Average Medicaid Office Visit Payments in Jamestown, NY: $64.25
Avg. Paid
$64.25
Range
$0.00 – $165.30
Total Claims
475,724
Providers
150
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 Jamestown, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tanvir M Dara
15 S Main St Ste 270 |
$22.45 | 60,623 | 57,344 |
|
Upmc Chautauqua At Wca
207 Foote Ave |
$123.97 | 23,054 | 19,227 |
|
County Of Chautauqua - A Mun Corp
200 E 3Rd St Ste 5 |
$135.27 | 19,977 | 18,586 |
|
Tariq Mahmood Khan
1684 Foote Avenue Ext |
$74.91 | 15,811 | 14,081 |
|
Adnan Munir
890 E 2Nd St |
$58.90 | 15,005 | 10,426 |
|
Lynn Dunham
816 Fairmount Ave |
$72.60 | 12,831 | 12,148 |
|
Maria Isabel Diaz
1684 Foote Avenue Ext |
$78.92 | 12,606 | 11,466 |
|
Samuel T Wong
27 Porter Ave |
$58.31 | 10,658 | 10,557 |
|
Umamaheswara Rao Vejendla Physician Pc
152 Foote Ave |
$50.84 | 9,817 | 9,020 |
|
Chautauqua County Chapter Of Nysarc Inc
200 Dunham Ave |
$100.79 | 9,642 | 9,209 |
|
Elizabeth Kidder
107 Institute St |
$61.57 | 9,473 | 5,374 |
|
Trisha M Carlson
816 Fairmount Ave |
$76.70 | 9,264 | 8,527 |
|
Barbara Mincarelli
816 Fairmount Ave |
$77.17 | 8,527 | 8,189 |
|
Jerzy Przygodzki
816 Fairmount Ave |
$69.23 | 8,489 | 8,176 |
|
Chad Chitester
31 Sherman St Ste 2500 |
$65.48 | 8,339 | 8,077 |
|
Peter J Reden
207 Foote Ave |
$18.01 | 8,182 | 7,521 |
|
Zachary Taylor Kiendl
107 Institute St |
$52.27 | 8,138 | 1,950 |
|
Katie Marie Bell
1684 Foote Avenue Ext |
$57.42 | 8,134 | 8,059 |
|
Leonard S Franco
207 Foote Ave |
$25.30 | 7,819 | 7,286 |
|
Jennifer Kay Wilcox
107 Institute St |
$58.15 | 7,520 | 3,875 |
|
Jessica Lynne Cappa
15 S Main St |
$61.15 | 7,446 | 7,372 |
|
Paul Gordon Henry Robbins
107 Institute St |
$77.78 | 7,401 | 3,190 |
|
Ginny Marie Moyer-Matteson
15 S Main St |
$63.69 | 7,391 | 7,310 |
|
Sidney Carol Spangler
107 Institute St |
$48.30 | 7,330 | 2,111 |
|
Albert Persia
42 Dunham Ave |
$66.13 | 6,759 | 6,536 |
|
Katie L Madden
320 Prather Ave |
$74.90 | 6,372 | 6,227 |
|
Carrie Rowan
816 Fairmount Ave |
$66.50 | 5,993 | 5,765 |
|
Mumtaz Karimi
890 E Second Street |
$60.46 | 5,793 | 4,730 |
|
Joshua Radecki
42 Dunham Ave |
$72.99 | 5,618 | 5,512 |
|
Virginia Campion
816 Fairmount Ave |
$70.51 | 5,423 | 5,260 |
|
Nicole Hinderleider
350 E 2Nd St |
$58.67 | 4,735 | 2,982 |
|
Jessie Blair Rink
320 Prather Ave |
$47.57 | 4,497 | 3,692 |
|
Elizabeth Gattman
320 Prather Ave Ste 200A |
$75.12 | 4,270 | 3,985 |
|
Damian Lee Ternullo
107 Institute St |
$68.70 | 4,269 | 1,726 |
|
Patrick Ryan Mccue
816 Fairmount Ave |
$57.82 | 3,880 | 3,847 |
|
Georie Melissa F. Long
107 Institute St |
$63.59 | 3,879 | 2,039 |
|
Rudolph James Mueller
107 Institute St |
$58.95 | 3,810 | 1,381 |
|
Keith Kulju
15 S Main St |
$57.37 | 3,573 | 3,517 |
|
Jennifer M Janocha
107 Institute St |
$71.27 | 3,535 | 1,960 |
|
Chelsey Michele Gray
17 Sherman St |
$63.35 | 3,381 | 3,241 |
|
Neeru Kapur
107 Institute St # Na |
$85.17 | 3,316 | 2,237 |
|
Metivia-Anne Whitmore
31 Sherman Ave |
$79.28 | 3,205 | 3,090 |
|
Antonio Regino Roman
15 S Main St Ste 110 |
$45.37 | 3,135 | 3,117 |
|
Collins O. Osula
17 Sherman St |
$58.37 | 3,011 | 2,750 |
|
James P Campion
15 S Main St |
$58.35 | 2,920 | 2,892 |
|
Eric David Arnone
117 Foote Ave |
$36.21 | 2,915 | 2,879 |
|
Barbara J Robinson
816 Fairmount Ave |
$64.14 | 2,902 | 2,767 |
|
George L So
15 S Main St |
$50.19 | 2,844 | 2,818 |
|
Allison Johnson
816 Fairmount Ave |
$67.33 | 2,760 | 2,621 |
|
Brooke K Kelly
207 Foote Ave |
$30.62 | 2,730 | 2,616 |
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 Jamestown, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jamestown, NY is $64.25 per claim, based on 475,724 claims from 150 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 Jamestown, NY?
There are 150 Medicaid providers offering Office Visit related services in Jamestown, NY according to public payment data.
What is the price range for Office Visit in Jamestown, NY?
Medicaid reimbursement for Office Visit in Jamestown, NY ranges from $0.00 to $165.30 per claim, with an average of $64.25. 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 Jamestown, NY
Blood Work & Lab Tests
Avg $12.96
326,697 claims
Psychiatric Evaluation
Avg $127.33
203,062 claims
Emergency Room Visit
Avg $133.90
136,969 claims
Case Management Services
Avg $315.55
81,857 claims
Urinalysis & Urine Tests
Avg $2.24
80,370 claims
X-Ray
Avg $5.74
78,376 claims
Vaccines & Immunizations
Avg $11.86
67,440 claims
Physical Therapy
Avg $59.51
64,968 claims