Average Medicaid Office Visit Payments in Carmel, NY: $94.80
Avg. Paid
$94.80
Range
$0.00 – $177.18
Total Claims
128,125
Providers
68
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 |
|---|---|---|---|
|
Michael Stuart Kushner
667 Stoneleigh Ave |
$153.37 | 12 | 12 |
|
Hillary Stainthorpe Harrison
660 Stoneleigh Ave |
$69.21 | 13 | 13 |
|
Katie Anne Burgess
664 Stoneleigh Ave |
$107.59 | 15 | 14 |
|
Diane G Cascioli
11 Fair Street |
$0.00 | 16 | 12 |
|
Joesph A Martinez
21 Old Route 6 |
$112.42 | 24 | 24 |
|
Northeastern Anesthesia Services, Pc
670 Stoneleigh Ave |
$0.00 | 25 | 25 |
|
Stuart Styles
664 Stoneleigh Ave |
$116.88 | 25 | 24 |
|
Michael Dubin
150 Route 52 |
$97.66 | 44 | 41 |
|
Shari D Ward
102 Gleneida Ave Ste 1 |
$64.97 | 49 | 45 |
|
Lyda E. Rojas Carroll
672 Stoneleigh Ave |
$64.36 | 63 | 62 |
|
Daniel G. Kaufman
150 Route 52 |
$151.38 | 65 | 65 |
|
Laura P.S. Twist
672 Stoneleigh Ave Ste C112 |
$45.64 | 76 | 63 |
|
Joanne Powers
21 Old Route 6 |
$113.16 | 83 | 68 |
|
Susan Lynn Vosko
664 Stoneleigh Ave |
$130.83 | 91 | 89 |
|
Rajiv Perinbasekar
667 Stoneleigh Ave |
$107.81 | 99 | 90 |
|
Norma M Kurtz
670 Stoneleigh Ave |
$145.36 | 105 | 76 |
|
Evan Ross Schloss
665 Stoneleigh Ave |
$174.94 | 113 | 110 |
|
Paul Charles Garell
667 Stoneleigh Ave Ste 118 |
$2.93 | 115 | 107 |
|
Andrew Peretz
664 Stoneleigh Ave Ste 300 |
$122.40 | 118 | 111 |
|
Lani Britt Pincus
664 Stoneleigh Ave |
$127.81 | 134 | 124 |
|
Jerry Mathew
660 Stoneleigh Ave |
$81.09 | 139 | 100 |
|
Victor Khabie
664 Stoneleigh Ave Ste 300 |
$122.89 | 140 | 136 |
|
Westchester Putnam Gastroenterology P.C.
667 Stoneleigh Avenue |
$112.54 | 149 | 131 |
|
Monica M Brito
670 Stoneleigh Ave |
$43.55 | 161 | 138 |
|
Yariv Maghen
664 Stoneleigh Ave |
$115.65 | 162 | 153 |
|
Kimmarie Beckwith
21 Old Route 6 |
$63.91 | 165 | 133 |
|
Robert Mendelsohn
672 Stoneleigh Ave |
$128.85 | 169 | 161 |
|
Suzanne Brown
665 Stoneleigh Ave # 202 |
$127.59 | 175 | 175 |
|
Matthew Herbert Ornstein
672 Stoneleigh Ave |
$177.18 | 178 | 178 |
|
Keren Vargas
21 Old Route 6 |
$78.07 | 224 | 181 |
|
Craig T. Delligatti
664 Stoneleigh Ave Ste 300 |
$26.28 | 234 | 218 |
|
Janusz E Rudnicki
660 Stoneleigh Ave |
$84.33 | 257 | 228 |
|
Veeranna Choudary Merla
667 Stoneleigh Ave Ste 117 |
$60.29 | 271 | 264 |
|
Scott M Levin
664 Stoneleigh Ave |
$116.45 | 271 | 258 |
|
Sunil Gupta
667 Stoneleigh Ave |
$60.75 | 297 | 286 |
|
Andrew S Gutterman
672 Stoneleigh Ave |
$116.44 | 313 | 312 |
|
Jyothi Parapurath
660 Stoneleigh Avenue |
$154.48 | 340 | 333 |
|
Asaf Savir
672 Stoneleigh Ave |
$153.40 | 389 | 382 |
|
Usha Conde
75 Seminary Hill Rd |
$96.65 | 399 | 273 |
|
Jeffrey M Passick
667 Stoneleigh Ave |
$28.10 | 401 | 380 |
|
Egesta Mani
150 Route 52 |
$110.16 | 435 | 416 |
|
Anthony D'Ambrosio
150 Route 52 |
$107.12 | 461 | 451 |
|
Janine White
21 Old Route 6 |
$74.77 | 597 | 472 |
|
Glenn Howard Boyar
672 Stoneleigh Ave |
$137.12 | 699 | 675 |
|
Smitha John
667 Stoneleigh Ave Ste 117 |
$94.24 | 702 | 614 |
|
John Charles Gruendel
672 Stoneleigh Ave |
$142.83 | 709 | 685 |
|
Aleena Ashok Malayil
667 Stoneleigh Ave Ste 117 |
$108.96 | 790 | 750 |
|
Alfredo Garcia
667 Stoneleigh Avenue |
$80.09 | 1,048 | 945 |
|
Naomi Fisher
667 Stoneleigh Ave Ste 202 |
$71.52 | 1,469 | 1,222 |
|
Lisa Ann Mccarthy
667 Stoneleigh Ave Ste 111 |
$127.48 | 1,522 | 1,445 |
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.
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 Carmel, NY
Substance Abuse Treatment
Avg $36.81
247,092 claims
Psychiatric Evaluation
Avg $91.68
79,299 claims
Blood Work & Lab Tests
Avg $10.43
32,994 claims
Physical Therapy
Avg $52.18
31,458 claims
Emergency Room Visit
Avg $165.01
18,610 claims
EKG / ECG (Electrocardiogram)
Avg $5.56
13,665 claims
Nursing Facility Care
Avg $5.97
13,653 claims
Behavioral & Mental Health Therapy
Avg $414.03
7,916 claims