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 |
|---|---|---|---|
|
Ognian A. Pomakov
60 Maple Rd Ste 1 |
$16.43 | 12 | 12 |
|
Elizabeth Marie Sendlak
1000 Youngs Rd |
$34.10 | 12 | 12 |
|
Laura Pankiewicz
60 Maple Rd |
$88.30 | 12 | 12 |
|
Stephen C Smith
330 Harris Hill Rd Ste B |
$14.38 | 12 | 12 |
|
Andrew Joseph Siedlecki
170 Maple Road |
$56.74 | 12 | 12 |
|
Laquita Dawkins
5904 Sheridan Dr Ste 1 |
$69.07 | 12 | 12 |
|
Adam Kroe
61 Maple Rd |
$44.43 | 12 | 12 |
|
Stanley James Pietrak
60 Maple Rd |
$13.85 | 12 | 12 |
|
Stephen Philip Scrivani
18 Limestone Dr |
$42.36 | 12 | 12 |
|
Lauren Lowe
61 Maple Rd |
$9.98 | 12 | 12 |
|
Scott William Mclaughlin
325 Essjay Rd |
$12.87 | 12 | 12 |
|
Henri T Woodman
5225 Sheridan Dr |
$119.72 | 12 | 12 |
|
Audrey Ryan
6255 Sheridan Dr Ste 200 |
$23.59 | 12 | 12 |
|
Megan Ziske
111 North Maplemere Road Suite 100 |
$126.81 | 12 | 12 |
|
Karen F Giardino
5530 Sheridan Dr |
$137.68 | 12 | 12 |
|
Ashley Danielle Kremer
705 Maple Rd |
$66.81 | 12 | 12 |
|
Amy P Early
100 College Pkwy |
$7.14 | 12 | 12 |
|
Harris Chengazi
111 N Maplemere Rd Ste 120 |
$86.92 | 12 | 12 |
|
Jenny L Cascio
5330 Main St |
$34.60 | 12 | 12 |
|
Nalini Packianathan
295 Essjay Rd |
$127.95 | 13 | 13 |
|
Jason Dana Dunleavy
55 Spindrift Dr |
$58.35 | 13 | 12 |
|
Christine Lynn Divita-Mckenna
1150 Youngs Rd |
$28.11 | 13 | 12 |
|
Michelle Satola
400 International Dr |
$57.12 | 13 | 13 |
|
Nicole Moeller
1000 Youngs Rd Ste 101 |
$24.70 | 13 | 12 |
|
Sukhwinder Singh Kodial
325 Essjay Rd |
$87.60 | 13 | 12 |
|
Cheryl A White-Davis
325 Essjay Rd |
$42.95 | 13 | 13 |
|
Richard Dana Kaplan
60 Maple Rd |
$14.94 | 13 | 13 |
|
Marlene C Longdon
6245 Sheridan Dr |
$60.49 | 13 | 13 |
|
Jennifer Schafer
295 Essjay Rd |
$68.01 | 13 | 13 |
|
Linda S Tosetto
61 Maple Rd |
$22.67 | 14 | 13 |
|
Raymond Oconnell Schultz
6044 Main St |
$29.01 | 14 | 13 |
|
John J Griswold
295 Essjay Rd |
$21.47 | 14 | 13 |
|
Peter D Bloom
60 Maple Rd |
$104.73 | 14 | 14 |
|
Daniella Sawma
705 Maple Rd Ste 300 |
$68.50 | 14 | 14 |
|
Courtney Alvarez
705 Maple Rd Ste 300 |
$47.64 | 14 | 14 |
|
Kristen Hollach Anastasi
2240 North Forest Rd. |
$48.17 | 14 | 13 |
|
Leonard Kaplan
8612 Main St |
$75.27 | 14 | 13 |
|
Chee H Kim
6333 Main St |
$17.55 | 14 | 14 |
|
Naima Mian
60 Maple Rd |
$13.11 | 14 | 14 |
|
Mark Anthony Falvo
1150 Youngs Rd |
$83.21 | 14 | 14 |
|
Christina Osborne
9 Limestone Dr |
$101.27 | 14 | 14 |
|
Taylor Hoff
6325 Main St |
$36.31 | 14 | 14 |
|
Susan D Wegrzyn
180 Park Club Lane |
$71.99 | 15 | 15 |
|
Paul J Lapoint
192 Park Club Lane |
$50.24 | 15 | 15 |
|
Joseph Anthony Caruana
30 N Union Rd |
$51.33 | 15 | 15 |
|
Erica Ann Patino
6333 Main St |
$50.38 | 15 | 14 |
|
Kathryn A Tiutiunnyk
825 Wehrle Dr |
$77.77 | 15 | 15 |
|
Heather Riester
1540 Maple Rd |
$60.94 | 16 | 14 |
|
Frederick B Mcadam
100 College Pkwy |
$106.16 | 16 | 16 |
|
Sydney Cifra
30 N Union Rd Ste 102 |
$48.81 | 17 | 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 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