Average Medicaid Office Visit Payments in Kenmore, NY: $72.88
Avg. Paid
$72.88
Range
$23.81 – $119.57
Total Claims
18,060
Providers
27
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 Kenmore, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
George A Haddad
3800 Delaware Ave |
$86.77 | 7,346 | 6,945 |
|
James F Twist
2156 Sheridan Dr |
$49.38 | 1,842 | 1,665 |
|
Mental Health Services-Erie County Northwest Corporation I
2495 Elmwood Ave |
$103.29 | 1,758 | 1,628 |
|
Khalid S Mahran
2949 Elmwood Avenue |
$56.03 | 1,518 | 1,327 |
|
Stuart Nocera
2950 Elmwood Ave Ste A1 |
$36.75 | 918 | 888 |
|
Richard Allan Caputi
3407 Delaware Ave |
$119.57 | 720 | 719 |
|
Kelly E Farrell
2950 Elmwood Ave # A1 |
$65.67 | 707 | 692 |
|
Kourtney Lenea Waggoner
2950 Elmwood Ave Ste A1 |
$50.18 | 610 | 557 |
|
Katherine Gabrielle Rodriguez
2780 Delaware Ave Ste 201 |
$47.84 | 407 | 398 |
|
David B Lillie
3800 Delaware Ave |
$50.36 | 295 | 290 |
|
Kenmore Mercy Hospital
2950 Elmwood Ave |
$23.81 | 288 | 277 |
|
Lindsay Bota
2780 Delaware Ave |
$51.49 | 284 | 277 |
|
Rose Theresa Palazzo
3834 Delaware Ave |
$56.69 | 206 | 201 |
|
Daniel J Brown
2950 Elmwood Ave # A |
$48.94 | 200 | 198 |
|
Megan Gerwitz
2950 Elmwood Ave Ste A1 |
$33.19 | 176 | 169 |
|
Robert J Powalski
3834 Delaware Ave |
$63.54 | 175 | 169 |
|
Joelle Marie Kozierowski
2950 Elmwood Ave |
$47.62 | 166 | 166 |
|
Paul Campana
2914 Elmwood Ave |
$35.40 | 126 | 117 |
|
Jodi Susan Ball
3834 Delaware Ave |
$60.50 | 109 | 105 |
|
Bryana Baer
165 W Hazeltine Ave |
$67.66 | 56 | 56 |
|
Young H Tato
32 Wardman Rd |
$25.10 | 38 | 38 |
|
Sarah H Spillman
2780 Delaware Ave |
$48.75 | 36 | 36 |
|
James Patrick Goode
246 Coventry Road |
$37.61 | 30 | 29 |
|
Timothy R Rasmusson
2914 Elmwood Ave |
$85.94 | 13 | 13 |
|
Alan Martin Antfleck
3800 Delaware Ave |
$79.00 | 12 | 12 |
|
Ashvani K Gulati
Buffalo Eye Center |
$92.38 | 12 | 12 |
|
Diane H Fortman
2448 Elmwood Ave |
$32.09 | 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 Kenmore, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kenmore, NY is $72.88 per claim, based on 18,060 claims from 27 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 Kenmore, NY?
There are 27 Medicaid providers offering Office Visit related services in Kenmore, NY according to public payment data.
What is the price range for Office Visit in Kenmore, NY?
Medicaid reimbursement for Office Visit in Kenmore, NY ranges from $23.81 to $119.57 per claim, with an average of $72.88. 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 Kenmore, NY
Home Health Visit
Avg $72.58
104,129 claims
Blood Work & Lab Tests
Avg $6.40
96,825 claims
Physical Therapy
Avg $41.96
84,049 claims
Emergency Room Visit
Avg $158.59
41,625 claims
Speech Therapy
Avg $58.91
39,386 claims
Urinalysis & Urine Tests
Avg $1.16
24,827 claims
Case Management Services
Avg $26.67
20,419 claims
Behavioral & Mental Health Therapy
Avg $121.59
18,864 claims