Average Medicaid Office Visit Payments in Spencerport, NY: $65.08
Avg. Paid
$65.08
Range
$24.19 – $88.92
Total Claims
20,639
Providers
14
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 Spencerport, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
George R Stefanos
21 Union Hill Dr |
$59.78 | 8,031 | 7,118 |
|
Melanie Conolly
4 Land Re Way |
$76.43 | 3,087 | 2,895 |
|
Anthony M Locicero
4 Land Re Way |
$64.59 | 2,169 | 2,107 |
|
Karyn Marie Mesiti
4 Land Re Way |
$58.19 | 1,755 | 1,699 |
|
Elizabeth K Gagnier
4 Land Re Way Ste 100 |
$79.76 | 1,255 | 1,190 |
|
Patrick Mcgrath
4 Land Re Way |
$75.99 | 1,156 | 1,096 |
|
Wendy Cody
4 Land Re Way |
$66.25 | 920 | 874 |
|
Marionito N Montalbo
42 Nichols St Ste 10 |
$29.06 | 781 | 610 |
|
Marina K S Ma
4 Land Re Way |
$84.84 | 591 | 554 |
|
Maria Lola Castro-Jimenez
42 Nichols St Ste 10 |
$63.32 | 309 | 287 |
|
Daniel Vieira Lighthouse
42 Nichols St Ste 10 |
$88.92 | 247 | 239 |
|
Brett Edward Kemp
42 Nichols St Ste 10 |
$80.33 | 231 | 223 |
|
Suzanne M Hefferan
24 West Avenue |
$24.19 | 92 | 92 |
|
Stephanie M Barone
21 Union Hill Dr |
$56.58 | 15 | 15 |
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 Spencerport, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Spencerport, NY is $65.08 per claim, based on 20,639 claims from 14 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 Spencerport, NY?
There are 14 Medicaid providers offering Office Visit related services in Spencerport, NY according to public payment data.
What is the price range for Office Visit in Spencerport, NY?
Medicaid reimbursement for Office Visit in Spencerport, NY ranges from $24.19 to $88.92 per claim, with an average of $65.08. 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 Spencerport, NY
Dental Cleaning & Exam
Avg $41.94
11,304 claims
Physical Therapy
Avg $59.47
8,366 claims
Psychiatric Evaluation
Avg $65.10
7,864 claims
Speech Therapy
Avg $25.41
6,642 claims
Podiatry (Foot Care)
Avg $4.71
5,160 claims
Dental Filling
Avg $65.18
1,422 claims
Nursing Facility Care
Avg $19.61
364 claims
Vaccines & Immunizations
Avg $17.02
183 claims