Average Medicaid Office Visit Payments in Cambria Heights, NY: $61.12
Avg. Paid
$61.12
Range
$0.00 – $84.59
Total Claims
102,055
Providers
25
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 Cambria Heights, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Little Treasures-Petits Tresors, Slp & Psychology, Pllc
22004 Linden Blvd |
$0.00 | 25 | 20 |
|
Susane Frith-Headley
11714 228Th St |
$76.98 | 54 | 41 |
|
Sandra Nurse
20620 Linden Blvd |
$62.29 | 176 | 174 |
|
Monique Marie Abrams
11706 225Th St |
$84.21 | 276 | 265 |
|
Kelly Gilgeours
11706 225Th St |
$64.53 | 423 | 377 |
|
Raymond Morales
206-20 Linden Blvd |
$84.59 | 443 | 416 |
|
Edwin M Pierre
206-20 Linden Blvd |
$71.63 | 572 | 528 |
|
Andre Hines
21664 114Th Ave |
$75.86 | 617 | 606 |
|
Fabiola Paul
206-20 Linden Blvd |
$59.12 | 1,154 | 1,107 |
|
Suresh M Patel
20620 Linden Blvd |
$51.50 | 1,192 | 1,177 |
|
Geoffrey Rodriguez
206-20 Linden Blvd |
$59.32 | 1,209 | 1,173 |
|
Swaroopa Sangamesh Chinnappala
20620 Linden Blvd |
$55.34 | 1,442 | 1,427 |
|
Lana Rayev
20620 Linden Blvd |
$73.60 | 1,556 | 1,436 |
|
Kevin Alfred Abalos
206-20 Linden Blvd |
$58.96 | 1,673 | 1,618 |
|
Shenezah Nazia Rasheed
20701 116Th Ave |
$53.75 | 2,166 | 2,123 |
|
Eiris Fahim
11706 225Th St |
$69.14 | 2,174 | 1,989 |
|
Tyrone A Brown
117-06 225 Street |
$69.32 | 2,628 | 2,493 |
|
Edner Registre
11572 Francis Lewis Blvd |
$22.27 | 3,082 | 3,006 |
|
Sandra A Robinson
21902 Linden Blvd |
$65.90 | 3,356 | 3,231 |
|
Camkids Pediatrics Pc
11706 225Th Street |
$62.49 | 4,899 | 4,469 |
|
Mario Lavelanet
11751 220Th St |
$21.22 | 4,905 | 4,108 |
|
Lorraine Everrette Williams
21902 Linden Blvd |
$83.78 | 5,371 | 4,345 |
|
Dacia Devian Hazarian
206-20 Linden Blvd |
$60.90 | 7,299 | 5,252 |
|
Paulette A Stewart
22806 Linden Blvd |
$53.84 | 17,085 | 15,133 |
|
Marie-Paule J Dupiton
11706 225Th St |
$67.65 | 38,278 | 34,697 |
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 Cambria Heights, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cambria Heights, NY is $61.12 per claim, based on 102,055 claims from 25 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 Cambria Heights, NY?
There are 25 Medicaid providers offering Office Visit related services in Cambria Heights, NY according to public payment data.
What is the price range for Office Visit in Cambria Heights, NY?
Medicaid reimbursement for Office Visit in Cambria Heights, NY ranges from $0.00 to $84.59 per claim, with an average of $61.12. 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 Cambria Heights, NY
Vaccines & Immunizations
Avg $19.13
35,260 claims
Blood Work & Lab Tests
Avg $1.29
28,274 claims
Case Management Services
Avg $37.67
19,354 claims
Hearing Test (Audiometry)
Avg $21.09
16,872 claims
Speech Therapy
Avg $69.36
8,709 claims
Urinalysis & Urine Tests
Avg $3.59
3,943 claims
Podiatry (Foot Care)
Avg $6.91
3,601 claims
Emergency Room Visit
Avg $85.85
2,653 claims