Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Carmel, NY: $94.80

Avg. Paid

$94.80

Range

$0.00 – $177.18

Total Claims

128,125

Providers

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 Carmel, NY

Provider	Avg. Paid	Claims	Patients
Bruce Marshall Shaffer 667 Stoneleigh Ave	$89.08	17,119	15,188
George Gorich 672 Stoneleigh Ave	$83.81	16,558	9,405
Rosemary A Russell 1071 Stoneleigh Ave	$125.96	15,904	8,643
Putnam Family And Community Services Inc 1808 Route 6	$115.61	8,129	7,718
Arms Acres Inc 21 Old Route 6	$71.08	6,933	4,554
Sabrina Kucherov 667 Stoneleigh Ave	$104.72	6,263	2,905
Arms Acres Inc 75 Seminary Hill Rd	$82.25	6,032	4,295
Martha Pimentel Putnam Pediatrics	$109.80	5,878	5,274
Ilan Astrachan 259 Crane Rd	$80.82	5,387	4,912
Geneva Vivino 667 Stoneleigh Ave	$72.08	4,777	4,423
Carmel Psychological Health, Pc 667 Stoneleigh Ave Ste 202	$98.76	3,859	3,365
Yelena M Yermak 660 Stoneleigh Ave	$74.17	3,246	3,135
Jessica Chantel Olivo 667 Stoneleigh Ave	$143.27	3,014	2,351
Mitchell Rosen 667 Stoneleigh Ave Ste 114	$78.51	2,595	2,357
Henry Rojas 667 Stoneleigh Ave Ste 114	$79.17	2,448	2,320
Karolyn A Chang 670 Stoneleigh Avenue	$50.06	1,960	1,741
Sarah Beth Krim 667 Stoneleigh Ave Ste 202	$80.20	1,749	1,390
Daniel Perez Schwartz 665 Stoneleigh Ave	$32.66	1,723	1,707
Lisa Ann Mccarthy 667 Stoneleigh Ave Ste 111	$127.48	1,522	1,445
Naomi Fisher 667 Stoneleigh Ave Ste 202	$71.52	1,469	1,222
Alfredo Garcia 667 Stoneleigh Avenue	$80.09	1,048	945
Aleena Ashok Malayil 667 Stoneleigh Ave Ste 117	$108.96	790	750
John Charles Gruendel 672 Stoneleigh Ave	$142.83	709	685
Smitha John 667 Stoneleigh Ave Ste 117	$94.24	702	614
Glenn Howard Boyar 672 Stoneleigh Ave	$137.12	699	675
Janine White 21 Old Route 6	$74.77	597	472
Anthony D'Ambrosio 150 Route 52	$107.12	461	451
Egesta Mani 150 Route 52	$110.16	435	416
Jeffrey M Passick 667 Stoneleigh Ave	$28.10	401	380
Usha Conde 75 Seminary Hill Rd	$96.65	399	273
Asaf Savir 672 Stoneleigh Ave	$153.40	389	382
Jyothi Parapurath 660 Stoneleigh Avenue	$154.48	340	333
Andrew S Gutterman 672 Stoneleigh Ave	$116.44	313	312
Sunil Gupta 667 Stoneleigh Ave	$60.75	297	286
Veeranna Choudary Merla 667 Stoneleigh Ave Ste 117	$60.29	271	264
Scott M Levin 664 Stoneleigh Ave	$116.45	271	258
Janusz E Rudnicki 660 Stoneleigh Ave	$84.33	257	228
Craig T. Delligatti 664 Stoneleigh Ave Ste 300	$26.28	234	218
Keren Vargas 21 Old Route 6	$78.07	224	181
Matthew Herbert Ornstein 672 Stoneleigh Ave	$177.18	178	178
Suzanne Brown 665 Stoneleigh Ave # 202	$127.59	175	175
Robert Mendelsohn 672 Stoneleigh Ave	$128.85	169	161
Kimmarie Beckwith 21 Old Route 6	$63.91	165	133
Yariv Maghen 664 Stoneleigh Ave	$115.65	162	153
Monica M Brito 670 Stoneleigh Ave	$43.55	161	138
Westchester Putnam Gastroenterology P.C. 667 Stoneleigh Avenue	$112.54	149	131
Victor Khabie 664 Stoneleigh Ave Ste 300	$122.89	140	136
Jerry Mathew 660 Stoneleigh Ave	$81.09	139	100
Lani Britt Pincus 664 Stoneleigh Ave	$127.81	134	124
Andrew Peretz 664 Stoneleigh Ave Ste 300	$122.40	118	111

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 Carmel, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Carmel, NY is $94.80 per claim, based on 128,125 claims from 68 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 Carmel, NY?

There are 68 Medicaid providers offering Office Visit related services in Carmel, NY according to public payment data.

What is the price range for Office Visit in Carmel, NY?

Medicaid reimbursement for Office Visit in Carmel, NY ranges from $0.00 to $177.18 per claim, with an average of $94.80. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Carmel, NY: $94.80

Providers Offering Office Visit in Carmel, 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 Carmel, NY

Substance Abuse Treatment

Psychiatric Evaluation

Blood Work & Lab Tests

Physical Therapy

Emergency Room Visit

EKG / ECG (Electrocardiogram)

Nursing Facility Care

Behavioral & Mental Health Therapy