Average Medicaid Office Visit Payments in East Northport, NY: $84.70
Avg. Paid
$84.70
Range
$7.86 – $218.32
Total Claims
45,783
Providers
21
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 Northport, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Martin I Granoff
554 Larkfield Rd |
$76.85 | 18,837 | 13,698 |
|
Excel Urgent Care Of East Northport, Pllc
558 Larkfield Rd |
$88.59 | 5,295 | 4,860 |
|
Lyudmila Valdman
554 Larkfield Rd |
$63.28 | 4,418 | 3,179 |
|
Dawn J. Perisa
36 Harley Ave |
$96.29 | 3,088 | 2,547 |
|
Dina Marie Rivera
4199 Jericho Tpke |
$148.70 | 2,308 | 2,262 |
|
Jennifer Mcmonigle
554 Larkfield Rd |
$96.36 | 2,257 | 2,073 |
|
Alan Weisman
554 Larkfield Rd Ste 10C |
$69.02 | 2,177 | 2,049 |
|
Amir Herman
554 Larkfield Rd |
$62.08 | 1,858 | 1,545 |
|
Kenneth Alessi
554 Larkfield Rd |
$80.95 | 1,170 | 769 |
|
John Raymond Wagner
7 Pulaski Rd |
$90.25 | 1,039 | 872 |
|
Justine Ann Del Barrio
1912 Jericho Tpke |
$173.26 | 869 | 851 |
|
Astrid B Garrido
509 8Th Ave |
$200.81 | 526 | 245 |
|
Gail Valentin
6 Ellendale Ct |
$82.91 | 414 | 232 |
|
Jeffrey J. Cusack
1172 5Th Ave |
$41.40 | 376 | 340 |
|
Michelle Shubovich
2 Stonehenge Ln |
$7.86 | 329 | 329 |
|
Ricky R Vohora
558 Larkfield Rd |
$48.76 | 221 | 209 |
|
Theodore Lyle Goldman
7 Pulaski Rd |
$104.41 | 191 | 178 |
|
Anthony R Ruvo
558 Larkfield Rd |
$50.88 | 143 | 143 |
|
Veronica Castro
558 Larkfield Rd |
$73.07 | 128 | 126 |
|
Debra Ellen Blaine
1912 E Jericho Trpk |
$82.19 | 125 | 122 |
|
Jesse Katz
700 4Th Avenue |
$218.32 | 14 | 14 |
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 Northport, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Northport, NY is $84.70 per claim, based on 45,783 claims from 21 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 Northport, NY?
There are 21 Medicaid providers offering Office Visit related services in East Northport, NY according to public payment data.
What is the price range for Office Visit in East Northport, NY?
Medicaid reimbursement for Office Visit in East Northport, NY ranges from $7.86 to $218.32 per claim, with an average of $84.70. 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 Northport, NY
Speech Therapy
Avg $45.61
26,638 claims
Physical Therapy
Avg $39.67
25,848 claims
Urinalysis & Urine Tests
Avg $2.28
18,106 claims
Hearing Test (Audiometry)
Avg $8.92
7,386 claims
Blood Work & Lab Tests
Avg $0.52
7,338 claims
Psychiatric Evaluation
Avg $70.86
3,948 claims
Vaccines & Immunizations
Avg $19.46
3,306 claims
Ambulance Transport
Avg $88.41
998 claims