Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Fairport, NY: $67.84

Avg. Paid

$67.84

Range

$25.75 – $114.85

Total Claims

57,548

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 Fairport, NY

Provider	Avg. Paid	Claims	Patients
Robert Biernbaum 18 Courtney Dr	$54.05	15,372	12,635
Matthew Stevens 6687 Pittsford Palmyra Rd	$68.38	11,658	10,720
Sara Henry Dovichi 460 Crosskeys Office Park	$75.59	5,009	4,717
Jeffrey Craig Eisenberg 460 Cross Keys Office Park	$72.14	4,797	4,538
Jack W Finnell 460 Crosskeys Office Park	$70.44	3,383	3,226
Christopher R. Galbreath 1387 Fairport Rd	$80.00	2,984	2,865
Rebecca S Domalski 460 Cross Keys Office Park	$84.03	2,279	2,211
Joanne Pauliny Cordaro 650 Whitney Rd W Ste P	$74.83	2,147	2,018
Bogdan Mscichowski 460 Crosskeys Office Park	$67.85	1,564	1,444
Meredith Noel Austin-Appleton Pediatric Urgent Care Of Rochester	$99.29	1,268	1,233
Karilynn M Rayburn 18 Courtney Dr	$68.23	1,166	1,163
Saul Kenneth Sokolow 460 Crosskeys Office Park	$67.27	1,055	1,002
Sudipa Barr 2828 Baird Rd	$71.19	817	785
Joseph G Diprima 2828 Baird Rd	$52.16	629	607
Pamela Helen King 1387 Fairport Rd	$83.25	552	511
Elaine Sheila Gilmore 6800 Pittsford Palmyra Rd Ste 150	$88.86	404	396
Fairport Pediatrics 460 Crosskeys Office Park	$61.28	397	321
Virginia Ann Wohltmann 490 Cross Keys Office Park	$83.01	341	339
Richard A Bloom 460 Crosskeys Office Park	$63.08	306	293
Holly Joy Terzo 460 Cross Keys Office Park	$58.21	306	299
Lewis G. Giglia 430 Cross Keys Office Park	$25.75	225	215
Khalid M Hubeishy 1387 Fairport Rd	$83.36	221	212
Julie Anne Bianca 6687 Pittsford Palmyra Rd	$114.85	179	155
Anthony Solazzo 710 Cross Keys Office Park	$65.64	126	121
Ronald Guzman 800 Ayrault Rd Ste 200	$65.68	98	92
Jenna Foster 800 Ayrault Rd Ste 100	$63.12	82	80
Margaret Schoeniger 800 Ayrault Rd Ste 100	$95.98	40	39
Mirabai Chockalingam 2828 Baird Rd	$52.37	37	37
Danielle Gullo 6687 Pittsford Palmyra Rd	$60.49	35	34
Pediatric Urgent Care Of Rochester 6687 Pittsford-Palmyra Rd	$42.86	28	27
Jessica Hogestyn 800 Ayrault Rd Ste 200	$85.37	18	16
David William Kopp 420 Cross Keys Office Park	$61.27	13	13
Patrick M Nunno 800 Ayrault Rd Ste 200	$98.06	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 Fairport, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fairport, NY is $67.84 per claim, based on 57,548 claims from 33 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 Fairport, NY?

There are 33 Medicaid providers offering Office Visit related services in Fairport, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Fairport, NY ranges from $25.75 to $114.85 per claim, with an average of $67.84. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Fairport, NY: $67.84

Providers Offering Office Visit in Fairport, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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