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
Megan Rachael Veneziano Elm And Carlton Streets	$18.81	12	12
Margaret W. Paroski 100 High St	$5.10	12	12
Joel B Durinka 500 Seneca St Apt 4-22	$45.00	12	12
Erik Waltz 77 Goodell St Ste 340	$83.54	12	12
Thanh Nguyen 1967 Wehrle Dr Ste 1086	$65.23	12	12
Lori A Pearce Elm And Carlton St	$31.10	12	12
Katherine Taylor Mckrell 2157 Main St	$72.48	12	12
William M Morris 85 High St	$21.74	12	12
Andre Francis Charest 462 Grider St Fl 11	$46.33	12	12
Alyssa Nicole Kretschmann 30 N Union Rd Ste 102	$71.45	12	12
Maegan E Humel 1616 Kensington Ave	$54.30	12	12
Yaron Perry 462 Grider St	$29.88	12	12
Amey R Dziulko 100 High Street	$48.26	12	12
Theresa D O'Doherty 701 Seneca St Ste 646C	$53.54	12	12
Johnny Yap Elm And Carlton St	$32.04	12	12
Renee Robel 100 High St	$66.76	12	12
Daniel Jackson Smith 100 E Tupper St	$0.00	13	12
Eamon Mccallion 462 Grider St	$5.69	13	12
Edward A Stehlik 1783 Colvin Blvd	$66.64	13	13
Joseph M Anain 2121 Main Street	$46.35	13	13
Christopher J. Zent 100 High St	$111.41	13	13
Patricia Mary Schwarzkopf 219 Bryant St	$69.64	13	13
Michael Scott Adragna 1001 Main St Fl 4	$38.20	13	12
Kelsey Jean Carminati 61 Maple Rd	$60.95	13	13
Alexus Paige Ludwig 77 Goodell St	$106.12	13	13
Sheila M Lekanka 235 North St	$74.56	13	13
Preeti Shashi 2157 Main St	$54.83	13	13
Joseph W Battin 1161 Abbott Rd	$99.69	13	13
Virginia M Kaufman 462 Grider St	$56.21	13	13
Kayla Marie Flynn 100 High St Fl 3	$36.05	13	12
Katherine Mahar Elm And Carlton Streets	$37.85	13	12
John L Butsch 100 High St	$43.08	13	12
Sally Terreri 2157 Main St	$10.41	13	12
Ryan Patrick Mcspadden Elm And Carlton St	$42.24	13	12
Paul M Anain 2121 Main Street	$54.97	13	13
Sahar Amin 462 Grider St	$137.03	13	13
Torrie Lyn Wydysh Elm And Carlton St	$21.84	13	13
Cheryl Louise Gonda 239 Bryant St	$84.58	13	13
Tracie Maureen Barletta 300 Niagara St	$30.48	13	12
Mandeep Brar 11 Summer St Ste 2	$46.56	13	12
Jeffrey James Brewer 462 Grider St	$25.41	13	13
Julie A Mussell Elm And Carlton St	$79.45	14	13
Mark Richard Pundt 100 High St	$54.67	14	13
Joseph Kowalski 462 Grider St	$8.50	14	14
Sonya S. Noor 100 High St	$28.54	14	14
Krista Nicole Feind Elm And Carlton St	$81.71	14	13
Caitlin Jeanne Reich Elm And Carlton St	$75.31	14	14
Tanvir Hoque Shagar 273 Ridge Rd	$4.87	14	14
Traci L Mcmullen 900 Hertel Ave	$24.96	14	13
Salma Khalil Elm And Carlton St	$17.90	14	14

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