Average Medicaid Office Visit Payments in Warsaw, NY: $71.06
Avg. Paid
$71.06
Range
$25.05 – $122.38
Total Claims
29,585
Providers
26
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 Warsaw, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rachel Muroff
408 N Main St |
$25.05 | 5,156 | 1,395 |
|
Wyoming County
400 N Main St |
$122.38 | 4,408 | 4,026 |
|
Allegany Rehabilitation Associates, Inc
39 Duncan St |
$103.20 | 4,246 | 4,097 |
|
Qutubuddin Karamat Dar
31 Duncan St |
$54.56 | 3,930 | 3,695 |
|
Shenandoah Putney Dole
81 S Main St |
$49.66 | 3,167 | 2,435 |
|
Mary Heather Rosen
76 N Main Street |
$54.33 | 1,674 | 1,637 |
|
Kyle Andrew Wiktor
400 N Main St |
$90.64 | 1,596 | 1,434 |
|
Alamgir Sattar
400 N Main St |
$90.00 | 907 | 901 |
|
Ahmed M Bayoumi
2261 State Route 19 N |
$53.81 | 901 | 865 |
|
Jacquelyn Janes
400 N Main St |
$81.89 | 559 | 538 |
|
David Michael Privitera
400 N Main St |
$76.33 | 525 | 510 |
|
Kevin A. O'Connell
400 N Main St |
$84.45 | 442 | 398 |
|
Susanne Roggow
39 Duncan St |
$68.28 | 364 | 320 |
|
Lisa Marie Kemp
400 N Main St |
$70.50 | 335 | 325 |
|
Tarun K Ohri
165 Brooklyn St |
$42.82 | 256 | 239 |
|
Carrie M Vangrol
425 N Main St |
$70.39 | 214 | 190 |
|
Peter Angelo Coggiola
39 Duncan St |
$64.03 | 167 | 152 |
|
Brittany Marie Ball
400 N Main St |
$71.68 | 163 | 162 |
|
Debra A Brown
34 Duncan St |
$76.96 | 129 | 126 |
|
Traci Raynor
34 N Main St |
$59.01 | 109 | 106 |
|
Lesly Germain
76 N Main St |
$83.06 | 104 | 93 |
|
Tracy Fabian
400 N Main St |
$57.29 | 78 | 76 |
|
Vipin Ohri
165 Brooklyn St |
$46.44 | 55 | 54 |
|
Scott Allan Treutlein
121 S Main St |
$56.08 | 47 | 45 |
|
Kari Ann Beardsley
408 N Main St |
$70.33 | 38 | 37 |
|
Sydney Domanowski
408 N Main St |
$52.87 | 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 Warsaw, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Warsaw, NY is $71.06 per claim, based on 29,585 claims from 26 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 Warsaw, NY?
There are 26 Medicaid providers offering Office Visit related services in Warsaw, NY according to public payment data.
What is the price range for Office Visit in Warsaw, NY?
Medicaid reimbursement for Office Visit in Warsaw, NY ranges from $25.05 to $122.38 per claim, with an average of $71.06. 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 Warsaw, NY
Blood Work & Lab Tests
Avg $15.95
50,142 claims
Psychiatric Evaluation
Avg $115.35
32,167 claims
X-Ray
Avg $6.63
21,057 claims
Emergency Room Visit
Avg $189.09
16,596 claims
Dental Cleaning & Exam
Avg $36.12
14,595 claims
Eye Exam
Avg $59.22
14,000 claims
Physical Therapy
Avg $73.65
13,319 claims
Urinalysis & Urine Tests
Avg $15.38
9,129 claims