Average Medicaid Office Visit Payments in Wellsville, NY: $76.05
Avg. Paid
$76.05
Range
$19.06 – $116.35
Total Claims
54,698
Providers
33
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 Wellsville, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Memorial Hospital Of William F. And Gertrude F. Jones, Inc.
191 N Main St |
$116.35 | 13,012 | 11,880 |
|
Mohamad-Zahi Mustapha Kassas
313 N Main St |
$54.47 | 5,599 | 4,954 |
|
Allegany Council On Alcoholism And Substance Abuse, Inc.
2956 Airway Rd |
$115.25 | 5,106 | 3,299 |
|
Allegany Rehabilitation Associates, Inc.
4220 State Rte 417 W |
$102.61 | 4,737 | 4,570 |
|
Heather Miller Lanphere
127 N Main St |
$49.21 | 3,795 | 2,822 |
|
Cortni Claire Hughes
127 N Main St |
$50.36 | 2,882 | 2,698 |
|
Nishit P Shah
127 N Main St |
$44.26 | 2,773 | 2,599 |
|
Lu Ann Kaye
15 Loder St |
$50.88 | 2,220 | 1,936 |
|
Yohetsor Ometse Hargoe
191 N Main St |
$47.74 | 2,106 | 2,038 |
|
Jennifer L Bey
127 N Main St |
$49.45 | 2,029 | 1,537 |
|
Monica Jeanne Acomb
313 N Main St |
$60.37 | 1,810 | 1,671 |
|
Robert Lee Gilfert
4305 Fassett Ln |
$39.65 | 1,569 | 1,509 |
|
Christopher R Depner
12 Martin St |
$54.21 | 1,096 | 1,037 |
|
Kerime Perese
191 N Main St |
$33.68 | 1,009 | 613 |
|
Paul L Axtell
191 N Main St |
$49.68 | 815 | 709 |
|
Shannon M Mooney
13 Loder St |
$46.20 | 794 | 726 |
|
Bradley Alan Speta
12 Martin St |
$33.28 | 624 | 547 |
|
Colleen Marie Truax
191 N Main St |
$41.17 | 486 | 392 |
|
Alicia Jo Mcinroy
127 N Main St |
$44.54 | 451 | 429 |
|
Molly Dempsey
12 Martin St |
$55.91 | 363 | 337 |
|
Jessica Lippa
191 N Main St |
$47.89 | 326 | 322 |
|
Ryan Nightingale
12 Martin St |
$57.91 | 289 | 262 |
|
William J Wonderling
313 N Main St |
$56.69 | 221 | 210 |
|
Yoojeong Oh
191 N Main St |
$52.38 | 175 | 164 |
|
Gary L Cook
12 Martin St |
$49.74 | 128 | 122 |
|
Emily Anne Walsh
191 North Main Street |
$42.89 | 101 | 92 |
|
Ali Mansour
191 N Main St |
$47.17 | 40 | 39 |
|
Nancy Bedrosian
192 N Main St |
$39.46 | 39 | 38 |
|
Tamara Ann Prull
191 N Main St |
$69.70 | 27 | 27 |
|
James H Edmonston
313 N Main St |
$54.57 | 26 | 25 |
|
Du Van Nguyen
191 N Main St |
$71.27 | 25 | 25 |
|
Meredith Aaron
191 N Main St |
$87.66 | 13 | 13 |
|
Aishwarya Bhardwaj
191 N Main St |
$19.06 | 12 | 12 |
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 Wellsville, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wellsville, NY is $76.05 per claim, based on 54,698 claims from 33 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 Wellsville, NY?
There are 33 Medicaid providers offering Office Visit related services in Wellsville, NY according to public payment data.
What is the price range for Office Visit in Wellsville, NY?
Medicaid reimbursement for Office Visit in Wellsville, NY ranges from $19.06 to $116.35 per claim, with an average of $76.05. 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 Wellsville, NY
Blood Work & Lab Tests
Avg $12.38
74,944 claims
Psychiatric Evaluation
Avg $102.11
57,164 claims
Emergency Room Visit
Avg $126.13
38,666 claims
Home Health Visit
Avg $91.63
33,409 claims
Vaccines & Immunizations
Avg $11.56
17,853 claims
Urinalysis & Urine Tests
Avg $12.39
16,406 claims
Physical Therapy
Avg $66.90
12,441 claims
Eye Exam
Avg $46.52
10,848 claims