Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Buffalo, NY: $60.22

Avg. Paid

$60.22

Range

$0.00 – $254.62

Total Claims

2,438,221

Providers

1,026

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 Buffalo, NY

Provider	Avg. Paid	Claims	Patients
Erie County Medical Center Corporation 462 Grider St	$102.96	67,969	61,900
Kaleida Health 818 Ellicott St	$139.42	64,869	59,567
Ellis E Gomez 155 Lawn Ave	$20.56	46,740	14,143
Golam Mostafa Waris 2200 Genesee St	$60.27	44,968	39,970
Roswell Park Cancer Institute Elm And Carlton St	$254.62	39,337	34,477
Ehs, Inc. 206 S Elmwood Ave	$133.55	30,503	23,253
Myron Lynn Glick 184 Barton St	$44.97	30,227	17,166
Kaleida Health 100 High St	$116.39	29,452	26,687
Sisters Of Charity Hospital Of Buffalo New York 2157 Main St	$30.81	28,110	24,707
Catholic Charities Of Buffalo 76 W. Humboldt Parkway	$116.81	28,061	26,702
Bridget A Vaccaro 155 Lawn Ave	$22.31	21,943	6,616
Youn Jea Kim 550 Orchard Park Rd Ste A110	$64.47	20,805	19,077
Daniel Joseph Molloy 1500 Broadway St	$43.74	20,429	19,360
Jaclyn Nicole Ryan 300 Niagara St	$22.19	20,410	6,743
Christopher Charles Biondolillo 155 Lawn Ave	$24.36	20,271	6,991
Kimberly L Jackson 818 Ellicott St	$32.46	20,249	7,861
James D Stoltzfus 184 Barton St	$49.02	20,210	13,675
Jennifer E H Attea 184 Barton St	$46.23	19,481	11,578
Brendan Farnand 564 Niagara St	$53.27	19,055	18,058
Mohammed Momin Ullah 2200 Genesee St	$63.94	18,238	15,881
James C Burruano 155 Lawn Ave	$38.03	17,974	7,536
Daniel Anthony Fells 564 Niagara St	$51.95	17,853	17,232
Aung Ko Ko Thant 1021 Broadway St	$45.71	17,061	9,784
Anne Marie Davis 155 Lawn Ave	$42.33	16,758	7,066
Emily Danielle Steenberg 34 Benwood Ave	$35.45	16,706	7,337
Gail H Ferguson 155 Lawn Avenue	$26.84	16,226	6,057
Karen Kieliszek 155 Lawn Ave	$40.92	15,690	6,334
Kaleida Health 100 High St	$150.09	14,822	14,324
Abigail J. Grainge 77 Broadway St	$44.79	14,285	8,427
Winston George Douglas 840 Humboldt Pkwy	$52.57	14,081	13,456
Lauren A Wolf 155 Lawn Ave	$34.35	13,492	4,895
Christopher R Springer 515 Abbott Rd	$66.05	13,439	13,039
Joseph Daniel Orie 936 Delaware Ave	$91.95	13,315	13,268
Meggan Shea 656 Elmwood Ave	$54.19	13,288	13,111
Rebecca Marie Sticht 155 Lawn Ave	$26.33	13,223	4,227
Chester Fox 1315 Jefferson Ave	$38.22	13,202	12,613
Jesslyn Perry 191 North Street	$57.42	12,845	12,384
Matthew Rubacha 700 Michigan Ave	$39.97	12,842	11,470
Jennifer Lynn Radich Mccann Elm And Carlton St Ste 100	$42.37	12,721	5,736
Jill M Galley 656 Elmwood Ave	$59.31	12,545	12,355
Raynaldo Betances 300 Niagara St	$28.20	12,338	6,813
Allana Krolikowski 184 Barton St	$58.05	12,325	8,453
Tinh Trung Dao 34 Benwood Ave	$35.42	11,920	6,758
Martha Leong 155 Lawn Ave	$30.18	11,730	5,164
Jennifer Kaye Buyea 155 Lawn Ave	$20.67	11,558	3,724
Takesha La'Shawn Leonard 2495 Main St Ste 466	$50.28	11,526	8,980
Child And Family Services Of Erie County 330 Delaware Ave	$103.96	11,390	11,094
Heather A Kim 184 Barton St	$40.82	11,219	6,700
Dessialis Cruz 184 Barton St	$47.10	11,150	7,137
Aisha Abdulle 184 Barton St	$43.12	11,078	7,140

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 Buffalo, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Buffalo, NY is $60.22 per claim, based on 2,438,221 claims from 1026 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 Buffalo, NY?

There are 1026 Medicaid providers offering Office Visit related services in Buffalo, NY according to public payment data.

What is the price range for Office Visit in Buffalo, NY?

Medicaid reimbursement for Office Visit in Buffalo, NY ranges from $0.00 to $254.62 per claim, with an average of $60.22. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Buffalo, NY: $60.22

Providers Offering Office Visit in Buffalo, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Buffalo, NY

Home Health Visit

Blood Work & Lab Tests

Substance Abuse Treatment

Emergency Room Visit

Dental Cleaning & Exam

Case Management Services

Psychiatric Evaluation

Ambulance Transport