Average Medicaid Office Visit Payments in West Amherst, NY: $48.34
Avg. Paid
$48.34
Range
$13.55 – $75.50
Total Claims
25,075
Providers
25
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 West Amherst, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Stephen Freitas
3950 E Robinson Rd |
$34.48 | 3,095 | 2,984 |
|
Joseph Francis Fasanello
3950 E Robinson Rd |
$54.20 | 2,915 | 2,859 |
|
Jihad Hassan Abialmouna
2800 Sweet Home Rd |
$55.19 | 2,741 | 2,678 |
|
Nicole Marie Deluca
3950 E Robinson Rd Ste 205 |
$49.40 | 2,440 | 2,363 |
|
Kelly Ann Schultz
3950 E Robinson Rd Ste 207 |
$75.50 | 2,350 | 2,333 |
|
Kerri A. Nixon
3950 E Robinson Rd Ste 205 |
$48.59 | 2,032 | 1,942 |
|
Taylor Chamberlain
3950 East Robinson Road |
$45.72 | 1,814 | 1,792 |
|
Alexandra Bennett Goede
3950 E Robinson Rd |
$43.53 | 1,375 | 1,338 |
|
Maryann K Pietrzyk
3950 E Robinson Rd |
$47.06 | 1,070 | 1,053 |
|
Inger C Anderson
3950 E Robinson Rd |
$41.20 | 1,006 | 971 |
|
Danielle Lynn Bonnevie
3950 E Robinson Rd |
$46.93 | 896 | 888 |
|
Mary Kathryn Mannix
3950 E. Robinson Rd |
$49.82 | 819 | 795 |
|
Megan L Gallagher
3950 E Robinson Rd Ste 207 |
$19.29 | 676 | 659 |
|
Justin C Kanaley
3950 E Robinson Rd |
$50.26 | 453 | 442 |
|
Sarah M Lehotsky
3950 East Robinson Road |
$33.51 | 382 | 366 |
|
Alicia R Reimondo
3950 E Robinson Rd Ste 207 |
$27.96 | 247 | 242 |
|
Allison Marie Van Den Brand
3950 E Robinson Rd Ste 207 |
$35.76 | 178 | 174 |
|
Deanna Marisa Mcdonald
3950 E Robinson Rd |
$40.68 | 147 | 146 |
|
Brie Anne Slaughter
3950 E Robinson Rd Ste 207 |
$17.11 | 114 | 113 |
|
Kristina Myra Foster Semidey
3950 E Robinson Rd Ste 207 |
$20.28 | 97 | 91 |
|
Dawn H. Degrasse
Tonawanda Medical Practice, P.C. |
$69.71 | 90 | 89 |
|
Dolores C Leonard
3950 E Robinson Rd |
$44.26 | 60 | 59 |
|
Stephanie Guize
3950 E Robinson Rd |
$13.55 | 36 | 36 |
|
Jessica Marie Hollander
3950 E Robinson Rd |
$17.05 | 27 | 27 |
|
Renee Y Sawka
3950 E Robinson Rd Ste 207 |
$22.45 | 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 West Amherst, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Amherst, NY is $48.34 per claim, based on 25,075 claims from 25 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 West Amherst, NY?
There are 25 Medicaid providers offering Office Visit related services in West Amherst, NY according to public payment data.
What is the price range for Office Visit in West Amherst, NY?
Medicaid reimbursement for Office Visit in West Amherst, NY ranges from $13.55 to $75.50 per claim, with an average of $48.34. 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 West Amherst, NY
Vaccines & Immunizations
Avg $17.99
18,952 claims
Pathology & Lab Services
Avg $36.83
4,038 claims
Physical Therapy
Avg $15.34
1,128 claims
Nursing Facility Care
Avg $6.40
1,074 claims
Blood Work & Lab Tests
Avg $0.71
726 claims
Urinalysis & Urine Tests
Avg $0.96
253 claims
Pulmonary Function Test
Avg $24.92
224 claims
EKG / ECG (Electrocardiogram)
Avg $9.89
28 claims