Average Medicaid Office Visit Payments in Williamsville, NY: $63.94
Avg. Paid
$63.94
Range
$3.64 – $160.34
Total Claims
418,439
Providers
514
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 Williamsville, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey O Burnett
11 W Spring St |
$20.33 | 17,112 | 14,672 |
|
Zachary Juliano
55 Spindrift Dr Ste 120 |
$30.87 | 10,937 | 6,417 |
|
Amanda M Ode
100 College Pkwy Ste 260 |
$25.03 | 10,889 | 3,789 |
|
Erie,Niagara Tonawanda Medical Associates Pc
531 Farber Lakes Dr |
$160.34 | 10,555 | 9,779 |
|
Kenyani Shareen Davis
1020 Youngs Rd |
$26.78 | 9,392 | 5,011 |
|
Michael R Nazareth
297 Spindrift Dr |
$77.87 | 7,830 | 7,769 |
|
Daniel Ira Rifkin
1120 Youngs Rd |
$84.04 | 7,020 | 6,978 |
|
Fred Kubus
5904 Sheridan Dr |
$45.41 | 6,405 | 6,097 |
|
Lynn Audrey Amarante
5144 Sheridan Dr |
$81.26 | 5,640 | 5,608 |
|
Western New York Immediate Medical Care Llc
7616 Transit Road |
$135.28 | 5,197 | 5,093 |
|
Erik C Freeland
111 N Maplemere Rd Ste 100 |
$143.58 | 4,782 | 4,563 |
|
Kristen M. Smith
3980 Sheridan Dr |
$75.93 | 4,619 | 4,519 |
|
Sunita Chadha
495 International Dr |
$71.79 | 4,305 | 4,281 |
|
Kaity Molenda
297 Spindrift Dr Ste 100 |
$75.27 | 4,284 | 4,254 |
|
Renata Anand
1020 Youngs Rd |
$46.69 | 4,088 | 3,461 |
|
Kiran Bojedla
325 Essjay Rd |
$51.36 | 4,088 | 3,547 |
|
Pediatric And Adolescent Urgent Care Of Western New York
1800 Maple Rd |
$132.30 | 4,005 | 3,858 |
|
Jay Paul Klarnet
45 Spindrift Dr Ste 100 |
$63.02 | 3,909 | 3,159 |
|
James Andrew Kager
7616 Transit Rd |
$78.66 | 3,861 | 3,830 |
|
Kacy Scarpa
5225 Sheridan Dr |
$24.10 | 3,738 | 3,420 |
|
Theodore Gerard Costich
41 Maple Rd |
$47.57 | 3,708 | 3,194 |
|
Gaurav Jain
400 International Dr. |
$38.49 | 3,701 | 3,663 |
|
Gregory D Groth
100 College Pkwy |
$42.55 | 3,660 | 3,569 |
|
Jocelyn Whittingham
1540 Maple Rd |
$92.56 | 3,640 | 3,627 |
|
Kelly Lynn Manganello
297 Spindrift Dr |
$79.51 | 3,389 | 3,365 |
|
Steven Scott Rood
7616 Transit Rd |
$60.57 | 3,380 | 3,088 |
|
Christian Paul Chouchani
30 North Union Rd Suite 101 |
$54.63 | 3,224 | 3,022 |
|
Jessica Mancuso
297 Spindrift Dr |
$95.42 | 3,194 | 3,181 |
|
Jeffery R Neu
6460 Main St |
$61.77 | 3,178 | 3,145 |
|
Nadezhda Danilovich
8203 Main St Ste 14 |
$110.51 | 3,158 | 3,082 |
|
Maurice Vansice
400 International Dr |
$84.68 | 3,149 | 3,129 |
|
Carrie Lynn Trabucco
297 Spindrift Dr |
$75.05 | 3,142 | 3,129 |
|
Christine A Cameron
325 Essjay Rd |
$88.54 | 3,140 | 2,894 |
|
Sara Fritsch
55 Spindrift Dr |
$43.01 | 3,131 | 3,104 |
|
Daniel Trock
1150 Youngs Rd |
$71.32 | 3,129 | 3,013 |
|
Kenneth G Halliwell
325 Essjay Rd |
$64.63 | 3,113 | 3,089 |
|
Michelle Stoltenburg
6245 Sheridan Dr |
$101.88 | 3,075 | 2,753 |
|
Junaid Hashim
5904 Sheridan Dr |
$57.37 | 3,030 | 2,801 |
|
Kyle Horton-Maser
297 Spindrift Dr |
$67.59 | 3,019 | 3,012 |
|
Lisa Sherry Debby Ball
1140 Youngs Rd |
$64.34 | 2,903 | 2,840 |
|
Scott Wilkowski
297 Spindrift Dr Ste 100 |
$68.07 | 2,896 | 2,880 |
|
Naghma Nikhat Mustafa
1020 Youngs Rd |
$58.11 | 2,839 | 2,816 |
|
Rajitha Mallela
295 Essjay Road |
$97.68 | 2,793 | 2,756 |
|
Brylin Hospitals, Inc.
531 Farber Lakes Dr |
$80.23 | 2,778 | 2,623 |
|
Kaleida Health
1540 Maple Rd |
$133.12 | 2,672 | 2,634 |
|
Ross Louis Guarino
400 International Dr |
$39.97 | 2,620 | 2,586 |
|
Jill Anne Koons
25 Hopkins Rd |
$117.09 | 2,538 | 2,190 |
|
Rahim Mangalji
325 Essjay Rd |
$58.24 | 2,474 | 2,339 |
|
Jasmine Aleesha Solomon
5904 Sheridan Dr |
$69.61 | 2,418 | 2,233 |
|
Caitlin Taylor
111 N Maplemere Rd Ste 100 |
$102.37 | 2,365 | 2,353 |
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 Williamsville, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Williamsville, NY is $63.94 per claim, based on 418,439 claims from 514 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 Williamsville, NY?
There are 514 Medicaid providers offering Office Visit related services in Williamsville, NY according to public payment data.
What is the price range for Office Visit in Williamsville, NY?
Medicaid reimbursement for Office Visit in Williamsville, NY ranges from $3.64 to $160.34 per claim, with an average of $63.94. 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 Williamsville, NY
Home Health Visit
Avg $146.04
363,091 claims
X-Ray
Avg $7.38
320,005 claims
Emergency Room Visit
Avg $99.33
173,209 claims
Blood Work & Lab Tests
Avg $9.08
152,262 claims
Dental Cleaning & Exam
Avg $35.50
115,792 claims
EKG / ECG (Electrocardiogram)
Avg $6.36
110,633 claims
CT Scan (Computed Tomography)
Avg $49.92
105,215 claims
Eye Exam
Avg $44.98
85,427 claims