Average Medicaid Office Visit Payments in Babylon, NY: $71.14
Avg. Paid
$71.14
Range
$20.14 – $168.60
Total Claims
191,194
Providers
75
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 Babylon, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sheena Cas Apun
500 W Main St |
$73.96 | 26,629 | 24,625 |
|
Marina Andrianova
258 W Main St |
$71.74 | 12,640 | 10,552 |
|
Dmitriy Vaysman
655 Deer Park Ave |
$78.47 | 10,621 | 10,303 |
|
Helaine F Larsen
200 West Main Street |
$67.64 | 10,053 | 5,694 |
|
Howard M Hertz
350 W Main St |
$63.06 | 9,661 | 8,628 |
|
Luis M Fandos
500 W Main St |
$60.67 | 7,159 | 6,898 |
|
Richard Michael Zuniga
72 E Main St Ste 1 |
$70.97 | 6,769 | 6,363 |
|
Eleonor Gutierrez Lazo
400 West Main Street |
$72.87 | 6,579 | 6,130 |
|
Daniel J Kohane
500 W Main St |
$67.94 | 6,516 | 6,186 |
|
Ruth Solomon
400 W Main St Ste 236 |
$20.92 | 5,961 | 5,790 |
|
Alexander London
400 W Main St Ste 200 |
$77.18 | 4,871 | 4,723 |
|
Joseph V Adiyody
28 S Carll Ave |
$64.12 | 4,618 | 4,135 |
|
Jonathan Adam Finkelstein
500 W Main St |
$58.20 | 4,589 | 4,305 |
|
Jared Adam Hertz
350 W Main St |
$60.66 | 4,281 | 3,569 |
|
Margaret M Riley
655 Deer Park Ave |
$55.01 | 3,791 | 3,778 |
|
Heather Calendrillo
655 Deer Park Ave |
$53.42 | 3,697 | 3,406 |
|
Sarita Duchatelier
655 Deer Park Ave |
$97.89 | 3,693 | 3,671 |
|
James George Kohlroser
400 W Main St |
$61.81 | 3,637 | 3,575 |
|
Vincent Gregory Johnson
500 W Main St Ste 116 |
$65.36 | 3,477 | 3,226 |
|
John P Franchina
400 W Main St |
$99.01 | 3,375 | 2,828 |
|
Edward H Tom
50 N Carll Ave |
$52.24 | 3,244 | 2,951 |
|
Rohit Talwar
500 West Main Street, Nslij Center For Specialty Care |
$160.64 | 3,130 | 3,081 |
|
Michael T Pugliese
655 Deer Park Ave |
$58.18 | 2,783 | 2,781 |
|
Lynn Ann Estelle
655 Deer Park Ave |
$50.68 | 2,778 | 2,751 |
|
Leon Michael Kogan
400 W Main St Ste 300 |
$97.72 | 2,763 | 2,732 |
|
Isaac Hardoon
72 E Main St Ste 1 |
$98.49 | 2,317 | 1,918 |
|
Sunil David Albert
500 W Main St |
$63.77 | 2,238 | 2,124 |
|
Yoseph Gurevich
655 Deer Park Ave |
$102.07 | 1,859 | 1,812 |
|
Tharun Shetty
28 S Carll Ave |
$36.52 | 1,601 | 1,352 |
|
Mary Rose Ymaz
1486 Deer Park Ave |
$89.23 | 1,474 | 1,464 |
|
Kourosh Adhami
400 W Main St |
$75.83 | 1,379 | 1,356 |
|
Catherine Anne Wieland
655 Deer Park Ave |
$62.35 | 1,357 | 1,339 |
|
Marion B Rose
500 W Main St |
$168.60 | 1,352 | 1,317 |
|
David Mitchell Gold
655 Deer Park Ave |
$92.25 | 1,257 | 1,247 |
|
Craig Shalmi
500 W Main St |
$41.52 | 1,232 | 1,131 |
|
Giancarlo De Carolis
500 W Main St |
$92.31 | 1,203 | 1,147 |
|
Anthony Adamo
400 W Main St |
$32.85 | 1,193 | 1,168 |
|
Bruce Albert Zappia
575 Deer Park Ave |
$41.46 | 1,006 | 795 |
|
Jeffrey S Nudelman
500 W Main St |
$80.37 | 866 | 843 |
|
Marc Messineo
200A W Main St Ste 103 |
$62.21 | 819 | 716 |
|
Matthew Mau Fu Lin
626 Deer Park Ave |
$27.10 | 812 | 758 |
|
Ashlei Mathew
400 W Main St Ste 200 |
$116.37 | 793 | 784 |
|
Araceli R Dantes
420 West Montauk Hwy |
$65.65 | 754 | 692 |
|
Adebukola Aina Adeniran
133 E Main St Ste 1B |
$45.31 | 747 | 564 |
|
Jamie Sklar
655 Deer Park Ave. |
$132.72 | 726 | 715 |
|
Yuan Tong Hwang
626 Deer Park Ave |
$42.28 | 703 | 643 |
|
Gabriela Estefania Macias
420 W Main St Ste 1 |
$85.67 | 683 | 397 |
|
Stephanie M Aguirre
500 W Main St |
$72.43 | 647 | 638 |
|
Jocelyn Tantone
400 W Main St Ste 330 |
$96.41 | 620 | 603 |
|
Robert Paul Caiati
184 E Main St |
$101.06 | 616 | 571 |
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 Babylon, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Babylon, NY is $71.14 per claim, based on 191,194 claims from 75 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 Babylon, NY?
There are 75 Medicaid providers offering Office Visit related services in Babylon, NY according to public payment data.
What is the price range for Office Visit in Babylon, NY?
Medicaid reimbursement for Office Visit in Babylon, NY ranges from $20.14 to $168.60 per claim, with an average of $71.14. 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 Babylon, NY
Home Health Visit
Avg $206.13
48,463 claims
Vaccines & Immunizations
Avg $20.16
42,129 claims
Blood Work & Lab Tests
Avg $3.72
26,375 claims
Eye Exam
Avg $81.68
24,292 claims
Speech Therapy
Avg $47.74
21,014 claims
Hearing Test (Audiometry)
Avg $20.94
16,723 claims
Dental Cleaning & Exam
Avg $28.64
15,454 claims
EKG / ECG (Electrocardiogram)
Avg $13.19
13,818 claims