Average Medicaid Office Visit Payments in Bay Shore, NY: $74.31
Avg. Paid
$74.31
Range
$1.20 – $219.64
Total Claims
333,039
Providers
176
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 Bay Shore, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carla Canavire Weber
1745 Union Blvd |
$55.05 | 38,895 | 35,930 |
|
Elaine May Arcenas
42 Brentwood Rd |
$62.26 | 23,759 | 21,381 |
|
Dulce M Almanzar
1377 5Th Ave |
$67.07 | 18,675 | 16,995 |
|
Anthony Joseph Rizzo
200 Howells Rd |
$65.85 | 16,388 | 14,647 |
|
Peter Anthony Hernandez
85 W Main Street |
$58.49 | 14,215 | 13,766 |
|
Michael Woo Lee
1464 5Th Ave |
$47.97 | 14,016 | 13,729 |
|
Janice C Cristobal
301 E Main St |
$90.03 | 11,364 | 6,909 |
|
Reichman, Brown, Kaplan M.D.P.C
20A S Saxon Ave # A |
$113.94 | 11,349 | 10,942 |
|
South Shore University Hospital
301 E Main St |
$129.58 | 9,171 | 8,451 |
|
William Chukwukeziri Onyebeke
46 Brentwood Rd |
$113.85 | 8,587 | 7,325 |
|
Gulshan Sethi
85 E Main St |
$46.73 | 8,347 | 7,112 |
|
Catholic Charities Of The Diocese Of Rockville Centre
9 4Th Ave |
$117.31 | 7,978 | 7,356 |
|
Gerry Rubin
180 E Main St |
$77.66 | 7,776 | 7,235 |
|
Louis Michael Leyden
6 Bond Place |
$45.38 | 7,304 | 4,645 |
|
Argelia Diaz
10 Brentwood Rd Ste 2 |
$36.79 | 6,881 | 5,912 |
|
Jose Ignacio Rodriguez-Ospina
8 Maple Ave |
$61.28 | 6,174 | 5,726 |
|
Anyelina Maria De La Cruz
1464 5Th Ave |
$17.39 | 6,014 | 5,859 |
|
Samuel Onyemuwa Ani
301 E Main St |
$61.51 | 5,095 | 4,308 |
|
Richard Francis Michalowicz
21 Shore Lane |
$60.98 | 5,041 | 4,460 |
|
Maan Muhammed Ali Shikara
48 Brentwood Rd |
$72.55 | 4,063 | 3,515 |
|
Robin B Septon
332 E Main St |
$118.23 | 3,875 | 3,816 |
|
Daniel Joseph Brandenstein
301 E Main St |
$124.06 | 3,241 | 3,193 |
|
Marie-Edouard Nathalie Desvarieux
3 E Main St |
$41.13 | 3,142 | 2,991 |
|
Jeffrey Bruce Pardes
332 E Main St |
$102.76 | 3,078 | 3,047 |
|
Daniel H Cohen
370 E Main St |
$134.72 | 2,858 | 2,852 |
|
Young Park
375 E Main St Ste 26 |
$82.90 | 2,672 | 2,415 |
|
Timothy John Mulry
217 E Main St |
$95.81 | 2,596 | 2,544 |
|
Manish Chadha
332 E Main St |
$55.43 | 2,518 | 2,401 |
|
Saleha Riaz
301 E Main St |
$124.87 | 2,447 | 2,416 |
|
Aaron Jemal Woodall
332 E Main St |
$61.14 | 2,393 | 2,175 |
|
Robert David Turoff
10 Brentwood Rd |
$66.73 | 2,319 | 2,099 |
|
Anastasia Blanchard
107 Ocean Ave |
$63.12 | 2,286 | 1,556 |
|
Bernice Jackson
212 5Th Ave |
$105.20 | 2,118 | 2,065 |
|
Charles Scott Hall
370 E Main St |
$90.04 | 2,048 | 2,023 |
|
Marcel A Bas Aguilar
217 E Main St |
$118.14 | 2,037 | 1,958 |
|
Gary Wohlberg
370 East Main Street |
$75.94 | 2,019 | 2,003 |
|
Laura Lennon
1916 Union Blvd |
$47.83 | 1,810 | 1,746 |
|
Jonathan C Winick
370 E Main St |
$82.87 | 1,746 | 1,741 |
|
Dheeraj Khanna
370 East Main Street |
$91.70 | 1,725 | 1,697 |
|
Azhar Supariwala
280 E Main St |
$99.69 | 1,482 | 1,468 |
|
Laurence A Engelberg
370 East Main Street |
$110.94 | 1,438 | 1,421 |
|
Christopher Sefein Atalla
332 E Main St |
$90.46 | 1,391 | 1,316 |
|
Myron I Kleiner
180 E Main St |
$95.83 | 1,383 | 1,375 |
|
Elizabeth Curran
9 4Th Ave |
$107.37 | 1,361 | 1,196 |
|
Hasan Aijaz Rizvi
180 E Main St |
$72.03 | 1,336 | 1,265 |
|
Claudia J Selgrad
1555 Sunrise Highway |
$51.09 | 1,285 | 1,160 |
|
John Muratori
158 E Main St |
$63.62 | 1,264 | 1,156 |
|
Nicoleta Ionica
180 E Main St |
$113.88 | 1,222 | 1,214 |
|
Hun Han
301 E Main St |
$66.11 | 1,198 | 1,187 |
|
Mark Thomas Foehr
69 West Main St |
$107.98 | 1,189 | 522 |
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 Bay Shore, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bay Shore, NY is $74.31 per claim, based on 333,039 claims from 176 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 Bay Shore, NY?
There are 176 Medicaid providers offering Office Visit related services in Bay Shore, NY according to public payment data.
What is the price range for Office Visit in Bay Shore, NY?
Medicaid reimbursement for Office Visit in Bay Shore, NY ranges from $1.20 to $219.64 per claim, with an average of $74.31. 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 Bay Shore, NY
Blood Work & Lab Tests
Avg $11.00
317,662 claims
Emergency Room Visit
Avg $141.76
186,421 claims
Physical Therapy
Avg $70.49
144,261 claims
Psychiatric Evaluation
Avg $76.65
81,698 claims
Home Health Visit
Avg $207.55
68,006 claims
Vaccines & Immunizations
Avg $16.71
65,905 claims
X-Ray
Avg $10.08
60,814 claims
Urinalysis & Urine Tests
Avg $1.49
58,283 claims