Average Medicaid Office Visit Payments in Cicero, NY: $72.97
Avg. Paid
$72.97
Range
$1.23 – $115.13
Total Claims
33,143
Providers
25
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 Cicero, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel B Rancier
5586 Legionnaire Dr Ste 1 |
$67.44 | 4,696 | 4,359 |
|
Kristina Ursitti
5460 Meltzer Ct |
$80.95 | 4,631 | 4,383 |
|
Brittany Allissa Stojkovski
8003 Brewerton Rd |
$64.33 | 4,034 | 4,001 |
|
Lucas Pettit
8003 Brewerton Rd |
$65.78 | 3,594 | 3,559 |
|
Justin P Fedor
5586 Legionnaire Dr Ste 1 |
$97.35 | 3,187 | 3,153 |
|
Stayce Lea Huynh
8003 Brewerton Rd |
$53.83 | 2,210 | 2,198 |
|
Kathryn Quinn Manion
8393 Elta Dr |
$59.08 | 2,067 | 2,055 |
|
Andrew Call
5586 Legionnaire Dr Ste 1 |
$104.36 | 1,969 | 1,853 |
|
David R Downey
6251 State Route 31 |
$75.75 | 1,861 | 1,845 |
|
Natalie Rose Zimmer
8003 Brewerton Rd |
$57.83 | 1,060 | 1,043 |
|
Eleni Kosmas
5586 Legionnaire Dr Ste 2 |
$76.35 | 903 | 902 |
|
Gretchen L Palmiter
8003 Brewerton Rd |
$52.45 | 858 | 852 |
|
Jessica Marie Destefano
8623 Honeycomb Path |
$75.56 | 848 | 847 |
|
Kristine Nichole Mims
6129 Cordero Dr |
$66.61 | 388 | 376 |
|
Jessica M Palmiero
5586 Legionnaire Dr |
$101.83 | 315 | 303 |
|
Nicole Goult
7851 Brewerton Rd # 1 |
$61.12 | 205 | 202 |
|
Madeline T Frank
5586 Legionnaire Dr |
$72.08 | 161 | 161 |
|
Paolo S Pastore
8393 Elta Drive |
$84.57 | 45 | 39 |
|
James D Telonis
5586 Legionnaire Dr Ste 1 |
$59.02 | 27 | 27 |
|
Caitlin Camara
5586 Legionnaire Dr |
$108.77 | 17 | 16 |
|
Emily Glisson
8393 Elta Drive |
$1.23 | 16 | 13 |
|
Meghan Karmis
8393 Elta Dr |
$82.67 | 14 | 14 |
|
Joy C Commisso
5586 Legionnaire Dr Ste 1 |
$115.13 | 13 | 13 |
|
Dennis J Nave
5586 Legionnaire Dr |
$90.00 | 12 | 12 |
|
Jennifer Ambrose
8393 Elta Dr |
$65.42 | 12 | 12 |
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 Cicero, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cicero, NY is $72.97 per claim, based on 33,143 claims from 25 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 Cicero, NY?
There are 25 Medicaid providers offering Office Visit related services in Cicero, NY according to public payment data.
What is the price range for Office Visit in Cicero, NY?
Medicaid reimbursement for Office Visit in Cicero, NY ranges from $1.23 to $115.13 per claim, with an average of $72.97. 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 Cicero, NY
Dental Cleaning & Exam
Avg $37.85
82,609 claims
Dental Filling
Avg $84.55
11,885 claims
Physical Therapy
Avg $35.79
3,857 claims
Eye Exam
Avg $34.40
3,117 claims
Blood Work & Lab Tests
Avg $3.47
1,985 claims
Emergency Room Visit
Avg $117.25
1,665 claims
Speech Therapy
Avg $42.78
1,565 claims
Tooth Extraction
Avg $87.50
1,491 claims