Average Medicaid Office Visit Payments in Central Islip, NY: $71.10
Avg. Paid
$71.10
Range
$0.00 – $152.45
Total Claims
85,605
Providers
20
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 Central Islip, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mohammad Junaid Chohan
172 E Suffolk Ave |
$71.29 | 28,183 | 25,429 |
|
Roxane Lacy
45 W Suffolk Ave Fl 2 |
$16.92 | 14,607 | 13,893 |
|
Long Island Select Healthcare, Inc.
159 Carleton Ave |
$135.56 | 11,839 | 10,385 |
|
David Sanchez
45 W Suffolk Ave |
$18.43 | 8,461 | 8,137 |
|
Andrea Martinez Villalobos
159 Carleton Ave |
$114.59 | 6,658 | 3,572 |
|
Michele Jean Seid
159 Carleton Ave |
$85.68 | 3,747 | 1,591 |
|
Susan M Trees
159 Carleton Ave |
$71.62 | 2,706 | 1,845 |
|
Carl-Henri Sanchez
108 W Suffolk Ave Unit B |
$72.56 | 2,211 | 1,994 |
|
Alexus A Haddad
159 Carleton Ave |
$90.01 | 2,082 | 985 |
|
Jaclyn A Farino
159 Carleton Ave |
$152.45 | 1,077 | 780 |
|
Thomas Chan
267 Carleton Ave |
$65.49 | 786 | 747 |
|
Marieanna Santana
264 Fruitwood Ln |
$65.68 | 781 | 746 |
|
Sarita Khanijo
45 W Suffolk Ave |
$85.98 | 635 | 354 |
|
Eileen Marie Murray
159 Carleton Ave |
$125.77 | 478 | 162 |
|
Donna Marie Mcmahon
267 Carleton Ave |
$56.30 | 303 | 288 |
|
Sonia Rivera Martinez
267 Carleton Ave |
$63.70 | 287 | 284 |
|
Melvin George
159 Carleton Ave |
$67.79 | 284 | 138 |
|
Anuma Kalu Ulu
10 Mcfarland Ave |
$0.00 | 246 | 197 |
|
Hope O. Enyenihi
17 Birchgrove Dr |
$13.72 | 200 | 195 |
|
Lauren Monique Alburg
71 Fairlawn Dr |
$143.89 | 34 | 34 |
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 Central Islip, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Central Islip, NY is $71.10 per claim, based on 85,605 claims from 20 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 Central Islip, NY?
There are 20 Medicaid providers offering Office Visit related services in Central Islip, NY according to public payment data.
What is the price range for Office Visit in Central Islip, NY?
Medicaid reimbursement for Office Visit in Central Islip, NY ranges from $0.00 to $152.45 per claim, with an average of $71.10. 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 Central Islip, NY
Case Management Services
Avg $27.39
38,719 claims
Home Health Visit
Avg $117.85
38,104 claims
Vaccines & Immunizations
Avg $11.46
30,725 claims
Physical Therapy
Avg $48.91
29,755 claims
Ambulance Transport
Avg $95.71
21,581 claims
Blood Work & Lab Tests
Avg $0.71
15,060 claims
Psychiatric Evaluation
Avg $118.43
14,995 claims
Hearing Test (Audiometry)
Avg $31.68
14,256 claims