Average Medicaid Office Visit Payments in East Islip, NY: $62.53
Avg. Paid
$62.53
Range
$1.13 – $112.22
Total Claims
52,525
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 East Islip, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vikas V Desai
45 E Main St |
$65.24 | 14,475 | 13,357 |
|
Jay B Stambler
126 E Main St |
$73.19 | 12,315 | 10,269 |
|
Lawrence L Northorn
126 E Main St Ste 1 |
$47.26 | 5,530 | 4,913 |
|
Mireille Mompoint Constant
3250 Sunrise Hwy |
$43.37 | 5,256 | 4,855 |
|
Tracy Onal
45 E Main St |
$68.79 | 4,192 | 3,944 |
|
Solaiman Chowdhury
126 E Main St Ste 1 |
$82.52 | 1,502 | 1,340 |
|
Nicole Darrow
126 E Main St Ste 1 |
$64.18 | 1,440 | 1,325 |
|
Richard Zito
69 Bayview Ave |
$1.13 | 1,333 | 903 |
|
Daniel Davies
252 E Main St |
$35.83 | 1,222 | 804 |
|
Ramrattie Rambarran
268 E Main St |
$75.78 | 1,171 | 1,025 |
|
Veronica Ngozi Ogula
107 W Main St |
$108.88 | 894 | 793 |
|
Paulina Guta
83 W Main St |
$57.65 | 775 | 728 |
|
Michael William Torelli
369 E Main St |
$112.22 | 770 | 701 |
|
James W Ferguson
170 W Main St |
$38.76 | 498 | 448 |
|
Ilene Gewirtz
369 E Main St |
$64.48 | 328 | 305 |
|
Michael Ladinsky
126 E Main St |
$27.53 | 289 | 262 |
|
Robert F Ruggiero
126 E Main St |
$40.29 | 215 | 183 |
|
Jennifer Lynn Steinberg
369 E Main Street |
$80.51 | 197 | 183 |
|
Theresa Walsh
369 E Main St |
$79.48 | 110 | 95 |
|
Emily Gubert
83 W Main St |
$38.12 | 13 | 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 East Islip, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Islip, NY is $62.53 per claim, based on 52,525 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 East Islip, NY?
There are 20 Medicaid providers offering Office Visit related services in East Islip, NY according to public payment data.
What is the price range for Office Visit in East Islip, NY?
Medicaid reimbursement for Office Visit in East Islip, NY ranges from $1.13 to $112.22 per claim, with an average of $62.53. 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 East Islip, NY
Blood Work & Lab Tests
Avg $3.17
24,926 claims
Psychiatric Evaluation
Avg $39.43
15,130 claims
Dental Cleaning & Exam
Avg $32.98
15,073 claims
Speech Therapy
Avg $32.80
11,469 claims
Vaccines & Immunizations
Avg $25.18
9,058 claims
Ultrasound
Avg $77.60
8,983 claims
Ambulance Transport
Avg $86.93
6,091 claims
X-Ray
Avg $22.67
5,745 claims