Based on public Medicaid payment data.

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
Stephen Joseph Barido 310 Sterling Dr	$67.64	12	12
Aravind Herle 3900 N Buffalo St	$27.73	12	12
Joseph Meindl 3900 N Buffalo St	$43.67	12	12
Peter J Riznyk 6272 W Quaker St	$48.62	12	12
Benjamin David Gutsin 235 Windward Road	$73.90	13	13
Noah C Bourne 3055 Southwestern Blvd Ste 100	$101.74	13	13
Terence Oconnor 3075 Southwestern Blvd	$43.64	13	12
David Thomas Styn 3151 Southwestern Blvd	$59.02	13	12
Mary Ilene Tarapacki 3900 N Buffalo Rd	$50.70	13	12
Abby Tudor 3900 N Buffalo St	$40.35	13	13
Colin Anderson 3151 Southwestern Blvd	$39.62	14	12
Jonathan Charles Vogan 3075 Southwestern Blvd	$72.59	14	14
Sarah J Mackinnon 310 Sterling Dr Ste 100	$62.96	14	13
Josie Sisson 6300 Powers Rd	$19.03	14	13
Stephen Reinhart 3675 Southwestern Blvd	$45.26	14	14
Paul Joseph Wirth 3900 N Buffalo St	$21.14	14	14
Jennifer N Erickson 3671 Southwestern Blvd St 213	$48.24	15	15
Alison Turoldo 3900 N Buffalo St	$55.99	15	15
Julie A. Thomas 3670 S Benzing Rd	$44.94	15	14
Jonathan Riley 5959 Big Tree Rd Ste 103	$57.69	15	15
Lori Ann Dimillo 3560 N Buffalo St	$25.92	16	14
Emily Anderson 227 Thorn Avenue	$50.52	16	12
Marie Mastrangelo 3675 Southwestern Blvd	$68.00	17	17
John Maurice Hourihane 200 Sterling Dr	$62.28	19	19
Louis R Baumann 500 Sterling Dr	$9.86	20	20
Donald F Storm 3085 Southwestern Blvd	$54.90	20	19
Michael G. Murray 3560 N. Buffalo Rd.	$39.85	20	13
David Michael Fisher 3673 Southwestern Blvd	$55.38	24	24
Barrett Gast 5959 Big Tree Rd Ste 108	$54.11	25	25
Kristin Elizabeth Poppenberg Duquette 3560 N Buffalo St	$34.09	26	24
Andrew L O'Hara 3900 N Buffalo St	$18.43	27	27
Joseph M Grisanti 3055 Southwestern Blvd	$50.01	29	28
Kelly Rae Shea 7 Kent Dr	$12.14	30	28
Jaclyn M Domroes 3900 N Buffalo St	$61.26	30	29
Sonia Cipriani 5959 Big Tree Rd Ste 108	$58.03	31	31
Amy Renee Pohlman 3670 S Benzing Rd	$28.60	38	38
Ariel Marie Clay 3900 N Buffalo St	$37.62	38	38
Valerie L Burkhard 500 Sterling Dr	$31.53	38	38
Michael Alfred Rauh 5959 Big Tree Rd	$99.81	42	39
John J Slisz 5959 Big Tree Rd Ste 102	$40.53	45	41
Paula Michale Simpson 3176 Abbott Rd Ste 500	$119.05	45	42
Douglas L Roberts 310 Sterling Dr	$58.34	49	49
Joshua E Weeks 3671 Southwestern Blvd St 101	$69.68	50	49
Elaine M Lopez 3065 Southwestern Blvd	$43.67	53	51
Caitlyn Elizabeth Roberts 5959 Big Tree Rd Ste 108	$55.66	54	54
Brian Alan Herbst 3345 Southwestern Blvd	$49.34	55	31
Dean Charles Phillips 5959 Big Tree Rd Ste 108	$85.88	60	60
Leah Marie Macpherson 3725 N Buffalo St	$30.81	69	69
Laura Louise Ford-Mukkamala 5959 Big Tree Rd	$33.43	76	76
Thomas I Dilamarter 3045 Southwestern Blvd	$49.82	80	71

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.

Average Medicaid Office Visit Payments in Orchard Park, NY: $59.66

Providers Offering Office Visit in Orchard Park, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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