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 |
|---|---|---|---|
|
Bridget C Lagro
350 Parrish St |
$38.89 | 12 | 12 |
|
Guan Wu
699 S Main St Ste 6 |
$28.83 | 12 | 12 |
|
Bryon Charles Campbell
350 Parrish St |
$69.25 | 12 | 12 |
|
Xiangyun He
390 Parrish St |
$18.32 | 13 | 13 |
|
John Joseph D'Amore
198 Parrish St |
$90.10 | 13 | 13 |
|
Robert S Knapp
199 Parrish St |
$67.34 | 13 | 13 |
|
Susan Mary Sharza
3170 West Street |
$56.97 | 13 | 13 |
|
Joelle L Kraft
699 S Main St Ste 3 |
$86.95 | 13 | 12 |
|
Sierra Ayers
350 Parrish St |
$71.68 | 14 | 12 |
|
Alexis Pilato
335 Parrish St |
$53.39 | 15 | 15 |
|
Courtney Haas
401 S Main St |
$55.58 | 15 | 13 |
|
David Charles Grimm
229 Parrish St |
$72.97 | 17 | 16 |
|
Adin Sahnic
350 Parrish St |
$60.27 | 25 | 24 |
|
Alexandria Virginia Michaels
335 Parrish St |
$96.57 | 25 | 25 |
|
Margaux Michelle Mcconn
395 West Street |
$79.13 | 26 | 26 |
|
Callie Vinci
350 Parrish St |
$56.27 | 29 | 28 |
|
Richard Edward Lee
229 Parrish St Ste 100 |
$55.20 | 37 | 34 |
|
Jessica Lindsey Schock
335 Parrish St |
$62.35 | 39 | 39 |
|
Robert Leigh Craft
3170 West St |
$64.29 | 48 | 48 |
|
Deloisa I Kelley
42 N Main St |
$77.90 | 59 | 53 |
|
Christine Ellen Rose
401 S Main St |
$69.03 | 61 | 56 |
|
Svetlana Trounina
241 Parrish St |
$63.73 | 63 | 55 |
|
Laura Jeanne Lyons
335 Parrish St |
$62.93 | 66 | 65 |
|
Edward Martin Kenney
97 Granger St |
$52.55 | 67 | 64 |
|
Frederick Ferris Thompson Hospital
360 Parrish St |
$54.09 | 90 | 85 |
|
Brian Edward Piotrowski
401 S Main St |
$62.70 | 90 | 85 |
|
Kipling B Goh
335 Parrish St |
$52.88 | 93 | 91 |
|
Caitlan Tirabassi
350 Parrish St |
$54.14 | 96 | 96 |
|
David Emil Baum
350 Parrish St |
$49.50 | 105 | 87 |
|
Kerry Widdersheim Graff
502 S Main St |
$76.58 | 107 | 99 |
|
Claudia Kowal
350 Parrish St |
$50.29 | 114 | 108 |
|
Sarah Katherine Oleksa
335 Parrish St |
$64.90 | 115 | 113 |
|
Timothy David Pitler
350 Parrish St |
$29.35 | 122 | 117 |
|
Morgan Bessey
350 Parrish St |
$61.26 | 130 | 130 |
|
Zohal Monsour
229 Parrish St Ste 250 |
$62.40 | 148 | 148 |
|
Katelyn Cappotelli Nevin
335 Parrish St |
$69.59 | 149 | 138 |
|
Philip Dominic Vitticore
400 Fort Hill Ave |
$75.33 | 150 | 145 |
|
Lakeside Ent & Allergy Llc.
229 Parrish St |
$58.23 | 154 | 150 |
|
Dylan Phillips
468 S Pearl St Ste C |
$88.42 | 156 | 154 |
|
William J Kingston
199 Parrish St |
$92.97 | 175 | 173 |
|
Halie Kaitlyn Kemmling-Campbell
699 S Main St |
$58.43 | 185 | 182 |
|
Raymond M Thomas
199 Parrish St |
$55.34 | 187 | 177 |
|
Erika M Brownell
350 Parrish St |
$52.74 | 197 | 192 |
|
Marianne Miles
23 North St Ste G |
$72.57 | 217 | 200 |
|
Kristen Resetar
195 Parrish St Ste 220 |
$53.94 | 241 | 241 |
|
Karen Cunningham
229 Parrish St |
$30.62 | 250 | 250 |
|
Bruce Paul Klein
229 Parrish St |
$87.27 | 251 | 249 |
|
Bryan Henry
360 Parrish St |
$33.07 | 268 | 265 |
|
Kevin R Hopson
229 Parrish St Ste 100 |
$60.81 | 269 | 253 |
|
Jillian Jean Babu
335 Parrish St |
$61.36 | 280 | 269 |
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