Average Medicaid Office Visit Payments in Albion, NY: $65.17
Avg. Paid
$65.17
Range
$28.37 – $148.67
Total Claims
54,890
Providers
15
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 Albion, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Uconnectcare
3597 Butts Rd |
$116.07 | 7,642 | 6,177 |
|
Keith Stephen Fuleki
301 West Ave |
$42.60 | 7,506 | 4,911 |
|
Cheryl A Kast
301 West Ave |
$53.70 | 7,183 | 4,469 |
|
Michelle L Okonieczny
301 West Ave |
$46.12 | 7,012 | 4,335 |
|
Karen E. Mawn
301 West Ave |
$46.40 | 6,532 | 3,621 |
|
Dawn Marie Warriner-Herman
301 West Ave |
$41.04 | 3,902 | 1,686 |
|
Eileen Katherine Kosieracki
3916 Long Bridge Rd |
$48.79 | 3,395 | 3,096 |
|
Orleans County Treasurer Office
14014 State Route 31 |
$140.48 | 2,511 | 2,485 |
|
Christine Marie Shade
301 West Ave |
$45.47 | 2,302 | 1,057 |
|
Sandra Boehlert
14789 Route 31 |
$89.26 | 1,619 | 1,347 |
|
Oak Orchard Community Health Center, Inc.
301 West Ave |
$64.32 | 1,494 | 1,401 |
|
Orleans Community Health
14789 Rt 31 |
$148.67 | 1,443 | 1,342 |
|
Elizabeth Gurnsey
14789 Route 31 |
$48.95 | 1,254 | 1,121 |
|
Alexander Paris Corbett
301 West Ave |
$53.73 | 1,083 | 821 |
|
Verneice Smiley-Delahanty
14789 Route 31 |
$28.37 | 12 | 12 |
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 Albion, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Albion, NY is $65.17 per claim, based on 54,890 claims from 15 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 Albion, NY?
There are 15 Medicaid providers offering Office Visit related services in Albion, NY according to public payment data.
What is the price range for Office Visit in Albion, NY?
Medicaid reimbursement for Office Visit in Albion, NY ranges from $28.37 to $148.67 per claim, with an average of $65.17. 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 Albion, NY
Substance Abuse Treatment
Avg $29.48
175,045 claims
Psychiatric Evaluation
Avg $109.12
91,363 claims
Ambulance Transport
Avg $109.11
5,973 claims
Vaccines & Immunizations
Avg $13.55
4,214 claims
Physical Therapy
Avg $58.99
4,009 claims
Dental Cleaning & Exam
Avg $33.55
2,542 claims
Case Management Services
Avg $34.17
1,066 claims
Hearing Test (Audiometry)
Avg $17.33
977 claims