
$118.33 | 71 | 66 |
|
Robert Marcus
225 Veterans Rd |
$116.45 | 78 | 78 |
|
Philip Sebastien Jocelyn
2649 Strang Blvd Ste 304 |
$1.37 | 85 | 82 |
|
Joseph Souto
2649 Strang Blvd |
$115.13 | 110 | 105 |
|
Kimberley P Poirier-Schmidt
3535 Hill Blvd Ste R |
$35.70 | 120 | 94 |
|
Nandini Singh-Ramdass
168 Tomahawk St |
$74.27 | 122 | 119 |
|
Debra S Reich
2651 Strang Blvd |
$120.06 | 125 | 121 |
|
John Timothy Noble
2649 Strang Blvd Ste 206 |
$26.92 | 135 | 129 |
|
Genevieve Lama
2050 Saw Mill River Rd Ste 1 |
$117.03 | 161 | 161 |
|
Hudson Valley Pain Management, Pllc
1940 Commerce St |
$80.14 | 169 | 156 |
|
Glenn D Weinfeld
48 Route 6 |
$98.63 | 197 | 190 |
|
Ellen F Morris
225 Veterans Rd |
$114.22 | 205 | 116 |
|
Cindy Hoffman Do Pc
200 Veterans Rd |
$84.31 | 259 | 256 |
|
Crystel Kathleen Lewis
1893 Commerce St |
$25.51 | 265 | 264 |
|
Tomahawk Farm Pediatrics
157 Tomahawk St |
$75.74 | 273 | 218 |
|
Mark G Brauning
355 Kear St |
$142.06 | 304 | 283 |
|
Lawrence Z. Meiteles
2651 Strang Blvd |
$127.16 | 307 | 294 |
|
Sophia Zeb
48 Route 6 |
$119.75 | 324 | 287 |
|
Ragnar Jonas Clarke
157 Tomahawk St |
$39.85 | 399 | 373 |
|
Ricardo Esquitin
2651 Strang Blvd |
$42.11 | 411 | 400 |
|
Jerry I Kleinbaum
48 Mahopac Ave Route 6 |
$128.36 | 531 | 528 |
|
Jaime Tsay
1825 Commerce St |
$188.67 | 586 | 585 |
|
Bridget Lucille Coccaro
1838 Commerce St |
$49.67 | 614 | 273 |
|
Nick Florio
3379 Crompond Rd |
$74.08 | 626 | 512 |
|
Maryellen D'Ambrosio
1940 Commerce St |
$72.33 | 651 | 599 |
|
Alice Wei Shu Huang
1825 Commerce St |
$138.97 | 764 | 714 |
|
Jeffrey Ambinder
2649 Strang Blvd |
$62.78 | 942 | 893 |
|
Daniela Spitzer
2050 Saw Mill River Rd |
$108.25 | 1,221 | 1,155 |
|
Emily Puntillo
1825 Commerce St |
$132.47 | 1,229 | 1,139 |
|
Rodd A Stein
1880 Commerce St |
$102.81 | 1,279 | 1,192 |
|
John C County
2651 Strang Blvd |
$120.28 | 1,284 | 1,268 |
|
Patrice Sonara
225 Veterans Rd |
$128.25 | 1,316 | 1,310 |
|
Amy Popko
157 Tomahawk St |
$59.08 | 1,356 | 1,218 |
|
Irwin Martin Kofsky
120 Emerson Ct |
$98.23 | 1,441 | 1,044 |
|
Kelly Marra
225 Veterans Rd |
$115.97 | 1,548 | 1,538 |
|
Ellen Giorgadze
225 Veterans Rd |
$122.87 | 1,791 | 1,787 |
|
Lawrence Medical Associates, Pc
2649 Strang Blvd Ste 304 |
$92.75 | 1,851 | 1,758 |
|
Juliette Othilia Flam Yoffe
2651 Strang Blvd |
$127.69 | 1,930 | 1,788 |
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