Average Medicaid Office Visit Payments in West Seneca, NY: $61.64
Avg. Paid
$61.64
Range
$9.21 – $166.24
Total Claims
116,138
Providers
113
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 Seneca, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jennifer A. Neilson
3705 Seneca St |
$41.01 | 9,417 | 8,877 |
|
Peterkin Lee-Kwen
3775 Seneca St |
$77.23 | 9,393 | 9,290 |
|
Wael Bitar
1026 Union Rd |
$84.80 | 8,673 | 6,583 |
|
Iris R Danziger
1026 Union Rd |
$63.62 | 7,602 | 7,429 |
|
Corry Lea Wierzbowski
1026 Union Rd |
$110.08 | 6,945 | 6,892 |
|
Anita Chopra
3705 Seneca St |
$39.74 | 6,308 | 6,017 |
|
Prem K Chopra
3705 Seneca St |
$42.68 | 5,648 | 5,380 |
|
David L Hallasey-Roberts
1026 Union Rd |
$24.09 | 3,925 | 3,396 |
|
Anna Lea Davenport
1965 Ridge Road |
$50.43 | 3,431 | 2,850 |
|
Amy Jean Griffin
17 Deer Path |
$93.87 | 2,776 | 2,556 |
|
Pramila Penta
120 Gardenville Pkwy W |
$34.37 | 2,526 | 2,456 |
|
Philip M Ostrowski
1026 Union Rd |
$78.38 | 2,475 | 2,314 |
|
Farkad Balaya
3050 Orchard Park Rd |
$64.01 | 2,292 | 2,203 |
|
Sarfaraz Semy
3775 Seneca St |
$68.16 | 2,056 | 2,052 |
|
Robyn S Steinacher
120 Gardenville Parkway West |
$35.44 | 1,903 | 1,847 |
|
Pardeep Paul Dhanoa
1026 Union Rd |
$93.45 | 1,824 | 1,667 |
|
Sawyer Joseph Overhoff
1956 Ridge Rd |
$93.41 | 1,779 | 1,535 |
|
Pamela Ann Tarrazona-Yu
120 Gardenville Pkwy W |
$79.44 | 1,669 | 1,524 |
|
Mary Katherine Kosowski
600 Harlem Rd |
$38.11 | 1,645 | 1,014 |
|
Kristen Jean Kloosterman
920 Union Rd |
$42.93 | 1,617 | 1,570 |
|
Alan David Bolnick
3050 Orchard Park Rd |
$73.60 | 1,541 | 1,417 |
|
P Jeffrey Lewis
550 Orchard Park Rd |
$39.25 | 1,489 | 1,476 |
|
Afshan Samad
3050 Orchard Park Rd |
$58.61 | 1,488 | 1,439 |
|
Anthony J Gagliardo
550 Orchard Park Rd |
$54.38 | 1,484 | 1,439 |
|
Laura Eve Graci
3050 Orchard Park Road |
$53.66 | 1,376 | 1,322 |
|
Jenna Mullett
1956 Ridge Rd |
$84.20 | 1,277 | 1,270 |
|
Carlos Luis Martinez
2291 Union Rd |
$35.64 | 1,130 | 1,120 |
|
Katlyn Holt
600 Harlem Rd |
$76.13 | 1,108 | 1,101 |
|
Cassandra Lee Carr
3050 Orchard Park Rd |
$57.72 | 1,026 | 986 |
|
Gabrielle Wind
3050 Orchard Park Rd |
$61.61 | 1,018 | 969 |
|
Eddie Eugenio Mas
172 Slade Ave |
$41.45 | 976 | 935 |
|
Erin E Diebold
120 Gardenville Parkway West |
$16.89 | 964 | 941 |
|
Adriana Leigh Stumpff
3050 Orchard Park Rd |
$57.80 | 950 | 924 |
|
Susan M Joseph
3050 Orchard Park Rd |
$53.97 | 935 | 892 |
|
Jeffrey C Constantine
3050 Orchard Park Rd |
$63.67 | 896 | 868 |
|
Mary Chima
120 Gardenville Pkwy W |
$93.83 | 791 | 786 |
|
Jay M Bolnick
3050 Orchard Park Rd |
$45.41 | 780 | 543 |
|
Edward R Vargo
550 Orchard Park Rd |
$51.65 | 760 | 753 |
|
Brandon James Brownell
1026 Union Rd |
$39.79 | 717 | 687 |
|
Jennifer Dawn Phillips
3050 Orchard Park Rd |
$57.28 | 711 | 686 |
|
Amber H Krol
3050 Orchard Park Rd |
$51.65 | 659 | 606 |
|
Tina Louise Vandermeer-Gatti
290 Center Rd |
$62.21 | 587 | 259 |
|
Su Zhan
550 Orchard Park Road |
$9.21 | 541 | 503 |
|
Lynn-Marie Aronica
3050 Orchard Park Rd |
$60.44 | 415 | 394 |
|
Kimberly Cherie Mecca
3050 Orchard Park Rd |
$66.06 | 375 | 353 |
|
William Frederick Bevilacqua
1900 Ridge Rd Ste 209 |
$42.45 | 369 | 366 |
|
Sheila Pieczonka
3050 Orchard Park Road |
$84.52 | 345 | 335 |
|
Ramesh Konakanchi
4184 Seneca St |
$49.18 | 345 | 320 |
|
Megan Christine Morano
1026 Union Rd |
$38.37 | 323 | 262 |
|
Megan Brown
550 Orchard Park Rd. |
$88.20 | 316 | 202 |
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 Seneca, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Seneca, NY is $61.64 per claim, based on 116,138 claims from 113 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 Seneca, NY?
There are 113 Medicaid providers offering Office Visit related services in West Seneca, NY according to public payment data.
What is the price range for Office Visit in West Seneca, NY?
Medicaid reimbursement for Office Visit in West Seneca, NY ranges from $9.21 to $166.24 per claim, with an average of $61.64. 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 Seneca, NY
Physical Therapy
Avg $47.93
47,456 claims
Dental Cleaning & Exam
Avg $38.66
35,976 claims
Ultrasound
Avg $84.90
24,367 claims
Vaccines & Immunizations
Avg $19.17
20,425 claims
Urinalysis & Urine Tests
Avg $2.15
14,647 claims
Nursing Facility Care
Avg $13.35
12,893 claims
Psychiatric Evaluation
Avg $112.41
12,374 claims
Durable Medical Equipment (DME)
Avg $55.82
9,800 claims