Average Medicaid Office Visit Payments in Hamburg, NY: $56.33
Avg. Paid
$56.33
Range
$0.00 – $116.34
Total Claims
52,649
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 Hamburg, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Krzan
4390 Quinby Dr |
$58.50 | 5,370 | 4,916 |
|
Jeanette L Figueroa
5844 Southwestern Blvd Ste 500 |
$33.58 | 5,191 | 2,236 |
|
Smita Agarwal
S-4947 Lakeshore Road |
$38.64 | 4,819 | 4,466 |
|
Giannina M Vogl
4909 Southwestern Blvd |
$93.65 | 3,895 | 3,856 |
|
Erin E Amborski
4855 Camp Rd |
$71.31 | 3,659 | 3,483 |
|
Joan G Calkins
17 Long Ave |
$40.18 | 3,640 | 3,194 |
|
Colleen Crowley
4909 Southwestern Blvd |
$87.51 | 2,534 | 2,397 |
|
Michael T. Doldan
5470 Camp Rd Ste 200 |
$116.34 | 2,191 | 2,181 |
|
Sarah Al Cook
4855 Camp Rd. |
$43.46 | 2,048 | 1,939 |
|
Brandon Michael Fyock
3040 Amsdell Rd |
$37.20 | 1,620 | 1,484 |
|
Nicholas Patrick Masyga
517 Sunset Dr |
$45.98 | 1,537 | 1,474 |
|
Leia K Ince-Mercer
5470 Camp Rd Ste 200 |
$49.50 | 1,521 | 1,425 |
|
Chelsea George
17 Long Ave Ste 110 |
$29.53 | 1,468 | 1,350 |
|
Lisa Marie Ricotta
517 Sunset Dr |
$57.58 | 1,314 | 1,221 |
|
Gregory Marra
5844 Southwestern Blvd |
$50.68 | 1,286 | 1,245 |
|
Taylor Mitchell
4909 Southwestern Blvd |
$72.85 | 1,274 | 1,266 |
|
Heather Petri
4535 Southwestern Blvd |
$72.56 | 1,010 | 1,000 |
|
Kimberly A Pierce
5893 Camp Rd |
$62.40 | 737 | 725 |
|
Loubert Steven Suddaby
4855 Camp Rd Ste 400 |
$76.57 | 718 | 690 |
|
Romanth Waghmarae
5893 Camp Rd Ste 3 |
$33.34 | 604 | 576 |
|
Dennis Michael Mcgoldrick
4855 Camp Rd |
$37.83 | 600 | 571 |
|
Rikki L Korkowicz
4535 Southwestern Blvd Ste 202 |
$89.26 | 513 | 507 |
|
Maureen Sullivan
4886 Clifton Pkwy |
$0.00 | 468 | 392 |
|
Janele Lucy Storms
4855 Camp Rd |
$37.69 | 434 | 406 |
|
Sean William Maclean
3040 Amsdell Rd |
$43.72 | 425 | 415 |
|
Kelly A Halcomb
4855 Camp Rd |
$61.20 | 419 | 406 |
|
Sara Maria Burgio
4855 Camp Rd |
$33.91 | 415 | 400 |
|
Melissa J Juliano
4855 Camp Rd Ste 100 |
$34.61 | 387 | 382 |
|
Jordan Birner
5844 Southwestern Blvd Ste 500 |
$44.00 | 363 | 339 |
|
Nathmal S Tarfare
S-4947 Lakeshore Road |
$57.40 | 329 | 327 |
|
Kathleen E Schiele
4855 Camp Rd |
$36.69 | 278 | 277 |
|
Melinda Sue Haas
17 Long Ave |
$38.12 | 277 | 270 |
|
Kohl Taylor Chevrier
5844 Southwestern Blvd |
$40.81 | 201 | 189 |
|
Michael Fraser
4535 Southwestern Boulevard Suite 801 |
$47.75 | 194 | 176 |
|
Michael Paul Kane
4855 Camp Rd |
$36.56 | 122 | 116 |
|
Gabrielle Grimaldi
3040 Amsdell Rd |
$37.81 | 109 | 103 |
|
William James Boehm
4909 Southwestern Blvd |
$81.95 | 106 | 106 |
|
Lori Christiano
3040 Amsdell Rd |
$38.07 | 96 | 93 |
|
John Anthony Stagg
4050 Lake Shore Rd Apt 132 |
$94.54 | 92 | 83 |
|
Lisa Forehand
4855 Camp Rd |
$24.06 | 81 | 64 |
|
Heather Janik
4855 Camp Rd |
$72.68 | 78 | 78 |
|
Paige Aileen Laing
5470 Camp Rd Ste 200 |
$41.55 | 65 | 59 |
|
Olga Bunimovich
17 Long Ave Ste 200 |
$47.90 | 41 | 40 |
|
Craig K Maclean
3040 Amsdell Rd |
$39.04 | 41 | 38 |
|
Alexandra Christine D'Angelo
4855 Camp Rd |
$31.88 | 37 | 37 |
|
Jessica E Ogorchock-Congilosi
4855 Camp Rd |
$28.96 | 24 | 24 |
|
Sara A. Nash
3040 Amsdell Rd |
$36.12 | 18 | 16 |
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 Hamburg, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hamburg, NY is $56.33 per claim, based on 52,649 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 Hamburg, NY?
There are 47 Medicaid providers offering Office Visit related services in Hamburg, NY according to public payment data.
What is the price range for Office Visit in Hamburg, NY?
Medicaid reimbursement for Office Visit in Hamburg, NY ranges from $0.00 to $116.34 per claim, with an average of $56.33. 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 Hamburg, NY
Physical Therapy
Avg $46.03
62,894 claims
Home Health Visit
Avg $158.04
28,381 claims
X-Ray
Avg $7.06
25,793 claims
Psychiatric Evaluation
Avg $38.89
22,463 claims
Speech Therapy
Avg $59.26
20,389 claims
Case Management Services
Avg $21.07
16,740 claims
CT Scan (Computed Tomography)
Avg $48.69
14,109 claims
Vaccines & Immunizations
Avg $16.43
14,102 claims