Based on public Medicaid payment data.

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
Pamela Basuk 2011 Union Blvd	$52.42	12	12
Simone Keisha Guest 8 Maple Ave	$77.67	12	12
Clifford Miller 280 Montauk Hwy	$51.24	12	12
Sandra Sungmee Ahn-Lee 180 E Main St	$58.76	12	12
Matthew Tommasino 1700 Union Blvd	$57.65	12	12
Freddy Nunez 8 Maple Ave	$78.16	12	12
William Chun-Ying Chen 440 E Main St Ste C	$152.87	12	12
Lewis B Rappaport 61 E Main St	$10.65	13	13
Jaspreet Singh Toor 340 Howells Rd	$76.31	13	12
Joseph L Saraceno 370 East Main Street	$30.12	14	13
Anthony C Innamorato 1555 Sunrise Hwy	$51.33	19	13
Jennifer Yonaitis Moldwin 376 E Main St Ste 201	$102.83	26	26
Stephen R Bernhardt 340 Howells Rd	$30.52	27	26
William M Frank 340 Howells Rd	$43.96	27	25
Frank Joseph Karpowicz 375 E Main St	$173.67	28	28
Julia Pierre-Louis 1745 Union Blvd	$69.60	28	28
Justin Michael Thomas 270 E Main St	$113.94	29	29
Puneet Gandotra 280 E Main St	$112.09	29	29
Louis F Loiodice 69 W Main St	$43.77	30	27
Sharon Ruth Gerber 376 E Main St Ste 202	$65.87	30	29
Michael Scott Linn 217 E Main St	$110.40	31	31
Farzad Modaress Moussavi 40 E Main St	$64.41	31	26
Allan D Memoracion 280 E Main St	$121.80	39	39
Danielle Lauren O'Shaughnessy 376 E Main St Ste 201	$119.92	40	40
Ashley James D'Silva 440 E Main St	$79.88	50	40
Family Medical Care Of Bayshore, Pc 1745 Union Blvd	$52.82	52	50
Kayla Marie Stanton 270 E Main St	$116.41	53	53
Martha Delgadillo Pilchman 85 W Main St	$84.49	58	58
Lauren Sarnataro 375 E Main St	$104.11	67	65
Evelyn H Silverio 301 E Main St	$25.96	67	67
Sudhir Goyal 340 Howells Rd	$21.78	68	68
Jaclyn M Nelson 250 E Main St	$79.63	69	67
Robert G Karman 301 E Main St	$130.71	70	67
Marina Yapport 301 E Main St	$138.61	77	77
Dana Neber 301 E Main St	$207.76	84	84
Matthew J. Blitz 376 E Main St Ste 202	$122.45	88	86
Kenneth D Gold 24 E Main St	$104.39	91	90
Charles A La Rosa 15 Park Ave	$4.29	92	53
Luis A Bracero 376 E Main St Ste 202	$113.78	101	97
Jonathon Charles Wenke 375 E Main St Ste 26	$24.98	117	116
Erika Hsiu Hiby 340 E Main St	$53.31	118	102
Benjamin Levens 46 Brentwood Rd Ste 1	$117.27	119	115
Esther Hansen 40 E Main St	$60.43	120	104
Mary Meena Thomas 375 East Main Street	$144.73	131	131
Christine Ann Fanelli 15 Park Ave	$9.43	134	76
Ralph T Barbato 340 Howells Rd	$25.25	138	134
Millicent L Brown 212 5Th Ave	$61.52	139	126
Paul Howard Broomfield 375 E Main St	$159.32	144	144
Marilyn Batista 212 5Th Ave	$95.08	146	145
Basavaraj Veeranna Desai 39 Brentwood Rd Ste 101	$85.72	147	146

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.

Average Medicaid Office Visit Payments in Bay Shore, NY: $74.31

Providers Offering Office Visit in Bay Shore, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Bay Shore, NY

Blood Work & Lab Tests

Emergency Room Visit

Physical Therapy

Psychiatric Evaluation

Home Health Visit

Vaccines & Immunizations

X-Ray

Urinalysis & Urine Tests