Based on public Medicaid payment data.

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
John Rongo 14 Technology Dr Ste 11	$91.40	12	12
Christopher Michael Stoebe 179 N Belle Mead Ave	$95.33	12	12
Olga Syritsyna 181 N Belle Mead Rd	$207.20	12	12
Alexandra Guillaume 3 Technology Dr	$19.72	12	12
Norman Edelman 26 Research Way	$25.09	12	12
Isabelle M Vonalthen-Dagum 3 Technology Dr	$107.22	13	13
Allison Heather Eliscu 37 Research Way	$43.20	13	13
Ramona Rajapakse 3 Technology Dr	$89.43	13	13
Michael James Petersen 4 Technology Dr	$33.71	13	13
Stephen Kottmeier 14 Technology Dr	$92.56	14	14
Patricia Burns 235 N Belle Mead Rd	$131.61	14	13
Michael Joseph Sileo 6 Technology Dr Ste 100	$124.58	14	14
Howard Adam Keschner 3400 Nesconset Hwy	$177.65	14	14
Donna Meltzer 181 N Belle Mead Rd	$56.00	14	14
Lindsay A Tito 4 Technology Dr	$87.85	14	14
Howard Adler 24 Research Way	$21.76	15	15
Stefanie Michelle Kleinberg 40 Brewster Hill Rd	$29.93	15	15
Jack Oats 4 Technology Dr	$36.37	15	15
Vivica Vollmer 181 N Belle Mead Rd	$54.55	15	15
Megan Fendt 6 Technology Dr	$0.00	20	15
Long Island Pathology Inc 10 Technology Dr	$0.00	20	20
Eugene Licht 3400 Nesconset Hwy Ste 101	$197.11	24	24
John P. Fitzgerald 24 Research Way	$104.50	24	24
Ashfaq Swapan Hussain 4 Technology Drive	$24.27	25	24
James Nicholson 14 Technology Dr	$46.95	25	25
Todd R Griffin 6 Technology Dr	$74.15	25	25
Karyn C Ginsburg 26 Research Way	$159.83	26	26
Jennifer M Mulvey Fitzgerald 26 Research Way	$139.58	26	26
Roy T Steigbigel 205 N Belle Mead Rd	$90.80	27	27
John J Brennan 6 Technology Dr Ste 100	$107.02	27	26
Tien Hac Nguyen 210 N Belle Mead Rd	$42.07	28	28
David M Franko 45 Research Way	$54.60	36	36
Robert Andrew Kulina 45 Research Way Ste 108	$151.64	37	37
Michael Egnor 24 Research Way	$72.84	39	37
Hafsa U Memon 3 Technology Dr Ste 100	$92.38	40	39
Robert Vincent Honor 181 N Belle Mead Rd Ste 6	$114.89	46	46
Melissa Lectura 205 N Belle Mead Rd	$74.25	49	48
Douglas Matthew Petraco 6 Technology Dr Ste 100	$117.17	51	49
Rebecca Spiegel 179 N Belle Mead Rd	$69.73	52	52
Fadi El-Baba 4 Technology Dr Ste 150	$23.18	52	50
Patricia M. Melville 179 Belle Mead Rd	$149.83	52	52
Wojciech Kucharski 181 N Belle Mead Rd	$39.40	54	54
Jeffrey S Muhlrad 14 Technology Dr	$85.71	54	54
Grace E Reina 205 N Belle Mead Rd	$70.99	55	51
Sangeetha Seshadri 26 Research Way	$136.74	58	55
Digestive Disease Care, Pc 235 N Belle Mead Rd	$86.50	61	55
Latha Chandran 4 Technology Dr	$28.91	64	63
Lina M Restrepo 45 Research Way Ste 108	$141.71	66	66
Catherine Beecher 100 S Jersey Ave Unit 16	$50.43	67	61
Brian Nicholas Morelli 181 N Belle Mead Rd	$124.32	74	69

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.

Average Medicaid Office Visit Payments in East Setauket, NY: $87.84

Providers Offering Office Visit in East Setauket, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in East Setauket, NY

EKG / ECG (Electrocardiogram)

Ultrasound

Eye Exam

Dental Cleaning & Exam

Vaccines & Immunizations

Blood Work & Lab Tests

Physical Therapy

Pathology & Lab Services