Average Medicaid Office Visit Payments in Niagara Falls, NY: $62.72
Avg. Paid
$62.72
Range
$5.27 – $136.26
Total Claims
305,868
Providers
131
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 Niagara Falls, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Niagara Falls Memorial Medical Center
621 10Th St |
$105.17 | 79,690 | 68,143 |
|
Lydia Marie Georgiadis
571 10Th St |
$28.70 | 14,798 | 5,731 |
|
Jessica Mae Kline
3101 9Th St |
$21.56 | 12,951 | 4,410 |
|
Simmanjeet Mangat
620 10Th St Ste 704 |
$21.99 | 8,818 | 8,348 |
|
Mohammad Bilal Awan
4600 Military Rd |
$23.69 | 7,978 | 3,304 |
|
John Sauret
3101 9Th St |
$56.20 | 7,233 | 6,779 |
|
Robertus J. Salis
6937 Williams Rd |
$35.77 | 6,855 | 4,439 |
|
Kalaiselvi Rajendran
600 Pine Avenue |
$40.08 | 6,716 | 6,341 |
|
Veronica V Mason
2131 Sawyer Dr Ste 6 |
$41.90 | 6,481 | 6,328 |
|
Edward Ivan Brown
501 Tenth Street |
$32.62 | 6,223 | 4,231 |
|
Anita Chaudhuri
621 10Th St |
$58.09 | 6,025 | 5,909 |
|
Melissa Denise Fincher-Mergi
3003 9Th St |
$63.05 | 5,898 | 5,555 |
|
Jennifer Anne Battaglia
621 Tenth Street |
$68.57 | 5,501 | 5,385 |
|
Johnna Coleman
3117 Military Rd |
$54.78 | 5,331 | 4,924 |
|
Vicki M Wlock
6934 Williams Rd |
$57.84 | 5,268 | 4,127 |
|
Naresh K Jain
620 10Th Street #710 |
$61.44 | 4,862 | 4,798 |
|
Rebecca Lynn Balone
3117 Military Rd |
$85.35 | 4,785 | 4,605 |
|
Kristel A. Stevens
621 10Th St |
$60.61 | 4,773 | 4,533 |
|
Hamza Abbasi
2715 Highland Ave |
$30.87 | 4,665 | 2,292 |
|
Northpointe Council, Inc.
800 Main St Ste 2A |
$119.44 | 4,493 | 2,913 |
|
Kathryn Stawicki
6937 Williams Rd |
$31.24 | 4,210 | 4,024 |
|
Jayaselvi Kolli
6934 Elaine Dr |
$55.25 | 3,957 | 3,654 |
|
Robin Jindal
533 10Th St |
$26.80 | 3,775 | 3,615 |
|
Robert J Gadawski
6937 Williams Rd |
$56.90 | 3,319 | 3,231 |
|
Jude S Violante
1 Colomba Dr |
$68.72 | 3,297 | 3,194 |
|
Tej N Kaul
6937 Williams Rd |
$54.34 | 3,295 | 3,203 |
|
Richard Scott Castaldo
621 Tenth Street |
$15.80 | 3,292 | 3,067 |
|
Joseph Loor
203 68Th St |
$61.72 | 2,826 | 2,550 |
|
Patricia A Iacovitti
6937 Williams Rd |
$56.21 | 2,757 | 2,684 |
|
Robert John Taylor
6941 Elaine Dr |
$59.31 | 2,427 | 2,321 |
|
Christine Marie Dobrasz
6930 Williams Rd Ste 3700 |
$80.04 | 2,266 | 2,196 |
|
Jayanta Chaudhuri
4525 Witmer Rd |
$64.17 | 2,223 | 2,111 |
|
Shrutika Vasudeva
621 10Th St |
$50.03 | 2,200 | 1,792 |
|
Ayman A Farghaly
6937 Williams Rd |
$44.13 | 2,081 | 2,003 |
|
Santanu Som
3117 Military Rd |
$80.74 | 2,002 | 1,877 |
|
Olia Golimowski
10175 Niagara Falls Blvd Ste 1 |
$47.67 | 1,969 | 1,711 |
|
Edward Ventresca
10175 Niagara Falls Blvd |
$33.50 | 1,915 | 1,910 |
|
Hany R. Georgy Shehata
1001 11Th St |
$103.34 | 1,895 | 1,743 |
|
Sathia V. Nathan
6934 Williams Road |
$23.25 | 1,891 | 1,809 |
|
Roshia Mccoy
621 10Th St |
$9.37 | 1,721 | 1,501 |
|
Parmanand Kantalal Parikh
625 6Th St |
$54.41 | 1,689 | 1,595 |
|
Vincent Cheng-Chun Lee
10175 Niagara Falls Blvd |
$86.79 | 1,675 | 1,578 |
|
Shannon Anne Coleman
533 10Th St |
$15.32 | 1,642 | 1,432 |
|
Cassandra Marie Piccione
10175 Niagara Falls Blvd Unit 1 |
$77.56 | 1,628 | 1,606 |
|
Erin I Demarco
621 Tenth Street |
$11.85 | 1,590 | 1,373 |
|
Mohammad A Khan
6941 Elaine Dr |
$31.36 | 1,555 | 1,526 |
|
Niagara Falls Memorial Medical Center
621 10Th St |
$97.68 | 1,537 | 1,461 |
|
Douglas Allen Pearce
3117 Military Rd |
$62.27 | 1,411 | 1,388 |
|
Rajinder Pal Singh Bajwa
621 10Th St |
$19.38 | 1,393 | 1,118 |
|
Prabhakara Somayaji
549 4Th St Ste 1 |
$50.87 | 1,379 | 1,328 |
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 Niagara Falls, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Niagara Falls, NY is $62.72 per claim, based on 305,868 claims from 131 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 Niagara Falls, NY?
There are 131 Medicaid providers offering Office Visit related services in Niagara Falls, NY according to public payment data.
What is the price range for Office Visit in Niagara Falls, NY?
Medicaid reimbursement for Office Visit in Niagara Falls, NY ranges from $5.27 to $136.26 per claim, with an average of $62.72. 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 Niagara Falls, NY
Home Health Visit
Avg $142.20
1,159,545 claims
Blood Work & Lab Tests
Avg $8.96
163,887 claims
Case Management Services
Avg $195.58
113,841 claims
Dental Cleaning & Exam
Avg $38.19
109,158 claims
Psychiatric Evaluation
Avg $89.88
108,942 claims
Physical Therapy
Avg $43.67
96,912 claims
Non-Emergency Medical Transportation
Avg $43.65
68,506 claims
Vaccines & Immunizations
Avg $10.43
64,920 claims