Average Medicaid Office Visit Payments in Dansville, NY: $71.16
Avg. Paid
$71.16
Range
$37.79 – $104.37
Total Claims
123,840
Providers
47
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 Dansville, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Keri Mcgunnigle
111 Clara Barton St |
$62.67 | 13 | 13 |
|
Robert W. Whelpley
9221 Robert Hart Dr |
$37.79 | 17 | 17 |
|
Robert Capecci
111 Clara Barton St |
$42.04 | 22 | 18 |
|
Nina Charlene Holbrook
111 Clara Barton St |
$69.09 | 37 | 36 |
|
Svetlana Yudina
111 Clara Barton St |
$61.76 | 41 | 40 |
|
Qaesar Rasheed
111 Clara Barton St |
$89.81 | 128 | 127 |
|
Zaheer Alam
111 Clara Barton St |
$46.30 | 134 | 133 |
|
Brooke Elizabeth Sikes
253 Main St |
$88.05 | 147 | 139 |
|
Erin Douthit
60 Red Jacket St Ste 1 |
$63.77 | 196 | 164 |
|
Robert P Dougherty
111 Clara Barton St |
$38.00 | 346 | 344 |
|
Jasmine S Mclay
253 Main St |
$79.23 | 354 | 331 |
|
Linda D Meehan
111 Clara Barton St |
$98.24 | 359 | 343 |
|
Penelope L Parris
22 Red Jacket Street |
$94.43 | 451 | 373 |
|
Joan Flender
22 Red Jacket St |
$75.76 | 459 | 443 |
|
Shaikh Mamun Ahmed
213 Main St |
$88.62 | 596 | 541 |
|
Holly Ann Greiner
111 Clara Barton St |
$60.24 | 628 | 609 |
|
David H. Breen Md Pllc
36 Elizabeth St |
$79.59 | 740 | 622 |
|
Lisa Marie Hooker
1 Main St |
$104.37 | 819 | 778 |
|
Kevin Daniel Okeefe
111 Clara Barton St |
$56.52 | 866 | 825 |
|
Tri-County Family Medicine Program, Inc.
10869 State Route 36 South |
$60.18 | 943 | 887 |
|
Jimmy E. Ballard
45 Maple St |
$71.04 | 1,029 | 835 |
|
Robert Bonvino
253 Main St |
$91.99 | 1,244 | 1,141 |
|
Martha Yanda
60 Red Jacket St |
$65.23 | 1,292 | 1,102 |
|
Sarah S Easton
22 Red Jacket St |
$74.30 | 1,314 | 1,262 |
|
Jean Archer
111 Clara Barton St |
$62.04 | 1,471 | 1,363 |
|
Heidi Marie Robinson
111 Clara Barton St |
$59.51 | 1,479 | 1,157 |
|
James A Sakr
40 Red Jacket St |
$61.33 | 1,551 | 1,504 |
|
Ashley T Milliken
Stony Brook Pediatrics Pc |
$80.60 | 1,632 | 1,582 |
|
Robert Lawrence Feinman
111 Clara Barton St |
$62.44 | 1,637 | 1,487 |
|
Patricia Wheeler
22 Red Jacket St |
$68.10 | 2,285 | 2,215 |
|
Colleen Kilbourne Tracy
60 Red Jacket St Ste 1 |
$56.30 | 2,457 | 1,646 |
|
Kathryn Violet Edwards
22 Red Jacket St |
$75.99 | 2,949 | 2,845 |
|
Geoffrey Wittig
60 Red Jacket St Ste 1 |
$47.23 | 3,201 | 2,276 |
|
Rebecca Kathleen Ledwin
22 Red Jacket St |
$77.62 | 3,460 | 3,344 |
|
Kathryn Anesa Bennett
22 Red Jacket Street |
$72.25 | 3,535 | 3,365 |
|
Caitlin Albano
22 Red Jacket St |
$71.13 | 3,676 | 3,497 |
|
Amy Bridge
111 Clara Barton St |
$57.15 | 3,836 | 3,759 |
|
Bridget M Quibell
60 Red Jacket St |
$64.07 | 3,894 | 3,001 |
|
Amber Marie Rhow
60 Red Jacket St Ste 1 |
$54.90 | 4,010 | 2,913 |
|
Stony Brook Pediatrics, Pc
22 Red Jacket Street |
$63.10 | 4,362 | 3,824 |
|
Jill Matzek
60 Red Jacket St Ste 1 |
$56.79 | 4,371 | 3,424 |
|
David H Breen
36 Elizabeth St |
$62.30 | 7,005 | 6,107 |
|
Deanna Lyons
22 Red Jacket St |
$71.26 | 7,970 | 7,537 |
|
Jennifer Graham
22 Red Jacket St |
$82.07 | 8,370 | 8,021 |
|
Jason Elwell
22 Red Jacket St |
$73.93 | 8,399 | 7,997 |
|
Ayesha Tasaddaq
60 Red Jacket St |
$62.44 | 8,885 | 6,654 |
|
Nicholas H. Noyes Memorial Hospital
111 Clara Barton St |
$87.41 | 21,230 | 20,332 |
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 Dansville, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dansville, NY is $71.16 per claim, based on 123,840 claims from 47 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 Dansville, NY?
There are 47 Medicaid providers offering Office Visit related services in Dansville, NY according to public payment data.
What is the price range for Office Visit in Dansville, NY?
Medicaid reimbursement for Office Visit in Dansville, NY ranges from $37.79 to $104.37 per claim, with an average of $71.16. 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 Dansville, NY
Blood Work & Lab Tests
Avg $8.50
98,071 claims
Psychiatric Evaluation
Avg $116.84
44,452 claims
Emergency Room Visit
Avg $108.75
25,149 claims
X-Ray
Avg $16.48
16,807 claims
Urinalysis & Urine Tests
Avg $3.73
16,651 claims
Vaccines & Immunizations
Avg $20.63
15,005 claims
Physical Therapy
Avg $49.16
14,840 claims
Culture & Microbiology Tests
Avg $7.22
10,412 claims