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 |
|---|---|---|---|
|
Theresa Wendel Ruddy
5100 W Taft Rd Ste 4A |
$38.67 | 12 | 12 |
|
Jack Alan Ziegler
5100 W Taft Rd |
$82.19 | 12 | 12 |
|
Ronald James Heberger
8324 Oswego Rd Ste D |
$76.96 | 12 | 12 |
|
Mark Philip Breazzano
200 Greenfield Pkwy |
$59.85 | 13 | 13 |
|
Kelly Finn
4820 W Taft Rd Ste 108 |
$72.33 | 13 | 13 |
|
Waseem Hassan Ahangar
7250 Janus Park Dr |
$130.12 | 13 | 13 |
|
Michele Bravo Scott
7449 Morgan Rd |
$99.59 | 14 | 14 |
|
Kevin I Rosenberg
200 Greenfield Pkwy |
$82.25 | 14 | 12 |
|
Michael Robert Nolan
8100 Oswego Road |
$64.81 | 14 | 13 |
|
Rajeev K. Seth
200 Greenfield Pkwy |
$82.44 | 16 | 15 |
|
Elan W Salzhauer
5100 W Taft Rd |
$92.65 | 16 | 16 |
|
Steven R Delisle
8324 Oswego Rd Ste D |
$63.23 | 17 | 17 |
|
St Josephs Medical Pc
5100 W Taft Rd |
$21.38 | 18 | 13 |
|
Hani Alkhouri
5100 W Taft Rd |
$62.68 | 19 | 17 |
|
Matthew Romano
5112 W Taft Rd |
$58.63 | 24 | 24 |
|
Angelo R. Derosalia
5100 W Taft Rd |
$151.14 | 25 | 25 |
|
Travis Paul Webb
5100 W Taft Rd |
$143.49 | 25 | 25 |
|
Charles Perla
5112 W Taft Rd Ste 4J |
$51.64 | 27 | 26 |
|
August R Buerkle
5100 W Taft Rd |
$50.21 | 30 | 29 |
|
Rachel Swart
4811 Buckley Rd |
$94.09 | 31 | 28 |
|
David Bataille
526 Old Liverpool Rd |
$51.06 | 44 | 30 |
|
Connor Maile
4811 Buckley Rd |
$80.71 | 47 | 47 |
|
Tina Winter
4820 W Taft Rd |
$25.62 | 51 | 51 |
|
Carol Melinda Stevens
5100 W Taft Rd Ste 1C |
$81.48 | 53 | 51 |
|
Jesse Thomas Ryan
5100 W Taft Rd Ste 3E |
$96.61 | 55 | 54 |
|
Alessandro Giambartolomei
4820 W Taft Rd |
$84.46 | 55 | 55 |
|
Patrick Rafael Oellers
200 Greenfield Pkwy |
$93.99 | 62 | 61 |
|
Menatallah Ihab Elkoush
4820 W Taft Rd Ste 108 |
$49.98 | 76 | 41 |
|
Chad Robert Rounds
8132B Oswego Rd |
$61.72 | 83 | 80 |
|
Mark Arnold
5100 W Taft Rd Ste 3E |
$116.32 | 85 | 85 |
|
Lisa J. Isabell
5100 W Taft Rd |
$4.77 | 87 | 52 |
|
Justin Beabes
8132B Oswego Rd |
$57.70 | 92 | 84 |
|
Brenda R Van Fossen
7375 Oswego Rd |
$64.26 | 94 | 91 |
|
Lanice Thomas
5100 W Taft Rd |
$102.31 | 99 | 95 |
|
Christian L Holcomb
8134A Oswego Rd |
$67.59 | 104 | 102 |
|
Karen Sue Pulvino
3585 Redhead Ter |
$0.00 | 113 | 98 |
|
Tayibba Hafeez
4811 Buckley Road |
$67.06 | 119 | 113 |
|
Maia Czarnecki
5100 W Taft Rd |
$193.48 | 120 | 107 |
|
Atul Maini
5100 W Taft Rd Ste 2E |
$113.22 | 143 | 143 |
|
Kim-Anh Ngoc Pham
201 Monarch Dr |
$90.23 | 151 | 140 |
|
Seth S Greenky
5100 W Taft Rd |
$52.04 | 160 | 158 |
|
Margaret Plocek
5100 W Taft Rd |
$35.46 | 165 | 111 |
|
Dana Zaborowski
4820 W Taft Rd |
$84.37 | 165 | 161 |
|
Megan C. Boyles
4811 Buckley Rd |
$57.82 | 182 | 174 |
|
Nedim Ruhotina
100 Metropolitan Park Drive |
$55.77 | 219 | 216 |
|
Jenna Wagenblatt
5100 W Taft Rd # L |
$112.59 | 235 | 229 |
|
Meriem Djouini
7335 Morgan Rd |
$60.34 | 235 | 229 |
|
Shari Lyn England
7375 Oswego Rd Ste 1 |
$58.90 | 272 | 270 |
|
Courtney B Mccree
7375 Oswego Rd Ste 1 |
$80.11 | 277 | 272 |
|
Robert J Weiss
5100 W Taft Rd |
$96.78 | 287 | 277 |
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