Average Medicaid Office Visit Payments in Cedarhurst, NY: $82.01
Avg. Paid
$82.01
Range
$0.00 – $161.30
Total Claims
129,734
Providers
41
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 Cedarhurst, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Freddie M Marton
123 Grove Ave |
$72.66 | 20,826 | 19,410 |
|
Mark H Vine
123 Maple Ave |
$79.10 | 12,234 | 11,780 |
|
Hewlett Urgent Care Pllc
380 Rockaway Turnpike |
$81.21 | 11,408 | 10,651 |
|
Mitchell I. Weiler
86 Carman Ave |
$86.05 | 9,518 | 8,424 |
|
Zev Ash
413 Marlborough Rd |
$79.73 | 6,928 | 5,507 |
|
Shoshanah E Kahn
222 Rockaway Tpke Ste 2 |
$72.75 | 6,675 | 6,205 |
|
Stuart Schiff
571 Chestnut St |
$119.79 | 6,347 | 6,005 |
|
Israel Marc Samson
545 Central Ave |
$36.77 | 5,424 | 4,845 |
|
Joseph Andrew Rozenbaum
571 Chestnut St |
$118.83 | 5,304 | 5,130 |
|
Evan Barry Pockriss
571 Chestnut St |
$112.92 | 5,217 | 4,854 |
|
Marie Schroeder
571 Chestnut St |
$121.11 | 4,656 | 4,491 |
|
Steven Mark Kellner
571 Chestnut St |
$116.12 | 4,526 | 4,338 |
|
Eric L Freeman
657 Central Ave |
$68.70 | 4,105 | 3,482 |
|
David Rosenberg
320 Peninsula Blvd |
$80.98 | 3,443 | 3,100 |
|
Jay Lachman
377 Buckingham Rd |
$35.61 | 3,178 | 3,035 |
|
Marc Jason Ostreicher
123 Maple Ave |
$58.43 | 2,786 | 2,449 |
|
Boris Serebryansky
91A Carman Ave |
$17.59 | 2,271 | 2,168 |
|
Jacob Leigh
650 Central Ave Ste C |
$72.46 | 1,998 | 1,848 |
|
Danny E Mergi
123 Maple Ave Ste 202A |
$74.83 | 1,914 | 1,484 |
|
Sanjida Shoma Cabot
380 Rockaway Tpke |
$89.04 | 1,641 | 1,600 |
|
Amy Kornblit
571 Chestnut St |
$113.71 | 1,632 | 1,579 |
|
Munif Hussain
657 Central Ave |
$132.88 | 1,134 | 1,118 |
|
Jessica Lynn Kirschner
571 Chestnut St |
$113.74 | 1,011 | 986 |
|
Nancy Chiang
86 Carman Ave |
$161.30 | 755 | 683 |
|
Marc Joseph Sicklick
123 Grove Ave |
$48.09 | 659 | 545 |
|
Lidia Esther Molina
34 Spruce St Fl 2 |
$19.81 | 601 | 536 |
|
Thuy-Trang Pham
650 Central Ave Ste C |
$48.98 | 580 | 485 |
|
Ira Neil Bachman
660 Central Ave |
$78.85 | 544 | 480 |
|
Aliza Wachspress
474 Oceanpoint Ave |
$10.75 | 437 | 403 |
|
Five Towns Heart Imaging Medical P.C.
650 Central Ave |
$77.16 | 424 | 417 |
|
Brocha Newman
551 Arlington Rd |
$27.48 | 336 | 332 |
|
Melanie Gay Forman
558 Arlington Pl |
$12.58 | 229 | 226 |
|
David I Tarkoff
123 Grove Ave |
$14.77 | 187 | 180 |
|
Elizabeth Marie Bloxham
320 Peninsula Blvd |
$71.62 | 176 | 158 |
|
Howard Rosenfeld
123 Grove Ave |
$92.95 | 174 | 160 |
|
Batsheva E Kramer
690 Central Ave |
$50.11 | 156 | 124 |
|
Jonathan Klahr
660 Central Ave |
$57.55 | 131 | 121 |
|
Elizabeth Edelstein
380 Rockaway Tpke |
$88.37 | 65 | 64 |
|
Arnold Marc Hertz
650 Central Ave |
$50.74 | 52 | 38 |
|
Beth Danielle Bentley
660 Central Ave |
$81.71 | 40 | 39 |
|
Sagee S Kahalon
470 Cedarhurst Ave |
$0.00 | 12 | 12 |
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 Cedarhurst, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cedarhurst, NY is $82.01 per claim, based on 129,734 claims from 41 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 Cedarhurst, NY?
There are 41 Medicaid providers offering Office Visit related services in Cedarhurst, NY according to public payment data.
What is the price range for Office Visit in Cedarhurst, NY?
Medicaid reimbursement for Office Visit in Cedarhurst, NY ranges from $0.00 to $161.30 per claim, with an average of $82.01. 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 Cedarhurst, NY
Physical Therapy
Avg $41.97
50,728 claims
Speech Therapy
Avg $71.10
44,379 claims
Psychiatric Evaluation
Avg $61.96
36,190 claims
Dental Cleaning & Exam
Avg $30.98
28,466 claims
Vaccines & Immunizations
Avg $15.65
23,045 claims
Non-Emergency Medical Transportation
Avg $25.46
15,450 claims
EKG / ECG (Electrocardiogram)
Avg $8.60
15,336 claims
X-Ray
Avg $6.73
14,131 claims