Average Medicaid Office Visit Payments in Arverne, NY: $61.78
Avg. Paid
$61.78
Range
$9.33 – $121.36
Total Claims
134,653
Providers
22
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 Arverne, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph P. Addabbo Family Health Center, Inc.
6200 Beach Channel Dr |
$59.55 | 23,676 | 20,794 |
|
Ifeanyi Chika Oguagha
6200 Beach Channel Dr |
$48.37 | 14,167 | 7,390 |
|
Sergelyne Benjamin Cadet-Valeus
6200 Beach Channel Dr |
$44.17 | 13,338 | 7,006 |
|
Kimberley Augustin
6200 Beach Channel Dr |
$50.69 | 12,286 | 7,114 |
|
Afolabi Poroye
6226 Burchell Rd |
$39.27 | 10,844 | 5,205 |
|
Gertrudes Jacinto-Francisco
6200 Beach Channel Dr |
$121.36 | 9,741 | 5,974 |
|
Janice Njamiu John-Lewis
6200 Beach Channel Dr |
$64.41 | 6,905 | 4,107 |
|
Roselia Guillen-Santana
6200 Beach Channel Dr |
$57.01 | 6,666 | 4,492 |
|
Abimbola Oduguwa
6200 Beach Channel Dr |
$60.20 | 6,140 | 3,638 |
|
Carlene Mondesir-Harewood
6200 Beach Channel Dr |
$79.31 | 6,045 | 4,507 |
|
Roberta Hellman
6200 Beach Channel Dr |
$92.07 | 5,467 | 4,023 |
|
Susana Dugang Bundoc
6200 Beach Channel Dr |
$43.55 | 5,076 | 4,899 |
|
Vonetta Tamara Sylvestre
6200 Beach Channel Dr |
$114.73 | 3,640 | 2,206 |
|
Jolanta Julia Libura
6514 Beach Front Rd |
$83.25 | 3,560 | 2,208 |
|
Md Abdul Kabir Akhand
6200 Beach Channel Dr |
$26.98 | 2,793 | 2,215 |
|
Margarita Lopez
6200 Beach Channel Dr |
$50.94 | 1,452 | 1,296 |
|
Rafael Gustavo Barcia
6200 Beach Channel Dr |
$37.22 | 951 | 830 |
|
Eddie Go
6200 Beach Channel Dr |
$42.20 | 673 | 518 |
|
Hope Eseoghene Okoroh
124 Beach 59Th St |
$76.33 | 499 | 456 |
|
Cathy C. Li
7707B Aquatic Dr. |
$57.48 | 486 | 486 |
|
Kathleen M Lynch Gaffney
6200 Beach Channel Dr |
$51.56 | 236 | 150 |
|
Alfonso Yu Chan
6200 Beach Channel Dr |
$9.33 | 12 | 12 |
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 Arverne, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Arverne, NY is $61.78 per claim, based on 134,653 claims from 22 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 Arverne, NY?
There are 22 Medicaid providers offering Office Visit related services in Arverne, NY according to public payment data.
What is the price range for Office Visit in Arverne, NY?
Medicaid reimbursement for Office Visit in Arverne, NY ranges from $9.33 to $121.36 per claim, with an average of $61.78. 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 Arverne, NY
Home Health Visit
Avg $221.33
100,494 claims
Dental Cleaning & Exam
Avg $24.93
52,428 claims
Vaccines & Immunizations
Avg $11.19
21,142 claims
Nursing Facility Care
Avg $16.20
15,349 claims
Urinalysis & Urine Tests
Avg $2.86
6,584 claims
Hearing Test (Audiometry)
Avg $6.79
6,364 claims
Behavioral & Mental Health Therapy
Avg $78.41
5,522 claims
Blood Work & Lab Tests
Avg $6.11
5,201 claims