Average Medicaid Office Visit Payments in Canandaigua, NY: $84.09
Avg. Paid
$84.09
Range
$18.32 – $182.47
Total Claims
146,802
Providers
104
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 Canandaigua, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Frederick Ferris Thompson Hospital
350 Parrish St |
$100.64 | 63,374 | 60,544 |
|
Christopher Alan Brown
401 S Main St |
$82.77 | 6,770 | 6,575 |
|
Eric L Beyer
335 Parrish St |
$67.36 | 4,944 | 4,739 |
|
Kathleen M Rose
3200 West St |
$73.43 | 4,677 | 4,350 |
|
Tina Hopkins
120 N Main St Ste 11 |
$57.07 | 3,878 | 2,576 |
|
Brian Campbell
335 Parrish St |
$70.73 | 3,869 | 3,643 |
|
Srinivas R Kaza
229 Parrish St |
$74.39 | 3,437 | 3,356 |
|
John C Marino
3200 West St Ste 500 |
$81.97 | 3,323 | 3,028 |
|
R. Douglas Alling
335 Parrish St |
$70.01 | 3,091 | 3,005 |
|
Kimberly Jo Tuttle
495 N Main St |
$85.01 | 2,665 | 2,647 |
|
Bryan Sandler
3170 West St Ste 222 |
$62.18 | 2,566 | 2,418 |
|
Ontario County
3019 County Complex Dr |
$132.23 | 2,314 | 2,209 |
|
David Ragonesi
335 Parrish St |
$67.39 | 1,856 | 1,771 |
|
Margaret Hollister
335 Parrish St |
$65.09 | 1,760 | 1,682 |
|
Cynthia M Marino
3200 West St |
$70.44 | 1,750 | 1,576 |
|
Allison A Vanputte
199 Parrish St |
$44.49 | 1,744 | 1,704 |
|
Jamie Lynn Kline
350 Parrish St |
$71.32 | 1,665 | 1,568 |
|
Huan Tang Li
335 Parrish St |
$76.50 | 1,465 | 1,426 |
|
Michael Loeb
3062 County Complex Dr |
$75.34 | 1,362 | 1,309 |
|
Richard Rovet
3453 W Lake Rd |
$58.55 | 1,354 | 1,054 |
|
Odet Youssef
335 Parrish St |
$68.26 | 1,329 | 1,228 |
|
Justin V. Rymanowski
199 Parrish St |
$66.99 | 1,291 | 1,272 |
|
Eugene A Tolomeo
229B Parrish St Ste 220 |
$61.18 | 1,276 | 1,252 |
|
Leigh Lafferty
23 North Street |
$61.01 | 1,136 | 1,086 |
|
Jessica R Norton
3019 County Complex Dr |
$71.56 | 1,075 | 1,017 |
|
Mary Ellen Alescio
335 Parrish St |
$38.77 | 1,068 | 1,016 |
|
Joshua Olsen
229 Parrish St |
$77.86 | 1,021 | 992 |
|
Kelcie Sprentall
401 S Main St Ste 200 |
$70.78 | 1,009 | 969 |
|
Chirag Rashmi Patel
395 West Street |
$75.84 | 996 | 989 |
|
Erin Jean Mahoney
23 North Street |
$59.87 | 975 | 930 |
|
Kristin Noel Verrette
229 Parrish St |
$61.82 | 971 | 966 |
|
Caitlin L Tillack
401 S Main St Ste 200 |
$59.95 | 780 | 755 |
|
Ashley E Leubner
3170 West St Ste 100 |
$87.93 | 685 | 651 |
|
Timothy J Bucklaew
229 Parrish St Ste 100 |
$84.36 | 676 | 662 |
|
Terry Jean Yonker
42 N Main St |
$70.06 | 656 | 556 |
|
Nancy M Allison
495 N Main St |
$73.41 | 629 | 613 |
|
Alyson L Valenti
699 S Main St |
$63.39 | 628 | 628 |
|
Katie Mcmillen
495 N Main St |
$56.28 | 623 | 603 |
|
Cynthia Elizabeth Teerlinck
351 North Street |
$78.81 | 601 | 581 |
|
Veronica Bailey
35 North St |
$182.47 | 577 | 230 |
|
Michael J Mitchko
335 Parrish St |
$81.77 | 572 | 553 |
|
Kimberlie Noyes
120 N Main St |
$57.93 | 537 | 514 |
|
Chelsea L Hawks
195 Parrish St Ste 220 |
$46.00 | 535 | 532 |
|
Ahmad Bilal
400 Fort Hill Ave |
$63.55 | 521 | 495 |
|
Adrienne M Springer
335 Parrish St |
$67.71 | 515 | 505 |
|
Karleigh J Sharp
3170 West St Ste 275 |
$54.61 | 495 | 488 |
|
Lawrence A Pardee
199 Parrish St |
$78.33 | 400 | 393 |
|
Colin William Smith
699 S Main St Ste 3 |
$59.95 | 381 | 380 |
|
James Edward Broderick
470 S Pearl St |
$26.41 | 379 | 364 |
|
Christopher Robert Palma
335 Parrish St |
$98.28 | 326 | 326 |
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 Canandaigua, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Canandaigua, NY is $84.09 per claim, based on 146,802 claims from 104 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 Canandaigua, NY?
There are 104 Medicaid providers offering Office Visit related services in Canandaigua, NY according to public payment data.
What is the price range for Office Visit in Canandaigua, NY?
Medicaid reimbursement for Office Visit in Canandaigua, NY ranges from $18.32 to $182.47 per claim, with an average of $84.09. 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 Canandaigua, NY
Blood Work & Lab Tests
Avg $9.92
114,424 claims
Physical Therapy
Avg $44.44
56,865 claims
Psychiatric Evaluation
Avg $105.06
48,633 claims
Emergency Room Visit
Avg $149.07
36,093 claims
Durable Medical Equipment (DME)
Avg $51.92
21,569 claims
Ambulance Transport
Avg $246.33
20,182 claims
Ultrasound
Avg $66.08
16,897 claims
Urinalysis & Urine Tests
Avg $3.56
16,274 claims