Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in East Amherst, NY: $65.51

Avg. Paid

$65.51

Range

$22.21 – $167.76

Total Claims

19,326

Providers

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 East Amherst, NY

Provider	Avg. Paid	Claims	Patients
Mary Louise Lenahan 6507 Transit Rd	$70.82	2,640	2,616
Amber Marie Villella 5965 Transit Rd	$68.56	1,926	1,917
Peter Louis Gambacorta 8750 Transit Rd	$61.89	1,601	1,551
Matthew Joseph Zinno 8750 Transit Rd	$72.18	1,528	1,483
Elizabeth Cali 6507 Transit Rd	$52.09	1,459	1,453
Mark P Pierino 8750 Transit Road	$48.95	1,259	1,235
Patrick J Hlubik 8750 Transit Rd	$69.63	911	875
Alexandra Pamela Galvano 6507 Transit Rd	$69.67	853	850
Samantha Jaus Fleming 8750 Transit Rd	$66.44	754	730
Marcelino Fabian D'Souza 8750 Transit Rd	$63.33	504	486
Caroline Ann D'Souza 8750 Transit Rd	$46.67	441	408
Kearsten Howe Ball 6095 Transit Rd	$62.83	423	401
Kevin W Lanighan 8750 Transit Rd	$66.15	420	408
Donald P Douglas 8750 Transit Rd	$66.20	419	404
Judith Ortman-Nabi 6095 Transit Rd	$51.34	390	359
Marianne Elizabeth St John 8770 Transit Rd Ste 3	$66.17	371	267
David J Pochatko 8750 Transit Rd	$84.37	351	342
Kayla Nicole Pierce 5965 Transit Rd	$66.87	341	333
Taylore A Passero 6095 Transit Rd	$57.89	328	319
Beth A Gillezeau 8750 Transit Rd	$60.41	320	307
Molly Ann Sheron 6161 Transit Rd	$62.71	313	309
Lori Ann Gmerek 8750 Transit Rd	$79.14	223	217
Rynar Joss Lim-Zolczer 6495 Transit Rd Ste 800	$167.76	220	208
Sarah Belliotti 6095 Transit Rd	$70.27	180	173
Clara Maria Gomez-Quinonez 6095 Transit Rd	$71.20	167	158
Therese Marie Ball 4371 Tonawanda Creek Rd	$22.21	165	164
Victoria A Smith 6507 Transit Rd	$83.96	160	160
Mikhala M Ritz 6507 Transit Rd Ste A	$76.41	156	156
Phillip C Culliton 8265 Manchester Park Dr	$53.09	129	127
Corrin Zaccagnino 8750 Transit Rd Ste 105	$66.49	107	105
Frank A Luzi 8750 Transit Rd	$55.08	87	72
Jennifer A May 6507 Transit Rd	$63.20	81	80
Katie Nicole Koch 6507 Transit Rd	$46.87	46	44
Kelly Gehl Hornbarger 8750 Transit Rd	$95.80	14	14
Mian Majeed 8750 Transit Rd Ste 110	$71.61	14	14
Thomas A Lombardo 8750 Transit Rd	$56.90	13	13
John J Bodkin 5667 Creekwood Ct E	$29.69	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 East Amherst, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Amherst, NY is $65.51 per claim, based on 19,326 claims from 37 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 East Amherst, NY?

There are 37 Medicaid providers offering Office Visit related services in East Amherst, NY according to public payment data.

What is the price range for Office Visit in East Amherst, NY?

Medicaid reimbursement for Office Visit in East Amherst, NY ranges from $22.21 to $167.76 per claim, with an average of $65.51. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in East Amherst, NY: $65.51

Providers Offering Office Visit in East Amherst, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in East Amherst, NY

Physical Therapy

X-Ray

CT Scan (Computed Tomography)

Non-Emergency Medical Transportation

Speech Therapy

Emergency Room Visit

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)