Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lewiston, NY: $57.41

Avg. Paid

$57.41

Range

$6.91 – $117.64

Total Claims

85,841

Providers

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 Lewiston, NY

Provider	Avg. Paid	Claims	Patients
Mount St. Mary'S Hospital Of Niagara Falls 5300 Military Rd	$24.55	21,488	17,776
Shawn P Ferguson 733 Center Street	$70.27	8,697	7,978
Elizabeth Marie Printup 2015 Mount Hope Rd	$50.72	6,299	5,802
Donna Poirier 733 Center St	$63.05	4,195	3,910
William T Goode 5320 Military Rd Ste 104	$62.38	4,100	4,083
Caitlin Mae Sprole 5300 Military Rd	$88.46	3,794	3,691
Baljinder Singh 5300 Military Rd	$85.95	3,458	3,379
Alfred Dennis Belen 5300 Military Rd	$62.33	2,995	2,962
Craig Cameron Miller 5320 Military Rd	$67.38	2,920	2,898
Stephen A Murak 5290 Military Rd Ste 10A&B	$88.72	2,830	2,805
Norman O Fiorica 5320 Military Rd Ste 105	$52.53	2,318	2,278
Steven P Bradley 5300 Military Rd	$89.05	2,125	2,104
Donna Azam Feldman 5927 Military Rd	$54.97	1,986	1,776
Susan Lee Wiepert 700 Center St	$117.64	1,805	1,763
Tiffany L Cap 5320 Military Rd Ste 104	$72.51	1,792	1,777
Joseph Andrzejewski 5300 Military Rd	$55.33	1,656	1,582
Kafai Lai 5320 Military Rd Ste 107	$73.39	1,451	1,372
Laura Marjorie Debacco 5927 Military Rd	$63.86	1,414	1,347
Tai Ho Shin 5290 Military Rd Ste 8	$89.63	1,372	1,371
Bethany Sirianni-Jones 5290 Military Road Suite # 8	$44.49	1,316	1,247
Sean Patrick Hailey 5290 Military Road Suite 10 A & B	$76.48	1,280	1,236
Gianna Marie Mcevoy 5300 Military Rd	$52.70	1,241	1,154
Arif Suhale Syed 5300 Military Rd	$72.99	1,037	1,010
Lachaundra Latrice Johnson 5300 Military Rd	$56.79	712	679
Felicia Lynn Cody 550 Colt Ave	$55.15	670	652
Andrea Marie Rosati 5290 Military Rd	$18.29	548	535
Stephen Edward Watkins 5320 Military Rd Ste 107	$55.87	533	520
Thomas R Gerbasi 733 Center Street	$63.71	350	319
Jayne C. Overholt 5290 Military Rd	$63.06	332	311
Rachel George Weselak 5300 Military Rd	$64.04	255	243
Robert L Bull 5320 Military Rd	$22.19	252	246
Philip Rhoney Fending 5300 Military Rd	$25.81	180	169
Renee T Baughman 5927 Military Rd	$56.63	167	161
Anna Mathew 5300 Military Rd	$89.87	89	84
Michelle Martelli-Drake 5300 Military Rd	$49.64	43	43
Jennifer Cathleen Russell 5300 Military Rd	$16.36	43	43
Xiaodan Zhou 5290 Military Rd Ste 10A	$15.06	34	34
Samantha Renee Wilhelm 5300 Military Rd	$67.82	19	19
Robert F Divencenzo 5300 Military Rd	$64.92	19	18
Richard T Jenkins 5320 Lewiston Rd,	$15.20	14	14
Britney Matthews 5320 Military Rd # 107B	$6.91	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 Lewiston, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lewiston, NY is $57.41 per claim, based on 85,841 claims from 41 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 Lewiston, NY?

There are 41 Medicaid providers offering Office Visit related services in Lewiston, NY according to public payment data.

What is the price range for Office Visit in Lewiston, NY?

Medicaid reimbursement for Office Visit in Lewiston, NY ranges from $6.91 to $117.64 per claim, with an average of $57.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Lewiston, NY: $57.41

Providers Offering Office Visit in Lewiston, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Lewiston, NY

Blood Work & Lab Tests

X-Ray

Emergency Room Visit

Urinalysis & Urine Tests

EKG / ECG (Electrocardiogram)

CT Scan (Computed Tomography)

Vaccines & Immunizations

Ultrasound