Average Medicaid Office Visit Payments in Dunkirk, NY: $63.57
Avg. Paid
$63.57
Range
$14.40 – $140.50
Total Claims
154,201
Providers
58
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 Dunkirk, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Drutika S Patel
322 Park Avenue |
$57.76 | 12 | 12 |
|
Taylor Patterson
322 Park Ave |
$97.98 | 12 | 12 |
|
Michael Woltz
322 Park Ave |
$25.12 | 13 | 12 |
|
Helen Carreras-Suchanick
19 Lake Shore Dr W |
$51.95 | 14 | 13 |
|
Lori Michael
529 Central Ave |
$76.11 | 14 | 14 |
|
Sean Michael Nagle
75 E 3Rd St |
$49.19 | 25 | 25 |
|
Randall B Sam
520 Central Ave # Vd |
$61.94 | 26 | 25 |
|
Chautauqua County Chapter Of Nysarc Inc.
51 E 3Rd. Street |
$31.42 | 40 | 28 |
|
Keilen Leigh-Ann Sam
3898 Vineyard Dr |
$38.92 | 47 | 42 |
|
Keith Balram Shankar
3898 Vineyard Dr Ste 1 |
$86.83 | 90 | 88 |
|
Ravi Jyot Singh Sahni
3898 Vineyard Dr Ste 1 |
$68.22 | 102 | 99 |
|
Robert Andrew Zimmer
614 Central Ave |
$39.37 | 126 | 121 |
|
Joel David Newburg
4867 W Lake Rd |
$62.68 | 128 | 38 |
|
Daniel E Heusinger
529 Central Ave |
$74.12 | 131 | 130 |
|
Barbara A Nunn
447 Lake Shore Dr W |
$15.01 | 164 | 157 |
|
Lindsay Aldrich
322 Park Ave |
$65.78 | 192 | 184 |
|
Daniel Brunenavs
55 E 4Th St |
$36.60 | 204 | 204 |
|
Lindsey R Rogers
322 Park Ave |
$14.40 | 205 | 194 |
|
Katelyn Renee Heist
3898 Vineyard Dr |
$91.82 | 289 | 286 |
|
The Chautauqua Center, Inc
75 E 3Rd St |
$51.47 | 298 | 149 |
|
Jessica M Cawthard
3916 Vineyard Dr |
$76.80 | 555 | 552 |
|
Andre A. Persaud
306 Central Ave |
$54.89 | 749 | 669 |
|
Joe Ibrahim Askar
614 Central Ave |
$63.00 | 780 | 779 |
|
Deborah Bush
504 Central Ave |
$33.09 | 791 | 762 |
|
Hyder Alam
504 Central Ave |
$64.72 | 811 | 778 |
|
Raman Sood
617 Central Ave |
$52.69 | 896 | 812 |
|
Avani Gayathri Kanneganti
3898 Vineyard Dr Ste 1 |
$65.88 | 966 | 918 |
|
Shakeel Ahmad
529 Central Ave |
$60.71 | 969 | 929 |
|
Saima Ashraf
306 Central Ave |
$44.74 | 1,030 | 992 |
|
Christopher Peter Morton
322 Park Ave |
$45.54 | 1,159 | 1,114 |
|
Sarah Elizabeth Scullion
447 Lake Shore Dr W |
$51.72 | 1,302 | 1,134 |
|
Naheed Alam
617 Central Ave |
$45.69 | 1,613 | 1,516 |
|
Maxim Mitchell
3898 Vineyard Dr |
$68.87 | 1,723 | 1,592 |
|
Brian Mata
322 Park Ave |
$57.08 | 1,963 | 1,860 |
|
Kristen Marie Siracuse
319 Central Ave |
$69.46 | 2,015 | 1,988 |
|
Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc
303 Main St |
$122.82 | 2,436 | 1,938 |
|
Nichole Sommers
3916 Vineyard Dr |
$55.60 | 2,631 | 2,610 |
|
Beth Wlodarek
504 Central Ave Ste 1 |
$53.90 | 2,771 | 2,543 |
|
Nina Serene Currie
75 E 3Rd St |
$64.29 | 3,179 | 1,421 |
|
James R Urgo
310 Central Ave Ste B |
$61.01 | 3,198 | 2,740 |
|
Kierstyn Gordon
529 Central Ave |
$73.70 | 3,216 | 2,991 |
|
Leslie Jean Mcnaughtan
75 E 3Rd St |
$100.68 | 3,313 | 1,926 |
|
Susan Mackowiak
504 Central Ave |
$56.03 | 3,361 | 3,246 |
|
Brooks - Tlc Hospital System, Inc.
529 Central Ave |
$140.50 | 3,425 | 3,226 |
|
Mandi Ranee Kuppel
75 E 3Rd St |
$57.14 | 3,829 | 1,190 |
|
Kristina Marie Christopher
744 Central Ave |
$65.30 | 3,884 | 3,858 |
|
Michael Guilding Pita
Chautauqua Medical Services |
$68.63 | 3,991 | 3,833 |
|
Laura A Lack
75 E 3Rd St |
$56.24 | 4,101 | 1,367 |
|
Mohammad Junayed Khan
75 E 3Rd St |
$31.63 | 4,295 | 1,239 |
|
Hannah Procida Winters
1134 Central Ave |
$64.78 | 5,686 | 2,124 |
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 Dunkirk, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dunkirk, NY is $63.57 per claim, based on 154,201 claims from 58 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 Dunkirk, NY?
There are 58 Medicaid providers offering Office Visit related services in Dunkirk, NY according to public payment data.
What is the price range for Office Visit in Dunkirk, NY?
Medicaid reimbursement for Office Visit in Dunkirk, NY ranges from $14.40 to $140.50 per claim, with an average of $63.57. 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 Dunkirk, NY
Substance Abuse Treatment
Avg $23.93
126,832 claims
Blood Work & Lab Tests
Avg $12.88
92,001 claims
Emergency Room Visit
Avg $137.10
45,497 claims
Dental Cleaning & Exam
Avg $30.75
28,966 claims
Vaccines & Immunizations
Avg $13.63
20,863 claims
Urinalysis & Urine Tests
Avg $9.42
18,791 claims
Physical Therapy
Avg $74.68
18,387 claims
Speech Therapy
Avg $41.37
14,536 claims