Average Medicaid Office Visit Payments in North Tonawanda, NY: $57.23
Avg. Paid
$57.23
Range
$6.74 – $98.50
Total Claims
39,038
Providers
27
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 Tonawanda, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maureen T Dallas
2890 Niagara Falls Blvd |
$51.39 | 5,452 | 5,252 |
|
Bethany L Sikorski
2890 Niagara Falls Blvd |
$53.03 | 3,702 | 3,571 |
|
Jennifer A. Manka
2890 Niagara Falls Blvd |
$49.00 | 3,689 | 3,592 |
|
The Dale Association, Inc.
89 River Rd |
$98.50 | 3,379 | 3,195 |
|
Victoria Neudecker
2890 Niagara Falls Blvd |
$50.76 | 2,282 | 2,197 |
|
Yasmin Pervez
525 Wheatfield St |
$64.45 | 1,984 | 1,835 |
|
Wednesday Elder
908 Niagara Falls Blvd |
$53.66 | 1,965 | 1,925 |
|
Ann Marie Jobes
2890 Niagara Falls Blvd |
$53.65 | 1,810 | 1,760 |
|
Michelle Marie Myers
2890 Niagara Falls Blvd |
$57.09 | 1,738 | 1,680 |
|
Lisa A. Reichert
2890 Niagara Falls Blvd |
$53.01 | 1,638 | 1,567 |
|
Adam V.E. Lock
2890 Niagara Falls Blvd |
$56.82 | 1,396 | 1,363 |
|
Lynne S Ross
43 Niagara St |
$66.14 | 1,342 | 1,308 |
|
Joseph Carl Wittmann, Jr.
2890 Niagara Falls Blvd |
$55.97 | 1,219 | 1,195 |
|
Adeel Amir
1089 Kinkead Ave Ste 111 |
$27.34 | 1,086 | 1,016 |
|
John A Fabian
80 Mead St |
$55.68 | 1,051 | 1,010 |
|
Christine Elizabeth Oliveri
7348 Graydon Dr. |
$58.13 | 1,007 | 964 |
|
Douglas Allen Schultz
2890 Niagara Falls Blvd |
$52.10 | 828 | 804 |
|
David Eugene Carlson
277 Division St |
$57.94 | 721 | 695 |
|
Willis Anthony Rosena
87 Mead St |
$46.55 | 715 | 682 |
|
Sabrina Christine Quarantillo
2890 Niagara Falls Blvd |
$54.51 | 541 | 516 |
|
Nathalie Bousader-Armstrong
273 Division St |
$68.37 | 486 | 450 |
|
Susan Baldassari
415 Tremont St Ste 3 |
$67.71 | 287 | 281 |
|
Theresa L Arida
1394 Birch Dr |
$6.74 | 216 | 214 |
|
Amber Michelle Nocek
525 Wheatfield St Ste 10 |
$53.32 | 208 | 201 |
|
Jessica M Golimowski
273 Division St |
$60.64 | 158 | 143 |
|
Olivia Smith-Blackwell
601 Division St |
$40.21 | 91 | 89 |
|
Tahir M Qazi
80 Mead St |
$55.64 | 47 | 47 |
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 Tonawanda, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Tonawanda, NY is $57.23 per claim, based on 39,038 claims from 27 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 Tonawanda, NY?
There are 27 Medicaid providers offering Office Visit related services in North Tonawanda, NY according to public payment data.
What is the price range for Office Visit in North Tonawanda, NY?
Medicaid reimbursement for Office Visit in North Tonawanda, NY ranges from $6.74 to $98.50 per claim, with an average of $57.23. 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 Tonawanda, NY
Speech Therapy
Avg $57.02
52,186 claims
Emergency Room Visit
Avg $142.32
26,238 claims
Physical Therapy
Avg $65.11
25,827 claims
Psychiatric Evaluation
Avg $88.97
25,182 claims
Vaccines & Immunizations
Avg $12.16
23,900 claims
Blood Work & Lab Tests
Avg $11.07
22,334 claims
Dental Cleaning & Exam
Avg $27.00
9,669 claims
Case Management Services
Avg $23.92
8,388 claims