Average Medicaid Office Visit Payments in Center Moriches, NY: $56.40
Avg. Paid
$56.40
Range
$29.65 – $155.98
Total Claims
37,859
Providers
14
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 Center Moriches, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Counseling & Lcsw Services Pc
234 Main St |
$60.38 | 8,346 | 7,521 |
|
Nitin Kamdar
760 Montauk Highway |
$68.14 | 6,132 | 5,657 |
|
Susan Diana Walker
600 Main St Ste A |
$29.65 | 5,020 | 4,853 |
|
Lauren Elizabeth Ng
600 Montauk Hwy |
$32.93 | 4,554 | 4,447 |
|
Richard Ritt Pongvitayapanu
600 Main St Ste A |
$32.71 | 4,260 | 4,203 |
|
Brian K Mcnulty
504 Montauk Hwy Ste B |
$84.74 | 4,169 | 3,869 |
|
David T Goldman
625 Montauk Hwy |
$78.60 | 2,214 | 1,866 |
|
Jorge Alberto Reiley
15 N Ocean Ave |
$52.87 | 1,504 | 1,440 |
|
Christina Angela Zaccara
504B Montauk Hwy |
$96.78 | 713 | 647 |
|
Josephine Marie Champlin
504 Montauk Hwy Ste B |
$70.69 | 327 | 309 |
|
Christina Schaub
625 Montauk Hwy |
$155.98 | 239 | 237 |
|
Lara Nadosy
600 Montauk Hwy Ste C |
$105.18 | 204 | 196 |
|
Ann B Morrill
504 Montauk Hwy Ste B |
$99.05 | 107 | 104 |
|
Lauren Sedlak
504 Montauk Hwy Ste B |
$102.31 | 70 | 65 |
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 Center Moriches, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Center Moriches, NY is $56.40 per claim, based on 37,859 claims from 14 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 Center Moriches, NY?
There are 14 Medicaid providers offering Office Visit related services in Center Moriches, NY according to public payment data.
What is the price range for Office Visit in Center Moriches, NY?
Medicaid reimbursement for Office Visit in Center Moriches, NY ranges from $29.65 to $155.98 per claim, with an average of $56.40. 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 Center Moriches, NY
Psychiatric Evaluation
Avg $70.14
177,150 claims
Vaccines & Immunizations
Avg $13.21
16,799 claims
Speech Therapy
Avg $25.57
3,657 claims
Dental Cleaning & Exam
Avg $32.45
3,581 claims
Hearing Test (Audiometry)
Avg $32.99
2,829 claims
Blood Work & Lab Tests
Avg $0.65
1,293 claims
Case Management Services
Avg $27.24
623 claims
Dental Crown
Avg $526.14
313 claims