Average Medicaid Office Visit Payments in Amherst, NY: $70.26
Avg. Paid
$70.26
Range
$0.00 – $220.38
Total Claims
432,666
Providers
269
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 Amherst, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Buffalo Beacon Corporation
3354 Sheridan Dr |
$113.55 | 62,375 | 31,449 |
|
Horacio Capote
3980 Sheridan Dr Ste 500 |
$34.41 | 27,202 | 26,611 |
|
Mohammad Qasaymeh
3980 Sheridan Dr |
$88.12 | 22,936 | 22,485 |
|
Kathleen Grisanti
1800 Maple Rd |
$107.14 | 22,434 | 21,441 |
|
Matthew Mazurczak
100 Corporate Pkwy |
$89.03 | 17,224 | 16,636 |
|
Kurtis Kiadum Suteh Kpajoh
3921 Harlem Rd |
$59.93 | 12,115 | 9,543 |
|
Elena Kalabushkina
4979 Harlem Rd |
$51.77 | 11,991 | 11,385 |
|
Riffat Sadiq
4979 Harlem Rd |
$38.56 | 10,595 | 10,106 |
|
Ashraf Fekry Henry
3980 Sheridan Dr Ste 300 |
$43.03 | 10,004 | 9,929 |
|
Marc S Frost
3980 Sheridan Dr |
$39.27 | 8,653 | 8,575 |
|
Frances E Ilozue
3610 Main St |
$63.10 | 7,465 | 6,194 |
|
Nycole Brong
207 Commerce Dr |
$90.79 | 5,795 | 5,722 |
|
Lucille M. Kingston
3580 Sheridan Dr |
$61.70 | 5,738 | 5,547 |
|
Lixin Zhang
3980 Sheridan Dr |
$38.62 | 5,587 | 5,541 |
|
Lisa Quinn
Dent Neurologic Group, Llp |
$75.84 | 4,805 | 4,769 |
|
Carrie Ann Kugler
3980 Sheridan Dr |
$76.86 | 4,625 | 4,587 |
|
Jennifer Williams Mcvige
3980 Sheridan Dr |
$64.44 | 4,021 | 3,986 |
|
Shereen Alrashdan
3980 Sheridan Dr |
$31.19 | 3,988 | 3,863 |
|
Paul Raymond Young
4955 N Bailey Ave |
$71.01 | 3,937 | 3,874 |
|
Timothy Mcdaniel
3980 Sheridan Dr |
$35.43 | 3,936 | 2,547 |
|
Adam Burzynski
3925 Sheridan Dr |
$62.43 | 3,745 | 3,656 |
|
Michael D Slater
656 N French Rd Ste 4 |
$32.05 | 3,587 | 3,469 |
|
Joel Alan Snitzer
605 Grover Cleveland Hwy |
$42.53 | 3,412 | 3,201 |
|
Deborah I Miller
3980 Sheridan Dr |
$41.54 | 3,382 | 3,345 |
|
Kyle Violanti
3980 Sheridan Dr |
$95.31 | 3,379 | 3,303 |
|
Rebekah Lutkoff
1404 Sweet Home Rd Ste 2 |
$33.30 | 3,273 | 1,508 |
|
Jameela Yasmeen Khan
4979 Harlem Rd |
$46.09 | 3,226 | 3,040 |
|
Khadijo Abdulle
3921 Harlem Rd |
$78.20 | 3,207 | 3,183 |
|
James Paul Behr
3925 Sheridan Dr |
$60.21 | 3,178 | 3,053 |
|
Chelsea A Cantie
3580 Sheridan Drive |
$77.93 | 3,108 | 3,061 |
|
Todd Michael Lorenc
3925 Sheridan Dr |
$56.68 | 3,075 | 2,957 |
|
Ryan Wilkins
3925 Sheridan Dr |
$68.13 | 3,050 | 2,947 |
|
Jeremy Paul Doak
4949 Harlem Rd |
$72.50 | 3,043 | 3,001 |
|
Susan M Domon
1 John James Audubon Pkwy |
$88.58 | 2,694 | 2,663 |
|
Matthew Mann
3925 Sheridan Dr |
$63.25 | 2,626 | 2,519 |
|
Allison Suzanne Binkley
4949 Harlem Rd |
$66.87 | 2,602 | 2,565 |
|
Mark R Klocke
6000 N Bailey Ave |
$44.60 | 2,555 | 2,478 |
|
Syed Jaffri
2800 Sweet Home Rd |
$32.32 | 2,509 | 2,381 |
|
Bela Ajtai
3980A Sheridan Dr |
$28.63 | 2,455 | 2,453 |
|
Ashley Skipper
3980A Sheridan Dr Ste 200 |
$46.79 | 2,229 | 2,087 |
|
Bennett Myers
3980 Sheridan Dr |
$29.98 | 2,226 | 2,215 |
|
Jason M Matuszak
3925 Sheridan Dr |
$61.07 | 2,154 | 2,074 |
|
Melissa Hasselbeck
3980 Sheridan Dr |
$79.63 | 2,033 | 2,018 |
|
Laszlo L Mechtler
3980 Sheridan Dr |
$30.63 | 2,013 | 2,000 |
|
Farzana Habib
646 N French Rd Ste 1 |
$55.07 | 1,992 | 1,804 |
|
John Patrick Hurley
3925 Sheridan Drive |
$58.57 | 1,969 | 1,848 |
|
Corey Costa
3980A Sheridan Dr Ste 200 |
$78.15 | 1,952 | 1,905 |
|
Xiuli Li
3980 Sheridan Dr |
$20.49 | 1,894 | 1,869 |
|
Sarah Rose Wesolowski
3190 Niagara Falls Blvd |
$101.96 | 1,884 | 1,693 |
|
Lisa A Daye
3925 Sheridan Drive |
$78.10 | 1,873 | 1,862 |
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 Amherst, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Amherst, NY is $70.26 per claim, based on 432,666 claims from 269 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 Amherst, NY?
There are 269 Medicaid providers offering Office Visit related services in Amherst, NY according to public payment data.
What is the price range for Office Visit in Amherst, NY?
Medicaid reimbursement for Office Visit in Amherst, NY ranges from $0.00 to $220.38 per claim, with an average of $70.26. 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 Amherst, NY
Home Health Visit
Avg $110.37
619,390 claims
Substance Abuse Treatment
Avg $34.10
316,484 claims
Ambulance Transport
Avg $100.09
127,155 claims
Physical Therapy
Avg $46.45
79,084 claims
Dental Cleaning & Exam
Avg $37.90
78,431 claims
Pathology & Lab Services
Avg $36.92
71,985 claims
Speech Therapy
Avg $56.38
48,953 claims
Nursing Facility Care
Avg $21.85
32,205 claims