Average Medicaid Office Visit Payments in Baldwin, NY: $71.00
Avg. Paid
$71.00
Range
$6.19 – $169.82
Total Claims
240,624
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 Baldwin, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roger Lee Kilfoil
830 Atlantic Ave # A |
$20.12 | 17 | 12 |
|
Kornblit Medical Pc
830 Atlantic Ave |
$36.44 | 34 | 34 |
|
Eric Shoenfeld
927 Merrick Rd |
$64.83 | 38 | 38 |
|
Jovita M Crasta
2277 Grand Ave |
$6.19 | 89 | 84 |
|
Reeta Saharia
865 Merrick Road |
$23.90 | 127 | 110 |
|
Rachel J Kuttichira
1908 N Grand Ave |
$50.41 | 234 | 212 |
|
Patricia Ting Tan
1158 Atlantic Ave |
$89.88 | 330 | 326 |
|
Sonya Sheron Ventour
2280 Grand Ave |
$66.38 | 349 | 348 |
|
Kim J Berlin
830 Atlantic Ave |
$40.99 | 600 | 503 |
|
Mulchand Chugh
2277 Grand Avenue |
$19.91 | 1,121 | 1,061 |
|
Yesenia Andre
936 Hastings St |
$71.25 | 1,484 | 1,467 |
|
Jessy Colah
812 Bonnie Dr |
$75.37 | 1,806 | 1,747 |
|
Sanjay Goyal
2280 Grand Ave |
$41.18 | 1,881 | 1,702 |
|
Robyn A Cadet
975 Woodoak Dr |
$41.54 | 2,094 | 1,786 |
|
Sophia Andrea Francis Stewart
3357 Milburn Ave |
$169.82 | 3,250 | 2,868 |
|
Madhulika Goyal
2280 Grand Ave |
$61.98 | 4,820 | 4,585 |
|
Alan J. Levine
860 Atlantic Ave |
$74.99 | 4,853 | 4,811 |
|
Michael Edward Ronan
860 Atlantic Ave |
$113.43 | 5,124 | 4,760 |
|
Richard Douglas Lippmann
664 Merrick Rd |
$70.26 | 14,478 | 12,669 |
|
Anamika Patni
865 Merrick Rd |
$78.23 | 19,220 | 12,810 |
|
Ismail Ozcan
2762 Milburn Ave |
$69.27 | 54,156 | 39,631 |
|
Arthur Kornblit
830 Atlantic Ave |
$68.19 | 124,519 | 112,706 |
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 Baldwin, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Baldwin, NY is $71.00 per claim, based on 240,624 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 Baldwin, NY?
There are 22 Medicaid providers offering Office Visit related services in Baldwin, NY according to public payment data.
What is the price range for Office Visit in Baldwin, NY?
Medicaid reimbursement for Office Visit in Baldwin, NY ranges from $6.19 to $169.82 per claim, with an average of $71.00. 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 Baldwin, NY
Physical Therapy
Avg $33.71
23,420 claims
Vaccines & Immunizations
Avg $24.55
17,974 claims
Blood Work & Lab Tests
Avg $0.87
14,359 claims
Dental Cleaning & Exam
Avg $66.76
13,824 claims
Culture & Microbiology Tests
Avg $4.71
10,310 claims
Substance Abuse Treatment
Avg $27.64
9,232 claims
Psychiatric Evaluation
Avg $83.76
8,620 claims
Speech Therapy
Avg $35.14
8,061 claims