Average Medicaid Office Visit Payments in Westfield, NY: $71.86
Avg. Paid
$71.86
Range
$0.00 – $100.55
Total Claims
30,203
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 Westfield, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Berke
216 E Main St |
$71.70 | 6,497 | 6,129 |
|
Michael F Ludwig
216 E Main St |
$74.00 | 6,004 | 5,786 |
|
Stephanie Redlecki
216 E Main St |
$64.77 | 2,426 | 2,356 |
|
Lorie Ann Lashbrook
138 E Main St |
$69.61 | 2,408 | 2,285 |
|
Mary Kruse
138 E Main St |
$72.62 | 2,398 | 2,164 |
|
Maddison Richardson
216 E Main St |
$74.06 | 1,199 | 1,163 |
|
Diane Christine Cornell Mccoy
105 E Main St |
$67.44 | 1,134 | 1,104 |
|
Chelsea Hatch
138 E Main St |
$71.65 | 1,090 | 1,066 |
|
Erin E Lewellen
138 E Main St |
$72.06 | 1,088 | 1,022 |
|
Matthew D Wehr
138 E Main St |
$76.98 | 966 | 929 |
|
Krista M Przybelinski
138 E Main St |
$82.73 | 850 | 825 |
|
Timothy Michael Kitchen
138 E Main St |
$64.79 | 651 | 528 |
|
Brittany Nicole Schutt
138 E Main St |
$74.77 | 624 | 582 |
|
Timothy Alan Gorman
138 E Main St |
$67.53 | 609 | 592 |
|
Ryan Mayle
138 East Main St., |
$75.40 | 596 | 566 |
|
Bradford W Buege
189 E Main St |
$100.55 | 530 | 520 |
|
Sarah Michelle Cook
138 East Main St |
$71.83 | 415 | 408 |
|
Gary Eugene Eggleston
138 E Main St |
$64.00 | 305 | 273 |
|
David Ramsey Trusel
158 E Main St |
$30.79 | 127 | 123 |
|
Ian Jd Caisley
111 E Main St |
$68.21 | 65 | 63 |
|
Westfield Optical Studio Llc
105 E Main St |
$0.00 | 55 | 53 |
|
John Daniel Rosenberger
158 E Main St |
$53.70 | 40 | 39 |
|
Susan Murawski
138 E Main St |
$70.05 | 40 | 40 |
|
Samantha Lynn Kapuscinski
138 E Main St |
$54.90 | 40 | 40 |
|
Russell S Elwell
158 E Main St |
$8.59 | 28 | 28 |
|
Kimberly Jane Sturzenbecker
26 Cass St |
$86.50 | 18 | 18 |
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 Westfield, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Westfield, NY is $71.86 per claim, based on 30,203 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 Westfield, NY?
There are 26 Medicaid providers offering Office Visit related services in Westfield, NY according to public payment data.
What is the price range for Office Visit in Westfield, NY?
Medicaid reimbursement for Office Visit in Westfield, NY ranges from $0.00 to $100.55 per claim, with an average of $71.86. 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 Westfield, NY
Emergency Room Visit
Avg $156.94
24,088 claims
Blood Work & Lab Tests
Avg $7.65
16,182 claims
Eye Exam
Avg $31.55
9,757 claims
Urinalysis & Urine Tests
Avg $1.46
5,526 claims
X-Ray
Avg $6.20
3,431 claims
EKG / ECG (Electrocardiogram)
Avg $2.31
2,648 claims
Vaccines & Immunizations
Avg $8.11
1,614 claims
Physical Therapy
Avg $41.38
1,423 claims