Average Medicaid Office Visit Payments in Medina, NY: $54.52
Avg. Paid
$54.52
Range
$27.88 – $255.01
Total Claims
19,250
Providers
14
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 Medina, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Syed Hasan Raza
711 Park Avenue Building 1 Ste 202 |
$38.38 | 4,184 | 3,912 |
|
Khurrum Sanaullah
100 Ohio St Ste 2 |
$70.76 | 3,602 | 3,296 |
|
Thomas J Madejski
100 Ohio St |
$65.14 | 3,480 | 3,298 |
|
Minnie R Clark
200 Ohio St |
$39.75 | 3,396 | 1,309 |
|
Marcel Rozario
100 Ohio St |
$72.36 | 1,312 | 1,225 |
|
Joseph M Misiti
11075 W Center Street Ext |
$27.88 | 1,096 | 1,026 |
|
Michele R Odrobina
11225 Maple Ridge Rd |
$57.70 | 862 | 843 |
|
Pamela Ann Eaton
100 Ohio St |
$72.26 | 578 | 521 |
|
Mary Elizabeth Remollino
11225 Maple Ridge Rd |
$54.25 | 334 | 327 |
|
Janet Marie Wysocki Freer
100 Ohio St |
$90.99 | 195 | 195 |
|
Surinder S. Bath
911 W Center St |
$64.22 | 148 | 125 |
|
Orleans Community Health
200 Ohio St |
$255.01 | 33 | 27 |
|
Jill E Klotzbach
11075 W Center Street Ext |
$57.44 | 17 | 15 |
|
John Moriarty
512 Beach Dr |
$53.31 | 13 | 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 Medina, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Medina, NY is $54.52 per claim, based on 19,250 claims from 14 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 Medina, NY?
There are 14 Medicaid providers offering Office Visit related services in Medina, NY according to public payment data.
What is the price range for Office Visit in Medina, NY?
Medicaid reimbursement for Office Visit in Medina, NY ranges from $27.88 to $255.01 per claim, with an average of $54.52. 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 Medina, NY
Blood Work & Lab Tests
Avg $22.22
49,952 claims
Emergency Room Visit
Avg $176.08
13,879 claims
X-Ray
Avg $6.82
9,252 claims
Physical Therapy
Avg $67.53
7,586 claims
Nursing Facility Care
Avg $8.65
6,768 claims
Ambulance Transport
Avg $141.37
6,733 claims
Urinalysis & Urine Tests
Avg $10.76
5,151 claims
Vaccines & Immunizations
Avg $15.04
1,841 claims