Average Medicaid Office Visit Payments in Liverpool, NY: $81.33
Avg. Paid
$81.33
Range
$0.00 – $193.48
Total Claims
595,000
Providers
162
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 Liverpool, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wellnow Urgent Care, Pc
7375 Oswego Rd |
$105.32 | 168,171 | 161,460 |
|
Chima O Chionuma
7711 Oswego Road |
$90.32 | 50,781 | 32,493 |
|
Angelle M Cresswell
1 Garnoch Ct |
$40.01 | 36,667 | 29,582 |
|
Michael Todd Schiano
5100 W Taft Rd |
$55.60 | 32,555 | 16,342 |
|
Maribel Quinones-Guzman
5100 W Taft Rd |
$70.98 | 31,541 | 27,763 |
|
Robert Albert Dracker
4811 Buckley Rd |
$77.38 | 12,888 | 12,015 |
|
Hui Hing Tin
5112 W Taft Road |
$87.90 | 11,973 | 11,412 |
|
Thomas J Romano
5112 W Taft Rd |
$60.88 | 10,713 | 10,681 |
|
Amy Lynn Kasperek
5100 W Taft Rd |
$69.95 | 10,010 | 9,814 |
|
Joseph Anthony Morabito
5100 W Taft Rd |
$97.21 | 7,952 | 7,717 |
|
Jennie L Brown
5100 W Taft Rd |
$69.56 | 7,599 | 7,396 |
|
Wei-Yu Chou
5100 W Taft Rd |
$74.29 | 7,296 | 7,206 |
|
Martin Schaeffer
7449 Morgan Rd |
$73.50 | 7,173 | 6,970 |
|
Michael H Tong
5100 W Taft Rd |
$72.58 | 7,114 | 6,875 |
|
Daniel L Mendez
7449 Morgan Rd |
$70.99 | 5,969 | 5,846 |
|
Katherine Dunham
4811 Buckley Rd |
$81.77 | 5,674 | 5,394 |
|
Fozia Bakshi
4811 Buckley Rd |
$94.63 | 5,459 | 5,018 |
|
James A. Loomis
5100 W Taft Rd |
$76.78 | 5,448 | 5,346 |
|
Nicole Autumn Mirjafari
5100 W Taft Rd Ste 1B |
$43.34 | 5,055 | 4,855 |
|
Grace Geno
4811 Buckley Rd |
$84.81 | 4,878 | 4,724 |
|
Christopher Montanaro
106 Metropolitan Park Dr |
$46.42 | 4,863 | 1,930 |
|
Scott Allan
5100 West Taft Road. |
$82.79 | 4,826 | 4,771 |
|
Nickolas Izzo
5100 W Taft Rd Ste 1D |
$76.06 | 4,748 | 4,644 |
|
Young Il Seo
7449 Morgan Rd |
$72.10 | 4,556 | 4,470 |
|
Eva F Briggs
5100 W Taft Rd |
$87.62 | 4,537 | 4,489 |
|
Bethany Sly
4811 Buckley Rd |
$60.38 | 4,447 | 4,402 |
|
Kyle Kowalewski
7375 Oswego Rd |
$58.07 | 4,176 | 4,128 |
|
Holly Jean Fike
5100 W Taft Rd |
$79.64 | 4,151 | 3,941 |
|
Beth Michelle Burghardt
5100 W Taft Rd |
$118.09 | 3,805 | 3,762 |
|
John Romano
5112 W Taft Rd Ste H |
$66.84 | 3,570 | 3,566 |
|
Renee Boulware
4811 Buckley Rd |
$85.81 | 3,529 | 3,361 |
|
Sylvia Lee
5100 W Taft Rd |
$67.29 | 3,509 | 3,317 |
|
Alexandra Cobb
7375 Oswego Rd |
$54.20 | 3,404 | 3,383 |
|
Conifer Park, Inc.
526 Old Liverpool Rd |
$95.48 | 3,366 | 2,130 |
|
Tiffany Chere Damon
20 Apricot Ln |
$63.08 | 3,350 | 2,015 |
|
Borys Buniak
5112 W Taft Rd |
$62.02 | 3,201 | 3,192 |
|
Julie Rynee' Cayea
7375 Oswego Rd |
$52.53 | 3,200 | 3,183 |
|
Hooman Ranjbaran-Jahromi
4820 W Taft Rd |
$66.65 | 3,185 | 3,134 |
|
John W Michaels
8100 Oswego Rd |
$91.75 | 3,171 | 3,013 |
|
Michael Colin Riley
4811 Buckley Rd |
$90.10 | 2,996 | 2,877 |
|
Brandon William Crandall
5100 West Taft Rd. |
$61.79 | 2,668 | 2,655 |
|
Sara M Gosselin
5112 W Taft Rd |
$73.23 | 2,443 | 2,434 |
|
Lisa Carter
4811 Buckley Rd |
$85.58 | 2,442 | 2,405 |
|
Heather J Finger
8324 Oswego Rd Ste D |
$79.07 | 2,394 | 2,306 |
|
Elise Heick Blodgett
5100 W Taft Rd Ste 1C |
$63.83 | 2,360 | 2,338 |
|
Denny J Battista
7449 Morgan Rd |
$71.38 | 2,327 | 2,270 |
|
David R Brubaker
7375 Oswego Rd |
$61.16 | 2,264 | 2,184 |
|
Purnima Vyavaharkar
8400 Oswego Rd |
$59.59 | 2,226 | 2,049 |
|
Ryan Grabiec
7375 Oswego Rd |
$61.73 | 2,207 | 2,190 |
|
Edward G Wolfe
5100 W Taft Rd |
$85.13 | 2,167 | 2,145 |
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 Liverpool, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Liverpool, NY is $81.33 per claim, based on 595,000 claims from 162 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 Liverpool, NY?
There are 162 Medicaid providers offering Office Visit related services in Liverpool, NY according to public payment data.
What is the price range for Office Visit in Liverpool, NY?
Medicaid reimbursement for Office Visit in Liverpool, NY ranges from $0.00 to $193.48 per claim, with an average of $81.33. 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 Liverpool, NY
Blood Work & Lab Tests
Avg $4.47
508,815 claims
Urinalysis & Urine Tests
Avg $3.76
114,148 claims
Vaccines & Immunizations
Avg $14.55
103,634 claims
Dental Cleaning & Exam
Avg $40.86
74,101 claims
Substance Abuse Treatment
Avg $26.09
63,329 claims
Culture & Microbiology Tests
Avg $5.54
59,060 claims
Physical Therapy
Avg $47.59
53,230 claims
Durable Medical Equipment (DME)
Avg $53.55
45,801 claims