Average Medicaid Office Visit Payments in Bayshore, NY: $86.79
Avg. Paid
$86.79
Range
$20.68 – $168.32
Total Claims
5,133
Providers
8
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 Bayshore, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alex Vidal
1916 Union Blvd. |
$55.23 | 2,628 | 2,562 |
|
Diana Joan D'Anna
65 Park Ave |
$168.32 | 1,213 | 636 |
|
Neeraj Anand
39 Brentwood Road |
$92.82 | 496 | 485 |
|
Richard J Tabershaw
375 East Main Street |
$44.98 | 253 | 224 |
|
Michael Lastihenos
375 East Main Street |
$51.99 | 251 | 226 |
|
Rolando Gomez
South Shore University Hospital |
$97.02 | 176 | 171 |
|
Natalie Cher
19 East Main Street |
$82.94 | 100 | 97 |
|
Joseph S Tamburrino
24 Brentwood Road |
$20.68 | 16 | 16 |
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 Bayshore, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bayshore, NY is $86.79 per claim, based on 5,133 claims from 8 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 Bayshore, NY?
There are 8 Medicaid providers offering Office Visit related services in Bayshore, NY according to public payment data.
What is the price range for Office Visit in Bayshore, NY?
Medicaid reimbursement for Office Visit in Bayshore, NY ranges from $20.68 to $168.32 per claim, with an average of $86.79. 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 Bayshore, NY
Dental Cleaning & Exam
Avg $32.84
29,174 claims
EKG / ECG (Electrocardiogram)
Avg $7.99
8,889 claims
Dental Filling
Avg $61.92
7,584 claims
Psychiatric Evaluation
Avg $155.41
1,242 claims
Echocardiogram
Avg $98.75
1,012 claims
Tooth Extraction
Avg $56.20
410 claims
Hearing Test (Audiometry)
Avg $23.31
381 claims
Upper Endoscopy (EGD)
Avg $61.78
91 claims