Average Medicaid Office Visit Payments in Lyons, NY: $119.77
Avg. Paid
$119.77
Range
$52.63 – $131.85
Total Claims
30,314
Providers
8
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 Lyons, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Wayne
1519 Nye Road |
$131.85 | 24,442 | 22,106 |
|
Marino D Tavarez
12 Leach Rd |
$69.60 | 5,361 | 5,085 |
|
Ronald S Yearwood
1519 Nye Rd Ste 110 |
$75.78 | 185 | 165 |
|
Heather Rose Pryor
1529 Nye Rd |
$52.63 | 133 | 128 |
|
Odysseus Adamides
1519 Nye Rd |
$69.36 | 110 | 107 |
|
Haidee I Pidor
1519 Nye Rd |
$74.85 | 56 | 49 |
|
Harlan Kosson
1519 Nye Rd |
$78.89 | 15 | 12 |
|
Susan Elaine Jackson
12 Leach Rd |
$78.68 | 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 Lyons, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lyons, NY is $119.77 per claim, based on 30,314 claims from 8 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 Lyons, NY?
There are 8 Medicaid providers offering Office Visit related services in Lyons, NY according to public payment data.
What is the price range for Office Visit in Lyons, NY?
Medicaid reimbursement for Office Visit in Lyons, NY ranges from $52.63 to $131.85 per claim, with an average of $119.77. 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 Lyons, NY
Psychiatric Evaluation
Avg $139.39
97,088 claims
Dental Cleaning & Exam
Avg $34.90
13,424 claims
Physical Therapy
Avg $58.10
12,095 claims
Substance Abuse Treatment
Avg $55.60
11,863 claims
Ambulance Transport
Avg $86.15
6,493 claims
Case Management Services
Avg $31.10
5,130 claims
Speech Therapy
Avg $26.46
4,481 claims
Hearing Test (Audiometry)
Avg $30.79
1,996 claims