Average Medicaid Office Visit Payments in Pittsford, NY: $70.29
Avg. Paid
$70.29
Range
$0.00 – $474.33
Total Claims
51,966
Providers
55
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 Pittsford, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laura Petrescu
30 Office Park Way |
$55.55 | 6,613 | 6,042 |
|
Darren C Houpt
77 Sullys Trl |
$62.70 | 6,129 | 6,092 |
|
Samantha M Glarner
77 Sullys Trl |
$65.76 | 5,493 | 3,300 |
|
Theo William Turque
77 Sullys Trl |
$70.33 | 4,559 | 4,529 |
|
Chrysa Lynn Charno
1050 Pittsford Victor Rd |
$72.65 | 3,523 | 3,490 |
|
Laurence Eugene Torpey
1159 Pittsford Victor Rd Ste 160 |
$47.48 | 2,582 | 2,219 |
|
Leslie Anne Dintruff
77 Sullys Trl |
$55.43 | 2,053 | 2,020 |
|
Amy Marie Hughes
167 Sullys Trl Ste 100 |
$71.70 | 2,000 | 1,491 |
|
Effat Jehan
77 Sullys Trl |
$84.36 | 1,812 | 1,736 |
|
Robin Yirinec
77 Sullys Trail |
$67.88 | 1,637 | 1,557 |
|
Colette C Madison
77 Sullys Trail |
$55.65 | 1,197 | 1,180 |
|
Brianne M Sisca
135 Sullys Trl Ste 5 |
$26.35 | 1,183 | 998 |
|
Christina Teegarden Zimmerman
2711 Clover St |
$90.17 | 1,037 | 584 |
|
Deborah H. Abell
510 Kreag Rd |
$74.31 | 970 | 936 |
|
Leonid Vilensky
135 Sully Trail |
$10.33 | 878 | 837 |
|
Gary J. Horwitz
179 Sullys Trl Ste 200 |
$79.18 | 715 | 610 |
|
Thomas Letourneau
1000 Pittsford Victor Rd |
$474.33 | 713 | 663 |
|
Carrie A Anderson
23 Latium Dr |
$114.32 | 682 | 574 |
|
Janet Cranshaw
510 Kreag Rd |
$70.00 | 629 | 620 |
|
Cathy Hahn
59 Monroe Ave |
$67.16 | 629 | 592 |
|
Rachel Goldberg
59 Monroe Ave |
$66.49 | 616 | 593 |
|
Rebecca Jean Bielawski
613 Pittsford Victor Rd |
$88.17 | 615 | 615 |
|
Rahul Sengupta
59 Monroe Ave |
$69.46 | 553 | 530 |
|
Rachael Wojtovich
59B Monroe Ave |
$66.96 | 451 | 429 |
|
Michael Joseph Gavin
167 Sullys Trl |
$83.19 | 434 | 399 |
|
Elizabeth Mary Smith
500 Hahnemann Trl |
$0.00 | 432 | 304 |
|
Vincent Joseph Fasanello
135 Sullys Trl |
$65.87 | 426 | 350 |
|
Nicole Vavrina
167 Sullys Trl |
$98.78 | 420 | 380 |
|
Lauren N O'Meal
1160K Pittsford Victor Rd Ste 17 |
$78.84 | 344 | 338 |
|
Anne Louise Huber
19 Elatia Cir |
$68.69 | 290 | 274 |
|
Harneet Rikki Kohli
77 Sullys Trl |
$50.66 | 288 | 263 |
|
Catherine C.A. Mcphee
167 Sullys Trl |
$96.72 | 275 | 255 |
|
Assunta Rocci Strang
510 Kreag Rd |
$67.87 | 262 | 250 |
|
Stephanie Carletta
135 Sullys Trl Ste 12 |
$98.85 | 229 | 185 |
|
James Norman Foster
77 Sullys Trl |
$44.67 | 143 | 139 |
|
Virginia Kelley
77 Sullys Trl |
$68.92 | 139 | 132 |
|
Carole Jean Peterson
2300 W Jefferson Rd |
$66.54 | 138 | 138 |
|
Anne Bowman Ryan
167 Sullys Trl |
$99.22 | 120 | 114 |
|
John B Schubmehl
1000 Pittsford Victor Rd Ste 20 |
$67.08 | 85 | 78 |
|
Marc Deeley
500 Kreag Rd |
$68.59 | 85 | 77 |
|
Muhammad Azam Cheema
9 Bromsgrove Hl |
$25.50 | 83 | 80 |
|
Mark R Parsons
500 Kreag Rd |
$65.80 | 76 | 73 |
|
Holly R Garber
59 Monroe Ave |
$98.32 | 70 | 68 |
|
Posy J Seifert
648 Mendon Rd |
$64.66 | 65 | 65 |
|
Lisa Marie Slimmer
1 Lockwood Dr |
$61.50 | 58 | 50 |
|
Helen Strapko
115 Sullys Trl |
$65.62 | 55 | 55 |
|
Jesse Nathaniel Schenendorf
2300 W Jefferson Rd Ste 400 |
$99.99 | 43 | 42 |
|
Lauren Elizabeth Kusse
77 Sullys Trl |
$59.55 | 31 | 30 |
|
Bernard Joseph Plansky
61F Monroe Ave. |
$92.47 | 27 | 24 |
|
Amanda Lombardozzi
167 Sullys Trl Ste 100 |
$109.01 | 15 | 14 |
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 Pittsford, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pittsford, NY is $70.29 per claim, based on 51,966 claims from 55 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 Pittsford, NY?
There are 55 Medicaid providers offering Office Visit related services in Pittsford, NY according to public payment data.
What is the price range for Office Visit in Pittsford, NY?
Medicaid reimbursement for Office Visit in Pittsford, NY ranges from $0.00 to $474.33 per claim, with an average of $70.29. 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 Pittsford, NY
Dental Cleaning & Exam
Avg $35.60
63,756 claims
Pathology & Lab Services
Avg $58.14
22,499 claims
Psychiatric Evaluation
Avg $102.15
14,853 claims
Eye Exam
Avg $65.99
6,560 claims
Dental Filling
Avg $76.86
6,365 claims
Physical Therapy
Avg $42.64
6,049 claims
Ambulance Transport
Avg $100.85
4,636 claims
Vaccines & Immunizations
Avg $21.00
3,795 claims