Average Medicaid Office Visit Payments in Fayetteville, NY: $67.34
Avg. Paid
$67.34
Range
$5.42 – $191.13
Total Claims
122,084
Providers
88
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 Fayetteville, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Deann Lynn Cummings
4104 Medical Center Dr |
$53.94 | 6,953 | 6,840 |
|
Bihter Korbeci
4000 Medical Center Dr |
$78.98 | 6,274 | 5,817 |
|
William J Dibble
4000 Medical Center Dr. |
$63.10 | 6,112 | 5,966 |
|
Julie Y Colvin
4000 Medical Center Dr, Suite 101Ab |
$78.35 | 4,850 | 4,708 |
|
Anita D O'Malley
4103 Medical Center Dr |
$57.01 | 4,549 | 4,505 |
|
Matthew Stephen Shute
4000 Medical Center Drive Suite 104 |
$82.30 | 4,331 | 4,239 |
|
David Nagel Hammack
4101 Medical Center Dr |
$83.81 | 4,182 | 4,128 |
|
Matthew Lee Picone
4000 Medical Center Dr Suite 104 |
$35.27 | 3,779 | 3,724 |
|
Elizabeth Humphrey Mcnany
4000 Medical Center Dr |
$35.29 | 3,635 | 3,568 |
|
Kristen Ann Mcnamara
4104 Medical Center Dr |
$33.08 | 3,199 | 3,169 |
|
Abigail Tillman
4000 Medical Center Dr Suite 101De |
$57.83 | 3,175 | 2,553 |
|
Emily M Marris
4103 Medical Center Dr |
$66.53 | 3,109 | 3,097 |
|
Colleen Olszewski
4101 Medical Center Dr |
$75.28 | 3,042 | 2,971 |
|
Vanessa Lalley-Demong
4000 Medical Center Dr |
$48.70 | 2,928 | 2,882 |
|
Lynne A. Humphrey
4100 Medical Center Dr |
$30.27 | 2,766 | 2,740 |
|
Mark A Profetto
4103 Medical Center Dr |
$48.24 | 2,611 | 2,605 |
|
Stephen Day Hoag
4000 Medical Center Dr |
$45.14 | 2,591 | 2,563 |
|
Rachel Miller Gattuso
6836 E Genesee St |
$191.13 | 2,504 | 1,203 |
|
Beth Thomas Wiedeman
4000 Medical Center Dr |
$86.51 | 2,469 | 2,420 |
|
Adam W Paddock
4000 Medical Center Dr |
$76.20 | 2,353 | 2,338 |
|
Katharine Shields
212 Highbridge St Ste A |
$77.78 | 2,258 | 2,230 |
|
Edward Tracy Sall
4000 Medical Center Dr. |
$83.56 | 2,232 | 2,182 |
|
Kayla Dussing
4000 Medical Center Drive |
$51.63 | 2,053 | 2,050 |
|
Vanette Zalocha
6870 E Genesee St |
$56.01 | 1,932 | 1,923 |
|
Lauren Krisak Gilkey
4000 Medical Center Dr |
$90.62 | 1,892 | 1,865 |
|
Susan Mary Manson
510 Towne Dr |
$27.78 | 1,809 | 1,793 |
|
Jenaye Karin Broe
4000 Medical Center Dr Ste 110 |
$76.09 | 1,798 | 1,787 |
|
Christine Shaffer
4110 Medical Center Dr |
$83.59 | 1,700 | 1,692 |
|
Roman Batyuk
4100 Medical Center Drive |
$80.67 | 1,658 | 1,580 |
|
Tucker Martin Harris
4000 Medical Center Dr # 117 |
$100.07 | 1,594 | 1,584 |
|
Roshan Ghimire
4000 Medical Center Dr |
$32.46 | 1,420 | 1,394 |
|
Meghan L Doran
4110 Medical Center Dr |
$78.51 | 1,345 | 1,323 |
|
Robert Feldman
4101 Medical Center Dr |
$73.83 | 1,332 | 1,295 |
|
Susan M Randall-Mantella
4117 Medical Center Dr |
$49.05 | 1,319 | 1,228 |
|
Lindsay Elizabeth Kimmel Neidig
6870 E Genesee St |
$59.09 | 1,297 | 1,287 |
|
Jessica Faye Bouchard
4110 Medical Center Dr |
$77.42 | 1,268 | 1,249 |
|
Andrew L Finley
4103 Medical Center Dr |
$44.48 | 1,265 | 1,252 |
|
William M Tucker
4000 Medical Center Dr |
$62.15 | 1,218 | 1,140 |
|
Sandra Marie Sulik
4000 Medical Center Dr |
$41.88 | 1,167 | 1,144 |
|
Austin Tsai
4000 Medical Center Dr Suite 104 |
$98.02 | 1,160 | 1,135 |
|
Audrey A Mathis
4103 Medical Center Dr |
$55.51 | 1,134 | 1,125 |
|
Katey Waldon
4110 Medical Center Dr |
$74.92 | 962 | 961 |
|
Navpriya Oberoi
4117 Medical Center Dr |
$93.67 | 916 | 867 |
|
Melissa Roe
4110 Medical Center Dr |
$72.27 | 855 | 846 |
|
Kevin Anthony Kopko
4100 Medical Center Drive |
$81.08 | 844 | 826 |
|
Dawn C Richardson
4101 Medical Center Dr |
$96.82 | 799 | 786 |
|
Mark William Guelzow
4101 Medical Center Dr Ste 1C |
$82.91 | 739 | 726 |
|
Stella M Castro
4402 Medical Center Dr |
$72.10 | 727 | 685 |
|
Daniel Robert Green
212 Highbridge St |
$87.00 | 718 | 711 |
|
Devyn Leigh Hardy
4000 Medical Center Dr |
$85.73 | 680 | 675 |
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 Fayetteville, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fayetteville, NY is $67.34 per claim, based on 122,084 claims from 88 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 Fayetteville, NY?
There are 88 Medicaid providers offering Office Visit related services in Fayetteville, NY according to public payment data.
What is the price range for Office Visit in Fayetteville, NY?
Medicaid reimbursement for Office Visit in Fayetteville, NY ranges from $5.42 to $191.13 per claim, with an average of $67.34. 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 Fayetteville, NY
Dental Cleaning & Exam
Avg $45.33
137,692 claims
Dental Filling
Avg $236.48
32,204 claims
Blood Work & Lab Tests
Avg $6.26
23,398 claims
Tooth Extraction
Avg $161.57
11,658 claims
Physical Therapy
Avg $46.91
9,191 claims
Root Canal
Avg $188.19
6,530 claims
Vaccines & Immunizations
Avg $13.52
4,626 claims
Speech Therapy
Avg $24.43
3,594 claims