Average Medicaid Office Visit Payments in Lockport, NY: $75.48
Avg. Paid
$75.48
Range
$6.70 – $184.22
Total Claims
113,471
Providers
72
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 Lockport, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Obot Asuquo Obot
20 Reed St |
$87.57 | 12,109 | 9,495 |
|
Michael J Ostolski
702 Davison Rd |
$60.52 | 10,781 | 10,099 |
|
Eastern Niagara Hospital, Inc
521 East Ave |
$100.98 | 8,666 | 8,451 |
|
County Of Niagara
5467 Upper Mountain Road |
$142.61 | 8,242 | 7,903 |
|
William J Baier
139 Professional Parkway |
$71.57 | 7,125 | 6,773 |
|
Melissa N Sciolino
139 Professional Parkway |
$68.67 | 4,809 | 4,549 |
|
Patricia J Danaher
5949 Campbell Blvd |
$68.34 | 3,953 | 3,778 |
|
Debora A Sippel
139 Professional Parkway |
$68.20 | 3,854 | 3,689 |
|
Christopher Beney
1149 Lincoln Ave |
$55.51 | 3,368 | 3,256 |
|
Melissa Diane Heffler
239 Bewley Building |
$184.22 | 3,042 | 1,363 |
|
Chelsea L Mckenna
139 Professional Pkwy |
$62.84 | 2,892 | 2,748 |
|
Mirza M Beg
521 East Ave |
$34.22 | 2,618 | 1,555 |
|
Madison D Durham
38 Heritage Ct |
$43.03 | 2,585 | 2,101 |
|
Narinder Kaur
5879 Snyder Dr |
$42.39 | 2,550 | 2,309 |
|
Angelo Joseph Campagna
Ulrich City Centre |
$54.08 | 2,483 | 2,408 |
|
New Directions Youth & Family Services Inc
6395 Old Niagara Rd |
$85.58 | 2,480 | 2,299 |
|
Lindsey Carol Thering
1149 Lincoln Ave |
$57.48 | 2,240 | 2,169 |
|
Chad A Shepherd
1149 Lincoln Ave |
$56.99 | 2,086 | 2,068 |
|
Karey M Schmelz
1149 Lincoln Ave |
$57.06 | 1,850 | 1,807 |
|
Edgar B Bassig
5875 S Transit Rd |
$48.05 | 1,758 | 1,549 |
|
Sangeeta Gupta
175 Walnut St Ste 7 |
$55.22 | 1,709 | 1,648 |
|
Melanie Alissa Leberman
5879 Snyder Dr |
$72.20 | 1,689 | 1,608 |
|
Gregory Thomas Jehrio
393 Davison Rd |
$41.92 | 1,641 | 1,539 |
|
Maureen C Kelly
6001 Shimer Dr |
$54.78 | 1,433 | 1,386 |
|
Sara Ann Altieri
5846 Snyder Dr |
$72.24 | 1,418 | 1,189 |
|
Prashant Pendyala
53 Elizabeth Dr |
$74.47 | 1,418 | 1,396 |
|
Amandeep Pal
6334 Robinson Rd |
$66.42 | 1,229 | 1,214 |
|
Rachna Bharti
38 Heritage Ct |
$28.48 | 1,200 | 584 |
|
Wayne Allen Leblanc
6334 Robinson Rd |
$64.68 | 1,119 | 1,089 |
|
Adele Cecilia Burch
4228 Ridge Rd |
$48.56 | 1,079 | 1,047 |
|
Maria Janine Dziekan
5949 Campbell Blvd |
$77.37 | 1,063 | 1,038 |
|
Shannon L Mccrory
1149 Lincoln Ave |
$56.08 | 691 | 681 |
|
Christopher Pease
1149 Lincoln Ave |
$55.99 | 649 | 637 |
|
Margaret Ann Novotny
57 Davison Ct |
$66.50 | 608 | 586 |
|
James Robert Hanna
690 Davison Rd |
$42.16 | 546 | 520 |
|
Roger George Jammal
Ulrich City Centre |
$50.55 | 545 | 497 |
|
Jenna Christine Van Dusen
6950 S Transit Rd |
$58.60 | 489 | 473 |
|
Lauren Renee Sauvageau
77 Elizabeth Dr |
$61.05 | 476 | 465 |
|
Elisabeth Allen
5879 Snyder Dr |
$58.83 | 411 | 399 |
|
Courtney Elizabeth Dunn
5801 S Transit Rd |
$60.48 | 411 | 404 |
|
Jessica Lynn Gill
139 Professional Pkwy |
$76.36 | 391 | 372 |
|
Rajeswara Nagalla
131 East Ave |
$56.82 | 380 | 356 |
|
Jeffrey John Schratz
160 East Ave |
$49.68 | 374 | 359 |
|
Jody Grahn
251 East Ave |
$71.44 | 313 | 298 |
|
Michele Ann Potempa
5879 Snyder Dr |
$51.22 | 281 | 276 |
|
Christine Maria Bull
165 Locust St |
$6.70 | 235 | 201 |
|
Frederick J Piwko
3805 Lockport Olcott Rd |
$49.99 | 233 | 228 |
|
Amrit P Singh
64 Davison Ct |
$42.06 | 232 | 232 |
|
Jane K James
5879 Snyder Dr |
$92.80 | 191 | 182 |
|
Margaret Ann Libby
5854A Snyder Dr |
$61.79 | 177 | 170 |
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 Lockport, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lockport, NY is $75.48 per claim, based on 113,471 claims from 72 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 Lockport, NY?
There are 72 Medicaid providers offering Office Visit related services in Lockport, NY according to public payment data.
What is the price range for Office Visit in Lockport, NY?
Medicaid reimbursement for Office Visit in Lockport, NY ranges from $6.70 to $184.22 per claim, with an average of $75.48. 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 Lockport, NY
Physical Therapy
Avg $57.50
76,708 claims
Psychiatric Evaluation
Avg $133.33
56,320 claims
Blood Work & Lab Tests
Avg $7.82
53,036 claims
Vaccines & Immunizations
Avg $12.75
35,095 claims
Dental Cleaning & Exam
Avg $38.61
28,308 claims
Substance Abuse Treatment
Avg $188.27
23,973 claims
Behavioral & Mental Health Therapy
Avg $74.63
21,754 claims
Speech Therapy
Avg $28.68
18,999 claims