Average Medicaid Office Visit Payments in Penfield, NY: $73.17
Avg. Paid
$73.17
Range
$46.66 – $108.56
Total Claims
39,863
Providers
58
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 Penfield, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Andrew Paul Merkel
500 W Whitney Road |
$46.66 | 4,696 | 4,523 |
|
Annamaria Kontor
2067 Fairport Nine Mile Point Rd |
$108.56 | 4,095 | 2,962 |
|
Andrea H Hernady
2067 Fairport Nine Mile Pt Rd |
$72.81 | 2,982 | 2,795 |
|
Sheryl Holley
2200 Penfield Rd |
$56.61 | 2,802 | 2,109 |
|
Kevin E Klossner
2067 Fairport Nine Mile Pt Rd |
$67.35 | 2,760 | 2,604 |
|
Jason Joseph Smith
60 Meadowlark Dr |
$57.89 | 1,605 | 1,600 |
|
Allyson Wise
2212 Penfield Rd |
$86.41 | 1,362 | 1,274 |
|
Abby N Acey
2134 Penfield Rd |
$75.14 | 1,183 | 1,180 |
|
Allison Michelle Young
481 Penbrooke Dr Ste 6 |
$76.43 | 1,180 | 1,126 |
|
Eric M Socha
21 Willow Pond Way Ste 200 |
$79.94 | 1,142 | 1,100 |
|
Monica Ranaletta
2212 Penfield Rd |
$87.48 | 1,120 | 1,073 |
|
Nithin Krishna
481 Penbrooke Dr Ste 6 |
$103.81 | 1,108 | 951 |
|
Emily Catone
43 Willow Pond Way Ste 200 |
$54.11 | 1,009 | 990 |
|
Katie Rauber
481 Penbrooke Dr Ste 6 |
$82.24 | 927 | 876 |
|
Matthew Christopher Sharpe
441 Penbrooke Dr Ste 10 |
$71.04 | 823 | 763 |
|
Laurie A Walsh
2067 Fairport Nine Mile Pt Rd |
$54.97 | 764 | 723 |
|
Derrick Alexis German
1835 Fairport Nine Mile Point Rd Ste 100 |
$88.00 | 721 | 684 |
|
Elliot Ira Kaplan
21 Willow Pond Way |
$95.37 | 716 | 679 |
|
James Steven Burkhart
21 Willow Pond Way Ste 100 |
$68.81 | 619 | 598 |
|
Richard Gordon Kennedy
1835 Fairport Nine Mile Point Rd |
$84.57 | 612 | 520 |
|
Christopher D Momot
2212 Penfield Rd |
$97.83 | 596 | 537 |
|
Chaya Diskind
43 Willow Pond Way |
$59.06 | 540 | 520 |
|
Frances Mccarthy
48 Coachman Dr |
$59.30 | 521 | 507 |
|
Kerry L Katlic
2067 Fairport Nine Mile Pt Rd |
$63.43 | 510 | 466 |
|
Timothy James Thai
2134 Penfield Rd |
$78.51 | 416 | 415 |
|
Rahul Laroia
43 Willow Pond Way |
$63.84 | 410 | 381 |
|
Leah Marie Ruiz
2226 Penfield Rd |
$75.46 | 408 | 407 |
|
Douglas David Fien
1835 Fairport Nine Mile Point Rd |
$54.73 | 396 | 313 |
|
Gustave Theodore Ruckert
21 Willow Pond Way Ste 100 |
$69.25 | 363 | 352 |
|
David D Williams
2212 Penfield Rd |
$53.46 | 347 | 183 |
|
Megan Sanna
2212 Penfield Rd Ste 100 |
$85.26 | 303 | 292 |
|
Ola Mscichowski
2200 Penfield Rd |
$82.25 | 293 | 266 |
|
Barbara Heintz
21 Willow Pond Way |
$73.40 | 232 | 227 |
|
Jennifer Mccormick
43 Willow Pond Way |
$57.95 | 202 | 195 |
|
Kaitlin Marie Smiley
43 Willow Pond Way Ste 200 |
$54.44 | 184 | 175 |
|
Muhammad Siddique Tariq Qureshi
43 Willow Pond Way |
$62.81 | 172 | 158 |
|
Waldemar Klimek
43 Willow Pond Way |
$59.72 | 156 | 145 |
|
Mary M Wilsch
21 Willow Pond Way Ste 100 |
$66.22 | 144 | 138 |
|
Kelly Jo Gursslin
2200 Penfield Rd |
$54.29 | 136 | 136 |
|
Charles D Wadsworth
2212 Penfield Rd |
$92.78 | 130 | 123 |
|
Virginia Frances Agnello
2134 Penfield Rd |
$76.82 | 114 | 107 |
|
Alison Schuppert
1835 Fairport Nine Mile Point Rd Ste 100 |
$98.38 | 111 | 107 |
|
Stephanie M Macdonald
2064 Fairport Nine Mile Point Rd |
$84.14 | 111 | 107 |
|
Paige Cool
87 Woodside Dr |
$88.30 | 103 | 85 |
|
Timothy Gerard Geen
21 Willow Pond Way |
$91.28 | 99 | 97 |
|
Penfield Pediatrics, Llc
21 Willow Pond Way |
$66.19 | 87 | 77 |
|
Richard J Gensheimer
500 Whitney Road |
$59.50 | 81 | 77 |
|
Matthew Hoderlein
481 Penbrooke Dr Ste 6 |
$57.85 | 72 | 67 |
|
Brenda Davis
2212 Penfield Rd Ste 200 |
$97.41 | 65 | 62 |
|
Kelly Anne Lisciandro
481 Penbrooke Drive |
$85.70 | 61 | 56 |
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 Penfield, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Penfield, NY is $73.17 per claim, based on 39,863 claims from 58 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 Penfield, NY?
There are 58 Medicaid providers offering Office Visit related services in Penfield, NY according to public payment data.
What is the price range for Office Visit in Penfield, NY?
Medicaid reimbursement for Office Visit in Penfield, NY ranges from $46.66 to $108.56 per claim, with an average of $73.17. 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 Penfield, NY
Dental Cleaning & Exam
Avg $41.77
20,556 claims
Ambulance Transport
Avg $107.70
13,932 claims
Psychiatric Evaluation
Avg $76.58
9,620 claims
Vaccines & Immunizations
Avg $26.80
2,966 claims
Hearing Test (Audiometry)
Avg $8.79
2,372 claims
Speech Therapy
Avg $24.47
1,831 claims
Dental Filling
Avg $90.76
1,557 claims
Non-Emergency Medical Transportation
Avg $0.59
1,159 claims