Average Medicaid Office Visit Payments in Orchard Park, NY: $59.66
Avg. Paid
$59.66
Range
$2.78 – $155.41
Total Claims
145,146
Providers
206
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 Orchard Park, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Saleha Asil Butt
3900 N Buffalo St |
$43.90 | 6,269 | 6,014 |
|
Gerald A Lauria
5800 Big Tree Rd |
$43.96 | 5,286 | 3,506 |
|
Anthony Fox
5959 Big Tree Rd Ste 102 |
$89.05 | 3,730 | 3,701 |
|
Katherine Belle Muff
5959 Big Tree Rd |
$115.46 | 3,580 | 3,537 |
|
Brooke Danielle Scruggs
3245 Southwestern Blvd. |
$78.52 | 3,479 | 3,422 |
|
Kayleen Sagola
500 Sterling Dr |
$87.40 | 3,414 | 3,396 |
|
Kathleen Dyson
3725 N Buffalo St |
$46.06 | 3,207 | 3,064 |
|
Jessica C Amborski
200 Sterling Dr |
$75.68 | 3,159 | 3,099 |
|
Colleen A Mattimore
5800 Big Tree Rd |
$50.04 | 2,917 | 2,822 |
|
Joseph T. Kita
24 Carrow St |
$46.12 | 2,804 | 2,688 |
|
Andrew David Muff
3346 Southwestern Blvd. |
$108.84 | 2,747 | 2,724 |
|
Rebekah Marie Berti
3725 North Buffalo Road |
$43.81 | 2,646 | 2,566 |
|
Julie A Walters
3670 South Benzing Rd |
$81.17 | 2,635 | 2,384 |
|
Ronald G Palazzo
3671 Southwestern Blvd |
$64.07 | 2,609 | 2,153 |
|
David Aaron Pula
3673 Southwestern Blvd |
$63.62 | 2,574 | 2,489 |
|
Darren M Holland
3671 Southwestern Blvd. |
$48.75 | 2,502 | 2,262 |
|
Mark Turoldo
3085 Southwestern Blvd |
$98.30 | 2,395 | 2,376 |
|
Lindsey Geyer
3900 N Buffalo St |
$93.48 | 2,319 | 1,665 |
|
Aaron Jacob Masters
3245 Southwestern Blvd |
$88.70 | 2,214 | 2,174 |
|
Christopher M Shanahan
4180 Abbott Rd |
$52.67 | 2,066 | 1,944 |
|
Phillip James Seereiter
500 Sterling Dr |
$46.57 | 1,865 | 1,849 |
|
Frank T. Schreck
3725 N Buffalo St |
$43.38 | 1,864 | 1,792 |
|
Matthew Guerinot
24 Carrow St |
$40.91 | 1,858 | 1,817 |
|
Chathura Sankalpa Wijewardena
3055 Southwestern Blvd Ste 100 |
$51.82 | 1,793 | 1,694 |
|
Tara Lyn Reimer
24 Carrow St |
$48.01 | 1,760 | 1,713 |
|
Gail R Goodman
3675 Southwestern Blvd |
$38.66 | 1,757 | 1,660 |
|
Lori Ann Bowman
3725 N. Buffalo Road |
$42.10 | 1,716 | 1,666 |
|
Andrew Koroschetz
5959 Big Tree Rd Ste 102 |
$81.41 | 1,655 | 1,640 |
|
Scott Jeffrey Zuccala
240 Red Tail Rd |
$59.62 | 1,590 | 1,452 |
|
Janelle Bellagamba
3245 Southwestern Blvd |
$74.74 | 1,582 | 1,577 |
|
Deborah Ann Sleeper
3670 S Benzing Rd |
$45.03 | 1,569 | 1,491 |
|
Theresa Marie Wegman
24 Carrow St |
$40.09 | 1,526 | 1,480 |
|
Amanda Marie Wolfley
5800 Big Tree Rd |
$39.73 | 1,505 | 1,472 |
|
Amar Oza
3055 Southwestern Blvd Ste 100 |
$57.25 | 1,446 | 1,439 |
|
Anthony R Ricottone
500 Sterling Dr |
$37.40 | 1,424 | 1,418 |
|
Carol M Cooley-Guth
5800 Big Tree Rd |
$41.63 | 1,415 | 1,377 |
|
Maxine E Szumigala
5800 Big Tree Rd |
$42.54 | 1,362 | 1,322 |
|
Mark J Doerr
500 Sterling Dr |
$48.07 | 1,249 | 1,236 |
|
Lindsey Dolan Clark
5959 Big Tree Rd |
$61.79 | 1,232 | 1,216 |
|
Suzanne Lignos
24 Carrow St |
$117.75 | 1,143 | 990 |
|
Madonna Marie Reddington
3900 N Buffalo St |
$51.86 | 1,068 | 974 |
|
Jennifer Miller
5800 Big Tree Rd |
$42.81 | 1,051 | 1,020 |
|
Charles Cossell
5959 Big Tree Rd Ste 108 |
$59.43 | 1,045 | 907 |
|
Eva Katherine Raisor
3245 Southwestern Blvd |
$99.45 | 1,044 | 1,043 |
|
Kara Allaire
5800 Big Tree Rd |
$39.19 | 1,039 | 999 |
|
Mary E Schamann
5800 Big Tree Rd |
$41.25 | 1,007 | 981 |
|
Shannon Mcfall
3065 Southwestern Blvd Ste 102 |
$38.04 | 1,003 | 904 |
|
Michael John Cipolla
3670 South Benzing Rd |
$54.73 | 961 | 882 |
|
Nora Fiore Costanzo
5959 Big Tree Rd |
$49.36 | 943 | 900 |
|
Brenda Leaird Kelly
3900 N Buffalo St |
$40.94 | 930 | 866 |
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 Orchard Park, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Orchard Park, NY is $59.66 per claim, based on 145,146 claims from 206 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 Orchard Park, NY?
There are 206 Medicaid providers offering Office Visit related services in Orchard Park, NY according to public payment data.
What is the price range for Office Visit in Orchard Park, NY?
Medicaid reimbursement for Office Visit in Orchard Park, NY ranges from $2.78 to $155.41 per claim, with an average of $59.66. 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 Orchard Park, NY
Home Health Visit
Avg $171.54
282,632 claims
Case Management Services
Avg $150.50
82,354 claims
Dental Cleaning & Exam
Avg $33.31
82,124 claims
Speech Therapy
Avg $57.50
79,262 claims
Durable Medical Equipment (DME)
Avg $52.78
76,759 claims
Substance Abuse Treatment
Avg $22.83
64,340 claims
Physical Therapy
Avg $64.99
55,048 claims
Vaccines & Immunizations
Avg $17.31
52,194 claims