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 |
|---|---|---|---|
|
Julie A. Madejski
5846 Snyder Dr |
$95.49 | 12 | 12 |
|
Ann Wands
6950 S Transit Rd |
$33.64 | 12 | 12 |
|
Mary Alexandra Schriever
1149 Lincoln Ave |
$64.46 | 12 | 12 |
|
Colin J Mcmahon
521 East Ave |
$56.36 | 12 | 12 |
|
Thomas Hughes
64 Davison Ct |
$60.26 | 12 | 12 |
|
Brijendra Kumar Gupta
6713 Lincoln Avenue |
$45.37 | 15 | 13 |
|
Jasmeet Gill
6000 Brockton Dr |
$69.46 | 24 | 24 |
|
Craig Michael Roberto
6000 Brockton Dr |
$63.26 | 24 | 24 |
|
Allison Keitz
3644 Day Road |
$63.43 | 28 | 28 |
|
Bianca Angelica Belli
5875 S. Transit Road |
$20.30 | 31 | 27 |
|
Jesenia Cruz
6950 S Transit Rd |
$75.04 | 36 | 35 |
|
Toni M Bielec
6000 Brockton Dr |
$59.87 | 37 | 36 |
|
Ethan Boryszak
5683 S Transit Rd |
$57.21 | 48 | 48 |
|
Mark Varallo
670 Davison Rd |
$63.52 | 58 | 54 |
|
Francesco Antonio Scarpelli
702 Davison Rd |
$61.75 | 63 | 63 |
|
Robert Wayne Hodge
160 East Ave |
$41.22 | 73 | 70 |
|
Nicholas Varallo
670 Davison Road |
$75.56 | 108 | 102 |
|
Gabrielle L Sullivan
637 Davison Rd |
$66.62 | 133 | 129 |
|
Kaitlyn A Wojewoda
139 Professional Pkwy |
$48.99 | 144 | 137 |
|
Harry I Zirna
6272 Robinson Road |
$42.52 | 146 | 146 |
|
Charlene L Conley
6009 S Transit Rd |
$54.86 | 147 | 141 |
|
Jessica Adele Claire Stengel
5801 S Transit Rd # 280-6589 |
$78.61 | 174 | 174 |
|
Margaret Ann Libby
5854A Snyder Dr |
$61.79 | 177 | 170 |
|
Jane K James
5879 Snyder Dr |
$92.80 | 191 | 182 |
|
Amrit P Singh
64 Davison Ct |
$42.06 | 232 | 232 |
|
Frederick J Piwko
3805 Lockport Olcott Rd |
$49.99 | 233 | 228 |
|
Christine Maria Bull
165 Locust St |
$6.70 | 235 | 201 |
|
Michele Ann Potempa
5879 Snyder Dr |
$51.22 | 281 | 276 |
|
Jody Grahn
251 East Ave |
$71.44 | 313 | 298 |
|
Jeffrey John Schratz
160 East Ave |
$49.68 | 374 | 359 |
|
Rajeswara Nagalla
131 East Ave |
$56.82 | 380 | 356 |
|
Jessica Lynn Gill
139 Professional Pkwy |
$76.36 | 391 | 372 |
|
Elisabeth Allen
5879 Snyder Dr |
$58.83 | 411 | 399 |
|
Courtney Elizabeth Dunn
5801 S Transit Rd |
$60.48 | 411 | 404 |
|
Lauren Renee Sauvageau
77 Elizabeth Dr |
$61.05 | 476 | 465 |
|
Jenna Christine Van Dusen
6950 S Transit Rd |
$58.60 | 489 | 473 |
|
Roger George Jammal
Ulrich City Centre |
$50.55 | 545 | 497 |
|
James Robert Hanna
690 Davison Rd |
$42.16 | 546 | 520 |
|
Margaret Ann Novotny
57 Davison Ct |
$66.50 | 608 | 586 |
|
Christopher Pease
1149 Lincoln Ave |
$55.99 | 649 | 637 |
|
Shannon L Mccrory
1149 Lincoln Ave |
$56.08 | 691 | 681 |
|
Maria Janine Dziekan
5949 Campbell Blvd |
$77.37 | 1,063 | 1,038 |
|
Adele Cecilia Burch
4228 Ridge Rd |
$48.56 | 1,079 | 1,047 |
|
Wayne Allen Leblanc
6334 Robinson Rd |
$64.68 | 1,119 | 1,089 |
|
Rachna Bharti
38 Heritage Ct |
$28.48 | 1,200 | 584 |
|
Amandeep Pal
6334 Robinson Rd |
$66.42 | 1,229 | 1,214 |
|
Sara Ann Altieri
5846 Snyder Dr |
$72.24 | 1,418 | 1,189 |
|
Prashant Pendyala
53 Elizabeth Dr |
$74.47 | 1,418 | 1,396 |
|
Maureen C Kelly
6001 Shimer Dr |
$54.78 | 1,433 | 1,386 |
|
Gregory Thomas Jehrio
393 Davison Rd |
$41.92 | 1,641 | 1,539 |
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