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 |
|---|---|---|---|
|
Peter J Walter
117 Foote Ave |
$78.73 | 12 | 12 |
|
Madeline Lynch
15 S Main St Ste 150 |
$0.00 | 12 | 12 |
|
Blesilda S So
15 S Main St |
$40.85 | 13 | 12 |
|
Amanda Rose Kent
200 E 3Rd St Ste 5 |
$116.02 | 14 | 13 |
|
Robert L Daniels
400 Foote Ave |
$58.03 | 15 | 12 |
|
Nancy A Allen
400 Foote Ave |
$64.38 | 15 | 14 |
|
Katherine Elizabeth Tidwell
15 S Main St Ste 150 |
$0.00 | 15 | 14 |
|
Evadne Chi Ong
15 S Main St Ste 150 |
$74.09 | 24 | 24 |
|
Sarah Saxton
15 S Main St |
$8.91 | 25 | 25 |
|
Lyndsey Marie Carlson
1684 Foote Avenue Ext |
$80.64 | 26 | 26 |
|
Brenda May Munella
15 S Main St |
$45.75 | 27 | 25 |
|
Mariah Mary Earlene Battle
17 Sherman St Ste 2100 |
$45.30 | 28 | 25 |
|
Catherine Elaine Powers
17 Sherman St |
$34.48 | 30 | 28 |
|
Brynlynn Daniel Pitt
15 S Main St Ste 150 |
$79.18 | 39 | 38 |
|
Carrie Jean Bauer
107 Institute St # Na |
$53.46 | 40 | 39 |
|
Patrick Collins
17 Sherman St |
$62.51 | 42 | 39 |
|
Karen Lynn Sleeman
21 Porter Avenue |
$29.87 | 58 | 53 |
|
Erika Mclean
207 Foote Ave |
$46.04 | 61 | 57 |
|
Susan E Gustafson
21 Porter Ave |
$61.66 | 62 | 62 |
|
Ashton Melissa Bird
17 Sherman St Ste 2100 |
$58.07 | 67 | 61 |
|
Nabeela Khan Patail
207 Foote Ave |
$99.54 | 73 | 64 |
|
Visaharan Sivasubramaniam
207 Foote Ave |
$124.74 | 85 | 85 |
|
Frank Arnal
15 S Main St |
$29.81 | 86 | 86 |
|
Julie Michele Coppersmith
152 Foote Avenue |
$31.75 | 89 | 82 |
|
Dominick Cannone
15 S Main St |
$34.15 | 90 | 90 |
|
Colleen Scott
15 S Main St |
$106.54 | 100 | 99 |
|
Jacquelyn Peterson
320 Prather Ave |
$73.82 | 103 | 102 |
|
Nikhil Agrawal
15 S Main St Ste 110 |
$97.10 | 104 | 99 |
|
Gust P Verleni
890 E Second St |
$87.25 | 131 | 126 |
|
Robert Bailey
15 S Main St |
$70.43 | 138 | 134 |
|
Kaitlin Mae Ames
15 S Main St Ste 250 |
$67.51 | 142 | 131 |
|
Megan Caroline Micek
103 Allen St |
$50.02 | 149 | 146 |
|
Jill Clopp
207 Foote Ave. |
$46.06 | 158 | 154 |
|
Jordyn Sampson
31 Sherman St Ste 2200 |
$53.11 | 160 | 151 |
|
Jerry Varghese Thuthikattu John
15 S Main St Ste 150 |
$51.76 | 166 | 161 |
|
Timothy J O'Brien
27 Porter Ave |
$20.33 | 169 | 165 |
|
Shaden Alfallay
15 S Main St |
$55.48 | 169 | 167 |
|
Marisa Lynn Fisher
207 Foote Ave |
$37.27 | 176 | 176 |
|
William Difilippo
15 S Main St Ste 130 |
$17.19 | 183 | 180 |
|
Tammy Thayer
15 S Main St |
$57.09 | 183 | 176 |
|
Ellerie Chen
107 Institute St |
$72.30 | 193 | 80 |
|
Mark Tuccio
844 Fairmount Ave |
$35.07 | 203 | 185 |
|
Monir Chaudhry
560 W 3Rd St |
$79.74 | 219 | 218 |
|
Oludotun Adegoke
15 S Main St |
$78.48 | 220 | 210 |
|
Julia Mercy Clark
15 S Main St Ste 150 |
$13.40 | 237 | 232 |
|
James M Campbell
207 Foote Ave |
$90.74 | 237 | 235 |
|
Lioudmila Kaminiar
15 S Main St Ste 250 |
$67.29 | 256 | 248 |
|
Melissa A Mccracken
27 Porter Ave |
$28.34 | 258 | 251 |
|
Chelsea E Lanphere
207 Foote Ave |
$60.91 | 264 | 243 |
|
Tyler Joseph Gustafson
15 S Main St |
$67.14 | 264 | 259 |
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