Average Medicaid Office Visit Payments in East Setauket, NY: $87.84
Avg. Paid
$87.84
Range
$0.00 – $214.47
Total Claims
163,824
Providers
180
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 Setauket, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Seth Levine
4 Technology Dr |
$87.47 | 30,258 | 28,925 |
|
James Michael Barsi
14 Technology Dr |
$137.10 | 10,738 | 10,641 |
|
Zeenat A Hussain
4 Technology Drive |
$62.78 | 6,793 | 5,423 |
|
Consuelito Ana Medrano
235 N Belle Mead Rd |
$17.19 | 6,268 | 4,314 |
|
David Wallach
14 Technology Dr |
$125.30 | 6,105 | 5,834 |
|
Rosemary Griffith
4 Technology Dr |
$75.73 | 5,330 | 1,894 |
|
Bernard Lau
4 Technology Dr |
$32.43 | 5,096 | 4,991 |
|
Andrea J Hendrzak
37 Research Way |
$55.10 | 4,812 | 4,334 |
|
Saiqa Haque Nabi
4 Technology Dr Ste 250 |
$33.11 | 4,296 | 4,199 |
|
Asha Lata Patnaik
26 Research Way |
$98.27 | 4,227 | 4,195 |
|
Geri Lynn Galotti
4 Technology Dr Ste 250 |
$49.29 | 2,794 | 2,646 |
|
Steven Montana
235 N Belle Mead Rd |
$66.19 | 2,780 | 2,640 |
|
Frank S. Darras
24 Research Way |
$20.94 | 2,497 | 2,072 |
|
Mohammed Umar
14 Technology Dr |
$129.05 | 2,471 | 2,441 |
|
Diana Choate Patterson
14 Technology Dr Ste 11 |
$134.65 | 2,288 | 2,198 |
|
Peter Ells
3 Technology Dr |
$66.15 | 1,945 | 1,935 |
|
Lovedhi Aggarwal
181 N Belle Mead Rd |
$48.29 | 1,943 | 1,702 |
|
Megan Carroll Paulus
14 Technology Dr |
$114.66 | 1,937 | 1,859 |
|
Susan Schuval
4 Technology Dr |
$112.70 | 1,896 | 1,889 |
|
Louis Manganas
181 N Belle Mead Rd Ste 5 |
$135.07 | 1,849 | 1,844 |
|
Anne Marie Meo
14 Technology Dr |
$142.12 | 1,829 | 1,775 |
|
Juliana Marina Opatich
6 Technology Dr |
$63.13 | 1,822 | 1,730 |
|
Leonard Kristal
181 N Belle Mead Rd |
$98.05 | 1,539 | 1,523 |
|
Grace N Gathungu
37 Research Way |
$126.41 | 1,527 | 1,512 |
|
Edward Wang
14 Technology Dr |
$111.88 | 1,506 | 1,467 |
|
Ayse Bag Ozbek
26 Research Way |
$130.02 | 1,430 | 1,401 |
|
Thomas Joseph Pettei
45 Research Way Ste 108 |
$78.97 | 1,426 | 1,374 |
|
Ghassan Joseph Samara
37 Research Way |
$98.26 | 1,317 | 1,285 |
|
Jedan Phillips
181 N Belle Mead Rd |
$62.49 | 1,308 | 1,257 |
|
Jill Wallis Miller-Horn
179 Belle Mead Rd |
$141.82 | 1,214 | 1,209 |
|
Kimberly Mccosker
37 Research Way |
$81.35 | 1,191 | 1,166 |
|
Dorothy J Reynolds
33 Research Way |
$79.21 | 1,163 | 1,151 |
|
Gina Marie Holzapfel
181 N Belle Mead Rd |
$129.71 | 1,157 | 1,142 |
|
Jeanine Murphy Morelli
181 N Belle Mead Rd |
$82.79 | 1,152 | 866 |
|
Yefim Sheynkin
24 Research Way |
$13.68 | 1,121 | 1,113 |
|
Katarzyna Klek
4 Technology Dr Ste 250 |
$55.73 | 1,113 | 1,084 |
|
James Penna
14 Technology Dr |
$122.88 | 1,113 | 1,031 |
|
Igor Kravets
26 Research Way |
$85.26 | 1,062 | 1,050 |
|
Vlada Frankenberger
6 Technology Dr |
$66.77 | 1,047 | 954 |
|
Marina M Charitou
26 Research Way |
$109.01 | 1,045 | 1,019 |
|
Barry Lawrence Diener
4 Technology Dr |
$143.37 | 968 | 968 |
|
Rocco Caruso
235 N Belle Mead Rd |
$84.17 | 965 | 897 |
|
Alyssa M Policastro
181 N. Belle Mead Road |
$155.18 | 838 | 836 |
|
Payal R Anand
37 Research Way |
$214.47 | 834 | 831 |
|
Jack Fuhrer
205 N Belle Mead Rd |
$104.19 | 830 | 827 |
|
Alan Chang
4 Technology Dr Ste 104 |
$117.71 | 828 | 821 |
|
Bridget Anne Leone
181 N Belle Mead Rd Ste 5And6 |
$190.91 | 780 | 776 |
|
Jennifer Gonzalez
7 S Jersey Ave Ste 1 |
$90.23 | 780 | 752 |
|
Mark A Gelfand
24 Research Way |
$84.94 | 754 | 729 |
|
Patricia Snyder
140 N Belle Mead Ave |
$81.61 | 739 | 724 |
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 Setauket, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Setauket, NY is $87.84 per claim, based on 163,824 claims from 180 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 Setauket, NY?
There are 180 Medicaid providers offering Office Visit related services in East Setauket, NY according to public payment data.
What is the price range for Office Visit in East Setauket, NY?
Medicaid reimbursement for Office Visit in East Setauket, NY ranges from $0.00 to $214.47 per claim, with an average of $87.84. 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 Setauket, NY
EKG / ECG (Electrocardiogram)
Avg $6.74
40,977 claims
Ultrasound
Avg $120.29
35,649 claims
Eye Exam
Avg $53.21
29,552 claims
Dental Cleaning & Exam
Avg $1.59
26,356 claims
Vaccines & Immunizations
Avg $12.60
20,441 claims
Blood Work & Lab Tests
Avg $4.93
13,430 claims
Physical Therapy
Avg $22.48
8,503 claims
Pathology & Lab Services
Avg $36.15
7,012 claims