Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Penfield, NY: $73.17

Avg. Paid

$73.17

Range

$46.66 – $108.56

Total Claims

39,863

Providers

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
Matthew Metcalf Brockway 2212 Penfield Rd Ste 200	$70.17	12	12
Christopher Storey 2212 Penfield Rd Ste 200	$48.59	15	15
Matthew Byrnes 2200 Penfield Rd	$59.55	24	23
Stacy Danielle Judd 2212 Penfield Rd Ste 100	$69.32	29	29
Mary Andrea Santiago Dela Torre 43 Willow Pond Way	$63.94	39	37
Landyn Rae Sprague 1835 Fairport Nine Mile Point Rd	$60.54	45	44
Laura Converse 2212 Penfield Rd	$83.97	53	51
Laura E Gift 1835 Nine Mile Point Rd	$104.34	57	55
Kelly Anne Lisciandro 481 Penbrooke Drive	$85.70	61	56
Brenda Davis 2212 Penfield Rd Ste 200	$97.41	65	62
Matthew Hoderlein 481 Penbrooke Dr Ste 6	$57.85	72	67
Richard J Gensheimer 500 Whitney Road	$59.50	81	77
Penfield Pediatrics, Llc 21 Willow Pond Way	$66.19	87	77
Timothy Gerard Geen 21 Willow Pond Way	$91.28	99	97
Paige Cool 87 Woodside Dr	$88.30	103	85
Stephanie M Macdonald 2064 Fairport Nine Mile Point Rd	$84.14	111	107
Alison Schuppert 1835 Fairport Nine Mile Point Rd Ste 100	$98.38	111	107
Virginia Frances Agnello 2134 Penfield Rd	$76.82	114	107
Charles D Wadsworth 2212 Penfield Rd	$92.78	130	123
Kelly Jo Gursslin 2200 Penfield Rd	$54.29	136	136
Mary M Wilsch 21 Willow Pond Way Ste 100	$66.22	144	138
Waldemar Klimek 43 Willow Pond Way	$59.72	156	145
Muhammad Siddique Tariq Qureshi 43 Willow Pond Way	$62.81	172	158
Kaitlin Marie Smiley 43 Willow Pond Way Ste 200	$54.44	184	175
Jennifer Mccormick 43 Willow Pond Way	$57.95	202	195
Barbara Heintz 21 Willow Pond Way	$73.40	232	227
Ola Mscichowski 2200 Penfield Rd	$82.25	293	266
Megan Sanna 2212 Penfield Rd Ste 100	$85.26	303	292
David D Williams 2212 Penfield Rd	$53.46	347	183
Gustave Theodore Ruckert 21 Willow Pond Way Ste 100	$69.25	363	352
Douglas David Fien 1835 Fairport Nine Mile Point Rd	$54.73	396	313
Leah Marie Ruiz 2226 Penfield Rd	$75.46	408	407
Rahul Laroia 43 Willow Pond Way	$63.84	410	381
Timothy James Thai 2134 Penfield Rd	$78.51	416	415
Kerry L Katlic 2067 Fairport Nine Mile Pt Rd	$63.43	510	466
Frances Mccarthy 48 Coachman Dr	$59.30	521	507
Chaya Diskind 43 Willow Pond Way	$59.06	540	520
Christopher D Momot 2212 Penfield Rd	$97.83	596	537
Richard Gordon Kennedy 1835 Fairport Nine Mile Point Rd	$84.57	612	520
James Steven Burkhart 21 Willow Pond Way Ste 100	$68.81	619	598
Elliot Ira Kaplan 21 Willow Pond Way	$95.37	716	679
Derrick Alexis German 1835 Fairport Nine Mile Point Rd Ste 100	$88.00	721	684
Laurie A Walsh 2067 Fairport Nine Mile Pt Rd	$54.97	764	723
Matthew Christopher Sharpe 441 Penbrooke Dr Ste 10	$71.04	823	763
Katie Rauber 481 Penbrooke Dr Ste 6	$82.24	927	876
Emily Catone 43 Willow Pond Way Ste 200	$54.11	1,009	990
Nithin Krishna 481 Penbrooke Dr Ste 6	$103.81	1,108	951
Monica Ranaletta 2212 Penfield Rd	$87.48	1,120	1,073
Eric M Socha 21 Willow Pond Way Ste 200	$79.94	1,142	1,100
Allison Michelle Young 481 Penbrooke Dr Ste 6	$76.43	1,180	1,126

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.

Average Medicaid Office Visit Payments in Penfield, NY: $73.17

Providers Offering Office Visit in Penfield, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Penfield, NY

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Ambulance Transport

Psychiatric Evaluation

Vaccines & Immunizations

Hearing Test (Audiometry)

Speech Therapy

Dental Filling

Non-Emergency Medical Transportation