Based on public Medicaid payment data.

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
Heidi A Cornell 2350 Maple Rd	$46.48	12	12
Megan James 3980A Sheridan Dr Ste 200	$36.73	12	12
Tanya Geist 3980 Sheridan Dr	$50.57	12	12
James J Kelly 3925 Sheridan Dr	$104.58	12	12
Michelle Lord Wernle 3980 Sheridan Dr	$105.63	12	12
Richard Joseph Buckley 4231 Maple Rd	$70.58	12	12
Malia Deangelis 3980 Sheridan Dr	$76.98	12	12
Britton Edgett Tisdale 36 Nature Cove Ct	$51.02	12	12
Maria T Rizzo 3980 Sheridan Dr	$54.25	12	12
Dent Neurologic Group Llp 3980 Sheridan Dr	$84.52	13	13
Michelle Monique Gilliland 3980 Sheridan Dr	$151.45	13	13
George Marinides 1306 Sweet Home Rd	$14.62	13	13
Taylor Sowell 4574 Main St	$76.28	13	13
Megan Case 3980 Sheridan Dr	$97.01	13	13
Cheryl Lyon 3980 Sheridan Dr	$69.22	13	13
Eileen Daetsch 3980 Sheridan Dr	$70.18	14	14
Dawn M Dolan 1416 Sweet Home Rd	$34.83	14	12
Medfirst Urgent Care, Pllc 3890 Sheridan Dr	$67.02	14	13
Kenneth Andrew Hood 3925 Sheridan Dr	$55.52	14	13
Melanie Quinn 461 John James Audubon Pkwy	$87.53	15	13
Farhan Ahmed 4979 Harlem Rd	$29.63	16	14
Emily L Pfentner 3980 Sheridan Dr	$6.67	18	18
Sarina Michelle Mariano 3980 Sheridan Dr	$26.54	19	19
Lisa Marie Kalinka 4979 Harlem Rd	$26.91	19	13
Rebecca C Gubala 3980 Sheridan Drive	$90.53	22	12
Paul Scott Lajos 4960 Harlem Rd Ste 100	$63.81	24	24
William Michael Wind 4949 Harlem Rd	$90.42	25	24
Meghan Lynn Bohince 1835 Maple Rd	$45.54	25	24
Gabriel Cortes 760 Millersport Hwy	$46.97	26	26
Ellen B Battista 646 N French Rd Ste 7	$16.28	26	26
Michael J Chaskes 3980 Sheridan Dr	$72.77	27	27
Stacy Vohwinkel 3980 Sheridan Dr	$38.22	27	26
John Juris Danovskis 3925 Sheridan Dr	$76.77	27	27
Jyotsna Bhatnagar 72 S Parrish Ct	$102.22	28	28
Richard Scott Steinacher 1306 Sweet Home Rd	$67.44	28	27
Sridhar Nilam 1408 Sweet Home Rd	$145.12	28	24
Gregory Zybczynski 4949 Harlem Rd	$60.79	29	28
Jonathan Beecher 3980 Sheridan Dr	$94.76	29	29
Leslie M Bixby 4979 Harlem Rd	$53.64	29	27
Owen J Moy 3925 Sheridan Dr	$78.16	31	31
Jesse Bernard Denardin 4949 Harlem Rd Ste 404	$65.39	35	34
Jason David Hooper 3925 Sheridan Dr	$50.66	36	36
Andrew Wichtowski 4949 Harlem Rd	$75.40	37	36
Joshua Lewis Jones 4949 Harlem Rd	$47.96	40	38
Jessica Brawdy Braunscheidel 190 Maple Rd	$76.29	40	40
Ira Davis Owen 3980 Sheridan Dr	$130.44	43	43
Marielle Rebecca Wiede 2350 Maple Rd Ste 100	$46.36	44	43
Tania I. Didas 3925 Sheridan Dr	$74.98	44	40
Joseph Leonard Maddi 4225 Maple Rd	$30.13	45	41
Lindsey Miriam Carbone 3925 Sheridan Dr	$25.25	47	45

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.

Average Medicaid Office Visit Payments in Amherst, NY: $70.26

Providers Offering Office Visit in Amherst, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Amherst, NY

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Pathology & Lab Services

Speech Therapy

Nursing Facility Care