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 |
|---|---|---|---|
|
Jeffrey Craig Levinn
1050 Pittsford Victor Rd |
$63.92 | 12 | 12 |
|
Mitchell A Ehrenberg
61 Monroe Ave Ste A |
$58.66 | 12 | 12 |
|
Kimberly Rosati
500 Kreag Rd |
$102.11 | 13 | 13 |
|
Mary L Coan
115 Sullys Trl Ste 4 |
$98.20 | 13 | 13 |
|
James M Wallace
10 Office Park Way |
$94.09 | 14 | 14 |
|
Amanda Lombardozzi
167 Sullys Trl Ste 100 |
$109.01 | 15 | 14 |
|
Bernard Joseph Plansky
61F Monroe Ave. |
$92.47 | 27 | 24 |
|
Lauren Elizabeth Kusse
77 Sullys Trl |
$59.55 | 31 | 30 |
|
Jesse Nathaniel Schenendorf
2300 W Jefferson Rd Ste 400 |
$99.99 | 43 | 42 |
|
Helen Strapko
115 Sullys Trl |
$65.62 | 55 | 55 |
|
Lisa Marie Slimmer
1 Lockwood Dr |
$61.50 | 58 | 50 |
|
Posy J Seifert
648 Mendon Rd |
$64.66 | 65 | 65 |
|
Holly R Garber
59 Monroe Ave |
$98.32 | 70 | 68 |
|
Mark R Parsons
500 Kreag Rd |
$65.80 | 76 | 73 |
|
Muhammad Azam Cheema
9 Bromsgrove Hl |
$25.50 | 83 | 80 |
|
Marc Deeley
500 Kreag Rd |
$68.59 | 85 | 77 |
|
John B Schubmehl
1000 Pittsford Victor Rd Ste 20 |
$67.08 | 85 | 78 |
|
Anne Bowman Ryan
167 Sullys Trl |
$99.22 | 120 | 114 |
|
Carole Jean Peterson
2300 W Jefferson Rd |
$66.54 | 138 | 138 |
|
Virginia Kelley
77 Sullys Trl |
$68.92 | 139 | 132 |
|
James Norman Foster
77 Sullys Trl |
$44.67 | 143 | 139 |
|
Stephanie Carletta
135 Sullys Trl Ste 12 |
$98.85 | 229 | 185 |
|
Assunta Rocci Strang
510 Kreag Rd |
$67.87 | 262 | 250 |
|
Catherine C.A. Mcphee
167 Sullys Trl |
$96.72 | 275 | 255 |
|
Harneet Rikki Kohli
77 Sullys Trl |
$50.66 | 288 | 263 |
|
Anne Louise Huber
19 Elatia Cir |
$68.69 | 290 | 274 |
|
Lauren N O'Meal
1160K Pittsford Victor Rd Ste 17 |
$78.84 | 344 | 338 |
|
Nicole Vavrina
167 Sullys Trl |
$98.78 | 420 | 380 |
|
Vincent Joseph Fasanello
135 Sullys Trl |
$65.87 | 426 | 350 |
|
Elizabeth Mary Smith
500 Hahnemann Trl |
$0.00 | 432 | 304 |
|
Michael Joseph Gavin
167 Sullys Trl |
$83.19 | 434 | 399 |
|
Rachael Wojtovich
59B Monroe Ave |
$66.96 | 451 | 429 |
|
Rahul Sengupta
59 Monroe Ave |
$69.46 | 553 | 530 |
|
Rebecca Jean Bielawski
613 Pittsford Victor Rd |
$88.17 | 615 | 615 |
|
Rachel Goldberg
59 Monroe Ave |
$66.49 | 616 | 593 |
|
Cathy Hahn
59 Monroe Ave |
$67.16 | 629 | 592 |
|
Janet Cranshaw
510 Kreag Rd |
$70.00 | 629 | 620 |
|
Carrie A Anderson
23 Latium Dr |
$114.32 | 682 | 574 |
|
Thomas Letourneau
1000 Pittsford Victor Rd |
$474.33 | 713 | 663 |
|
Gary J. Horwitz
179 Sullys Trl Ste 200 |
$79.18 | 715 | 610 |
|
Leonid Vilensky
135 Sully Trail |
$10.33 | 878 | 837 |
|
Deborah H. Abell
510 Kreag Rd |
$74.31 | 970 | 936 |
|
Christina Teegarden Zimmerman
2711 Clover St |
$90.17 | 1,037 | 584 |
|
Brianne M Sisca
135 Sullys Trl Ste 5 |
$26.35 | 1,183 | 998 |
|
Colette C Madison
77 Sullys Trail |
$55.65 | 1,197 | 1,180 |
|
Robin Yirinec
77 Sullys Trail |
$67.88 | 1,637 | 1,557 |
|
Effat Jehan
77 Sullys Trl |
$84.36 | 1,812 | 1,736 |
|
Amy Marie Hughes
167 Sullys Trl Ste 100 |
$71.70 | 2,000 | 1,491 |
|
Leslie Anne Dintruff
77 Sullys Trl |
$55.43 | 2,053 | 2,020 |
|
Laurence Eugene Torpey
1159 Pittsford Victor Rd Ste 160 |
$47.48 | 2,582 | 2,219 |
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