Average Medicaid Office Visit Payments in Springville, NY: $49.97
Avg. Paid
$49.97
Range
$0.00 – $132.39
Total Claims
65,467
Providers
36
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 Springville, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laurie Brown-Croyts
224 E Main St |
$22.20 | 16,510 | 4,884 |
|
Patrick Thomas Hurley
210 E Main St 2Nd Floor |
$51.01 | 7,415 | 4,985 |
|
Juliane Marie Maciejewski
25 E Main St |
$62.80 | 5,407 | 5,283 |
|
Melissa Emily Hake
25 E Main St |
$54.09 | 3,879 | 3,782 |
|
Nicholas Lloyd Cromwell
27 Franklin St |
$52.88 | 3,855 | 3,277 |
|
Robbin H Hansen
25 E Main St |
$60.16 | 3,458 | 3,323 |
|
Debra Lynn Ehrig
210 E Main St Ste 310 |
$69.76 | 2,970 | 2,871 |
|
Shaina Lyn Sirianni
225 S Cascade Dr |
$67.04 | 2,592 | 2,517 |
|
Edwin Heidelberger
210 E Main St |
$55.58 | 2,195 | 2,023 |
|
Meagen Mrugala
210 E Main St Ste 301 |
$66.30 | 1,950 | 1,857 |
|
Marcy Ann Masyga
230 S Cascade Drive |
$57.04 | 1,835 | 1,737 |
|
Mikelle Demmerley
210 E Main St Ste 301 |
$57.36 | 1,509 | 1,460 |
|
Colleen Margaret Susskraut
25 E Main St |
$92.82 | 1,382 | 1,321 |
|
Susan Fischbeck
25 E Main St |
$61.52 | 1,280 | 1,259 |
|
Dalip Kumar Khurana
15 Commerce Dr |
$50.08 | 1,273 | 1,167 |
|
Angela Cheri Smith
25 E Main St |
$63.58 | 981 | 954 |
|
Lynda Margaret Stidham
25 E Main St |
$65.67 | 784 | 771 |
|
Alyxis Uhteg
230 S Cascade Dr |
$64.63 | 659 | 608 |
|
Dean Mark Brewer
224 E Main St |
$77.53 | 646 | 613 |
|
Kenneth Dean Richard Dabolt
224 E Main St |
$56.26 | 616 | 595 |
|
Melissa Fanton
210 E Main St |
$47.19 | 562 | 541 |
|
Lauralee Sibiga
224 E Main St Fl 1 |
$59.74 | 550 | 377 |
|
Virginia Kathryn Bond
230 S Cascade Dr |
$57.76 | 511 | 499 |
|
Celestine Szulewski
25 E Main St |
$40.90 | 429 | 408 |
|
Michael A Cline
584 E Main St |
$59.11 | 397 | 341 |
|
Erin Katherine Warning
210 E Main St |
$58.15 | 381 | 361 |
|
Jennifer Lynn Cuneo
231 S Cascade Dr |
$44.78 | 362 | 337 |
|
Clarice Tannebaum
225 S Cascade Dr |
$63.63 | 322 | 311 |
|
Roland Williams
224 E Main St |
$1.50 | 216 | 212 |
|
Joseph Lin-Yun Chow
25 E Main St |
$132.39 | 171 | 171 |
|
Michele Marie Battista-Hodge
230 S Cascade Dr |
$31.92 | 102 | 101 |
|
Kathleen P King
230 S Cascade Dr |
$68.26 | 97 | 91 |
|
Kenneth M Osborn
210 E Main St |
$46.98 | 78 | 72 |
|
James William Canavan
25 E Main St |
$54.69 | 62 | 60 |
|
Bertrand Chaffee Hospital
224 East Main St |
$0.00 | 17 | 17 |
|
Nisha Sarna
210 E Main St Ste 2 |
$79.95 | 14 | 13 |
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 Springville, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Springville, NY is $49.97 per claim, based on 65,467 claims from 36 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 Springville, NY?
There are 36 Medicaid providers offering Office Visit related services in Springville, NY according to public payment data.
What is the price range for Office Visit in Springville, NY?
Medicaid reimbursement for Office Visit in Springville, NY ranges from $0.00 to $132.39 per claim, with an average of $49.97. 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 Springville, NY
Blood Work & Lab Tests
Avg $3.97
44,353 claims
Vaccines & Immunizations
Avg $16.21
19,074 claims
Emergency Room Visit
Avg $105.06
18,762 claims
Physical Therapy
Avg $68.83
9,631 claims
X-Ray
Avg $6.16
8,735 claims
Urinalysis & Urine Tests
Avg $1.63
6,163 claims
CT Scan (Computed Tomography)
Avg $67.13
3,805 claims
Psychiatric Evaluation
Avg $77.45
3,802 claims