Average Medicaid Office Visit Payments in Le Roy, NY: $58.77
Avg. Paid
$58.77
Range
$33.08 – $131.76
Total Claims
17,454
Providers
11
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 Le Roy, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elaine Lemley
3 Tountas Ave |
$44.94 | 13 | 13 |
|
Lindsey C. Waliszewski
3 Tountas Ave Ste 4 |
$33.08 | 18 | 13 |
|
Morgan Sullivan
127 W Main St |
$78.01 | 244 | 233 |
|
George Robert Vito
8745 Lake Street Rd |
$34.69 | 521 | 414 |
|
Lauren Elizabeth Loss
3 Tountas Ave Ste 4 |
$131.76 | 635 | 632 |
|
Amanda H Stermer
127 W Main St |
$87.58 | 769 | 735 |
|
Stanley Walter Ambis
3 Tountas Ave |
$66.61 | 1,320 | 1,224 |
|
Kellyrose Mary Nichols
8745 Lake Street Rd |
$78.70 | 1,595 | 1,505 |
|
Andrea Naomi Kudel
8745 Lake Street Rd |
$89.90 | 2,050 | 1,966 |
|
Deniz Mehmet Pirincci
3 Tountas Ave |
$65.26 | 2,658 | 2,474 |
|
Nayan Kumar Das
8230 E Main Rd |
$34.75 | 7,631 | 7,592 |
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 Le Roy, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Le Roy, NY is $58.77 per claim, based on 17,454 claims from 11 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 Le Roy, NY?
There are 11 Medicaid providers offering Office Visit related services in Le Roy, NY according to public payment data.
What is the price range for Office Visit in Le Roy, NY?
Medicaid reimbursement for Office Visit in Le Roy, NY ranges from $33.08 to $131.76 per claim, with an average of $58.77. 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 Le Roy, NY
Dental Cleaning & Exam
Avg $40.65
7,144 claims
Podiatry (Foot Care)
Avg $3.60
5,138 claims
Nursing Facility Care
Avg $7.62
4,262 claims
Psychiatric Evaluation
Avg $85.52
3,518 claims
Ambulance Transport
Avg $123.80
2,870 claims
Physical Therapy
Avg $62.82
2,554 claims
Home Health Visit
Avg $236.29
1,098 claims
Vaccines & Immunizations
Avg $13.44
693 claims