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 |
|---|---|---|---|
|
Christine Margaret Oliver
1200 E And West Rd |
$10.75 | 12 | 12 |
|
Bethany M Sachel
1026 Union Rd |
$71.17 | 12 | 12 |
|
Andrew Bodkin Smith
550 Orchard Park Rd Ste B103 |
$79.37 | 12 | 12 |
|
Christina Ann Dudziak
290 Center Rd |
$40.59 | 12 | 12 |
|
Kaitlyn Ann Reese
1956 Ridge Rd |
$32.07 | 13 | 13 |
|
Laura N Digiulio
3615 Seneca St |
$33.12 | 13 | 12 |
|
Karen L Krutchick
3615 Seneca St |
$153.50 | 13 | 13 |
|
Mary Kate Frauenheim
3050 Orchard Park Rd |
$72.60 | 14 | 14 |
|
Diane M Sanfilippo
550 Orchard Park Rd Ste A104 |
$55.81 | 16 | 13 |
|
Agnes Vida Quebral
1900 Ridge Rd |
$34.94 | 17 | 15 |
|
Edward P Obrien
300 Center Rd |
$41.85 | 18 | 17 |
|
Mark Everett Schulte
3615 Seneca St |
$166.24 | 24 | 24 |
|
Shashi Lall
725 Orchard Park Rd |
$59.32 | 25 | 25 |
|
Jennifer Bognar
3615 Seneca St |
$86.72 | 26 | 26 |
|
Joelle Susan Wagner
767 Main Street |
$87.07 | 28 | 28 |
|
Ashley Conway
3050 Orchard Park Rd |
$76.65 | 28 | 28 |
|
Janet May
1026 Union Rd |
$31.25 | 33 | 26 |
|
Kendra Smietana
109 Heather Hill Dr |
$41.90 | 37 | 37 |
|
Sarah Kathleen Mcgowan
1026 Union Rd |
$32.40 | 37 | 37 |
|
Michael C Moore
2943 Seneca St |
$71.68 | 39 | 39 |
|
Karen Sue Lauricella
1900 Ridge Rd |
$26.50 | 41 | 27 |
|
Natalie Bishop
1026 Union Rd |
$28.29 | 44 | 40 |
|
Joyce Ying Lin
1900 Ridge Rd Ste 209 |
$63.96 | 49 | 49 |
|
Carmen M Todoro
3050 Orchard Park Road |
$43.44 | 51 | 48 |
|
Alyssa L Marsillo
3030 Orchard Park Rd |
$64.93 | 54 | 54 |
|
Jay T Hassenfratz
1026 Union Rd |
$50.28 | 55 | 54 |
|
Catherine M Falkner
3050 Orchard Park Road |
$42.58 | 58 | 57 |
|
Holly Luderman
3615 Seneca St |
$67.41 | 66 | 65 |
|
Rurik Johnson
550 Orchard Park Rd |
$62.81 | 69 | 63 |
|
Richard D Bloomberg
550 Orchard Park Rd |
$85.86 | 77 | 77 |
|
Taylor Paige Johnson
3050 Orchard Park Rd |
$72.00 | 78 | 74 |
|
Maithridevi Rasalingam
725 Orchard Park Rd |
$38.61 | 80 | 78 |
|
Jennie Lynn Dembski
3050 Orchard Park Rd |
$61.62 | 81 | 80 |
|
Timothy Francis Gabryel
1900 Ridge Rd |
$29.57 | 81 | 75 |
|
Erica Redenbach
1026 Union Rd |
$32.14 | 84 | 82 |
|
Alisha Lall
725 Orchard Park Rd Ste A |
$33.47 | 85 | 79 |
|
Raghupathy Varavenkataraman
1026 Union Rd |
$32.18 | 88 | 81 |
|
Amy Marie Jordan
1900 Ridge Rd Ste 130 |
$34.66 | 98 | 88 |
|
Lianna Marie Carroll
1026 Union Road |
$24.85 | 107 | 96 |
|
Martin A Casey
290 Center Rd |
$32.74 | 115 | 111 |
|
Allyson Gates
3050 Orchard Park Rd |
$65.76 | 121 | 116 |
|
Laura E Fraser
3050 Orchard Park Rd |
$60.53 | 128 | 122 |
|
Erzsebet Aniko Mazepa
1900 Ridge Rd |
$50.92 | 132 | 131 |
|
Carlos A Santos
3050 Orchard Park Road |
$48.51 | 140 | 131 |
|
Victoria A Luongo
189 Fieldcrest Ct. |
$40.67 | 140 | 134 |
|
Mallory Noelle Robel
3050 Orchard Park Rd |
$67.63 | 142 | 141 |
|
Michael S Weingarten
3615 Seneca St |
$137.72 | 157 | 157 |
|
Jennifer A Smith
3050 Orchard Park Road |
$57.41 | 183 | 178 |
|
Geemson Oo
3775 Seneca Street |
$61.93 | 189 | 187 |
|
Sarah Lynn Federowicz
1026 Union Rd |
$47.23 | 189 | 178 |
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