Average Medicaid Office Visit Payments in Coram, NY: $72.24
Avg. Paid
$72.24
Range
$4.47 – $127.97
Total Claims
68,852
Providers
22
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 Coram, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Welllife Network Inc.
3600 Route 112 |
$127.97 | 17 | 15 |
|
Sana Ahmad
82 Middle Country Rd |
$88.79 | 54 | 30 |
|
David M Heckler
266 Middle Country Road |
$68.18 | 64 | 59 |
|
Jeannine Maytan
7 Charleston Ct |
$4.47 | 66 | 12 |
|
Christina M. Figueroa
82 Middle Country Rd |
$45.79 | 91 | 83 |
|
Anthony Dewar
3600 Route 112 |
$96.64 | 114 | 82 |
|
Kevin Andrew Douglas
100 Middle Country Rd |
$69.87 | 171 | 162 |
|
Nicole Silvestre
266 Middle Country Rd |
$79.42 | 236 | 229 |
|
Kayla Marie Lebohner
82 Middle Country Rd |
$90.77 | 1,087 | 591 |
|
Andrew Vanderlofske
266 Middle Country Rd |
$69.61 | 1,360 | 1,254 |
|
Ramanpreet Kaur
82 Middle Country Rd |
$73.23 | 1,543 | 932 |
|
Cristina Delmonico
39 Chauncey Ln |
$115.73 | 1,642 | 1,201 |
|
Katelin Swain
82 Middle Country Rd |
$91.00 | 2,013 | 1,311 |
|
Thao Nguyen
12 Fairwood Ln |
$62.42 | 2,533 | 1,860 |
|
Francine Jacobs
82 Middle Country Road |
$89.51 | 3,114 | 3,044 |
|
Nikhat S Khan
3650 Route 112 |
$66.93 | 3,297 | 2,723 |
|
Marina Isabel Guzman
82 Middle Country Rd |
$75.55 | 3,510 | 1,839 |
|
Susan Hamill
82 Middle Country Rd |
$80.51 | 5,116 | 2,629 |
|
Nadia Arif
82 Middle Country Rd |
$62.10 | 8,958 | 5,470 |
|
Zena Esther Sara Joseph
266 Middle Country Rd |
$48.01 | 9,768 | 9,026 |
|
Gretchen Pacheco-Stabile
82 Middle Country Rd |
$86.84 | 11,734 | 6,536 |
|
Faiza Ali
266 Middle Country Rd |
$69.37 | 12,364 | 11,194 |
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 Coram, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Coram, NY is $72.24 per claim, based on 68,852 claims from 22 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 Coram, NY?
There are 22 Medicaid providers offering Office Visit related services in Coram, NY according to public payment data.
What is the price range for Office Visit in Coram, NY?
Medicaid reimbursement for Office Visit in Coram, NY ranges from $4.47 to $127.97 per claim, with an average of $72.24. 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 Coram, NY
Behavioral & Mental Health Therapy
Avg $114.11
32,917 claims
Substance Abuse Treatment
Avg $109.13
27,292 claims
Nursing Facility Care
Avg $7.54
17,655 claims
Vaccines & Immunizations
Avg $13.80
16,754 claims
Blood Work & Lab Tests
Avg $4.14
15,034 claims
Psychiatric Evaluation
Avg $93.75
12,101 claims
Dental Cleaning & Exam
Avg $40.19
6,624 claims
Speech Therapy
Avg $37.94
5,597 claims