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 |
|---|---|---|---|
|
County Of Niagara
1001-Tth Street |
$133.09 | 12 | 12 |
|
Sonjoy Singh
7300 Porter Rd |
$89.02 | 13 | 13 |
|
Frank Ferraro
256 3Rd St |
$63.98 | 14 | 12 |
|
Clayton Louis Del Prince
6934 Williams Rd Ste 600 |
$84.40 | 14 | 14 |
|
Jillian L Beyer
6500 Porter Rd Ste 2020 |
$109.48 | 17 | 17 |
|
Edwin J Anand
2900 Military Rd |
$54.12 | 17 | 16 |
|
Harold V Reubens
7300 Porter Rd |
$57.90 | 25 | 25 |
|
Hee K Choi
549 4Th St |
$48.89 | 29 | 25 |
|
David Okolica
621 10Th St |
$94.44 | 30 | 30 |
|
Richard L Sawicki
8657 Buffalo Avenue |
$52.63 | 37 | 37 |
|
Michael R Stoffman
6930 Williams Rd Ste 3800 |
$121.13 | 39 | 38 |
|
Ashok Singh
7300 Porter Rd |
$75.75 | 41 | 38 |
|
Jawdat Mustafa
6934 Williams Rd Ste 500 |
$16.23 | 45 | 43 |
|
Rachel Graci
621 10Th St Fl 4 |
$58.12 | 55 | 55 |
|
Franco E Vigna
6941 Williams Rd |
$37.94 | 58 | 54 |
|
Donna M Gasparro
6934 Williams Rd Ste 500 |
$28.89 | 59 | 56 |
|
Jennifer Earsing
4600 Military Rd Ste A |
$13.25 | 60 | 59 |
|
Shaan E Alam
621 10Th St |
$30.90 | 66 | 65 |
|
Kristen Lynn Smyers
10175 Niagara Falls Blvd Ste 1 |
$70.47 | 68 | 68 |
|
Cheryl A Patterson-Reeves
3117 Military Rd |
$30.05 | 76 | 70 |
|
Patricia M Shea
7300 Porter Rd |
$62.44 | 76 | 76 |
|
Heather Grimwood
571 10Th St |
$77.25 | 77 | 77 |
|
Tammy Pesaresi
621 10Th St |
$6.86 | 80 | 77 |
|
Samantha Noelle Morreale
2931 Military Rd |
$85.06 | 86 | 85 |
|
John Paul Swinarski
6941 Williams Rd |
$95.47 | 92 | 90 |
|
Gloria J White
6951 Williams Rd |
$51.14 | 94 | 87 |
|
Vivian Karen Gerard
419 Walnut Ave |
$62.55 | 111 | 109 |
|
Kathleen J Cloutier
621 10Th St |
$51.90 | 113 | 113 |
|
Muammer Altok
10175 Niagara Falls Blvd |
$31.11 | 113 | 111 |
|
Frank R Laurri
10175 Niagara Falls Blvd Ste 1 |
$55.66 | 118 | 112 |
|
Lynne Marie Clark
621 10Th St |
$15.80 | 118 | 113 |
|
Joanne E Williams
6941 Elaine Drive |
$51.27 | 127 | 127 |
|
Margaret A Desmarais
3117 Military Rd |
$41.30 | 130 | 116 |
|
Prem Krishan Tambar
151 Buffalo Ave |
$49.97 | 131 | 130 |
|
Jennifer Jo Adamson
3003 9Th St |
$32.75 | 149 | 132 |
|
Steven I Bench Od, Pc
151 Buffalo Ave |
$47.66 | 166 | 166 |
|
Samuel R Sirianni
1 Colomba Dr |
$77.11 | 168 | 166 |
|
Arthur C Downie
2931 Military Rd |
$22.03 | 184 | 175 |
|
Ryan John Clarke
6950 Williams Rd |
$58.12 | 186 | 176 |
|
Jesse Fodero
6934 Williams Rd Ste 600 |
$62.29 | 201 | 189 |
|
Corinna Marie Donner
3117 Military Rd |
$79.33 | 201 | 184 |
|
Ramandeep Kaur
571 10Th St Ste 264A |
$12.95 | 251 | 249 |
|
Mary C Haney
2931 Military Rd |
$40.46 | 254 | 247 |
|
Jeannette Buscaglia
10175 Niagara Falls Blvd Ste 1 |
$45.86 | 257 | 257 |
|
Nikita Rose Depronio
6934 Williams Rd Ste 200 |
$38.91 | 264 | 242 |
|
Mohamed Said Ahmed
2931 Military Rd |
$39.48 | 265 | 233 |
|
Maria Jerevasimeonova
10175 Niagara Falls Blvd Ste 1 |
$63.99 | 275 | 266 |
|
Sujatha Addagatla
2900 Military Rd |
$34.93 | 278 | 274 |
|
Sumera Shah
621 10Th St |
$10.27 | 339 | 327 |
|
Kasey Jolee Weaver
10175 Niagara Falls Blvd |
$71.40 | 350 | 336 |
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