Average Medicaid Office Visit Payments in North Chili, NY: $52.42
Avg. Paid
$52.42
Range
$33.62 – $103.20
Total Claims
25,487
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 North Chili, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nancy Ann Ciavarri
4201 Buffalo Road |
$33.62 | 13,460 | 7,965 |
|
Mark Anthony Klier
4415 Buffalo Rd |
$67.07 | 5,156 | 4,298 |
|
Rachel J Forberg
4201 Buffalo Rd Ste 1 |
$78.64 | 1,880 | 1,743 |
|
Jonathan Hager
4201 Bufffalo Road |
$77.41 | 1,308 | 955 |
|
Christine A. Rodgers
4201 Buffalo Rd |
$80.50 | 944 | 900 |
|
Henry M. Paszko
4201 Buffalo Rd |
$103.20 | 568 | 512 |
|
Blessing Akudo Ibezim
37 Gilead Hill Rd |
$49.27 | 540 | 508 |
|
Philip Douglas Graham
4201 Buffalo Road |
$83.62 | 487 | 457 |
|
Crystal Bateman
4415 Buffalo Rd |
$57.94 | 476 | 431 |
|
Hui Ruth Cai
4201 Buffalo Rd |
$97.39 | 231 | 210 |
|
Christopher Khamphoune
4201 Buffalo Rd |
$95.96 | 213 | 206 |
|
Churchville-Chili Family Medicine, Llc
4201 Buffalo Rd |
$75.48 | 115 | 105 |
|
Charles Lewis Bruehl
4415 Buffalo Rd |
$60.88 | 66 | 55 |
|
Carol Coy
4201 Buffalo Road, Suite 1 |
$77.61 | 43 | 40 |
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 North Chili, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Chili, NY is $52.42 per claim, based on 25,487 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 North Chili, NY?
There are 14 Medicaid providers offering Office Visit related services in North Chili, NY according to public payment data.
What is the price range for Office Visit in North Chili, NY?
Medicaid reimbursement for Office Visit in North Chili, NY ranges from $33.62 to $103.20 per claim, with an average of $52.42. 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 North Chili, NY
Vaccines & Immunizations
Avg $20.27
2,985 claims
Physical Therapy
Avg $59.83
1,859 claims
Psychiatric Evaluation
Avg $52.41
1,398 claims
Blood Work & Lab Tests
Avg $7.26
915 claims
Emergency Room Visit
Avg $79.87
639 claims
EKG / ECG (Electrocardiogram)
Avg $6.20
465 claims
Hearing Test (Audiometry)
Avg $26.16
328 claims
Urinalysis & Urine Tests
Avg $2.03
202 claims