Average Medicaid Office Visit Payments in Centereach, NY: $87.43
Avg. Paid
$87.43
Range
$17.28 – $189.30
Total Claims
23,678
Providers
16
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 Centereach, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jasjit S Kochar
23 South Howell Avenue |
$68.39 | 4,714 | 4,382 |
|
Opkar S Chawla
23 Howell Avenue |
$55.17 | 3,866 | 3,548 |
|
Vision Screening
1919 Middle Country Rd |
$67.16 | 3,144 | 3,035 |
|
Deborah Mary Carney
2539 Middle Country Rd |
$189.30 | 2,909 | 945 |
|
Joseph Thomas
1344 Middle Country Rd |
$94.29 | 1,850 | 1,633 |
|
Eileen Bridget Flynn Richards
2539 Middle Country Rd |
$107.14 | 1,455 | 894 |
|
Alan L Steinberg
2539 Middle Country Rd |
$90.79 | 1,394 | 783 |
|
Krista Ann Moss
2539 Middle Country Rd |
$62.80 | 1,371 | 1,180 |
|
Eric R.B. Spronz
2539 Middle Country Rd |
$17.28 | 718 | 682 |
|
Gregory Baumgartner
122 Ronkonkoma Blvd |
$117.49 | 626 | 623 |
|
Martin Carl Schnellenbach
23 S Howell Ave Ste O |
$93.42 | 613 | 594 |
|
Frantzchesca Decade
23 S Howell Ave Ste D |
$93.77 | 502 | 501 |
|
Urgent Care Of New York Pllc
2112 Middle Country Rd |
$76.32 | 233 | 230 |
|
Joseph Anthony Poppa
23 S Howell Ave Ste Oandp |
$57.82 | 183 | 183 |
|
Sonia Varughese
23 S Howell Ave Ste D |
$121.13 | 52 | 52 |
|
Justine Tuttle
23 S Howell Ave Ste D |
$98.69 | 48 | 46 |
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 Centereach, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Centereach, NY is $87.43 per claim, based on 23,678 claims from 16 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 Centereach, NY?
There are 16 Medicaid providers offering Office Visit related services in Centereach, NY according to public payment data.
What is the price range for Office Visit in Centereach, NY?
Medicaid reimbursement for Office Visit in Centereach, NY ranges from $17.28 to $189.30 per claim, with an average of $87.43. 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 Centereach, NY
Home Health Visit
Avg $232.31
203,808 claims
Eye Exam
Avg $40.95
88,991 claims
Physical Therapy
Avg $31.34
40,904 claims
Dental Cleaning & Exam
Avg $32.51
9,309 claims
Speech Therapy
Avg $68.80
3,552 claims
Ambulance Transport
Avg $108.04
3,346 claims
Dental Filling
Avg $59.64
2,333 claims
Psychiatric Evaluation
Avg $99.08
1,445 claims