Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Elmhurst, NY: $64.45

Avg. Paid

$64.45

Range

$0.00 – $244.72

Total Claims

2,285,070

Providers

407

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 Elmhurst, NY

Provider	Avg. Paid	Claims	Patients
New York City Health And Hospitals Corporation 79-01 Broadway	$68.06	415,913	370,564
Mohammed M Rahman 4023 74Th St	$42.47	111,968	85,231
Huachen Wei 8516 Queens Blvd Fl 1	$72.86	89,635	86,796
Michael Ezra Berry 4037 74Th St	$69.51	73,195	67,446
Qikai Yao 4236 82Nd St	$89.84	65,540	52,570
Marco Antonio Garcia 40-35 95Th Street	$48.15	64,691	54,964
Global Medical Care Associates Pllc 4023 74Th St	$0.39	64,155	51,375
Marina Matatova 4037 74Th St	$69.12	52,960	49,019
Nabil A Rezk 7901 Broadway	$52.73	52,435	48,608
Hailiu Zuo 83 18 Cornish Ave	$50.61	52,321	43,274
Xiaorong He 8701 Justice Ave	$48.16	39,031	31,919
Yili Huang 8118 Broadway	$47.15	35,630	31,208
Tun Lin 9024 Corona Ave	$79.09	31,871	24,240
Hertzel K Sure 94-25 60Th Avenue	$55.76	30,973	24,163
Katherine Linchih Lee 8701 56Th Ave	$78.24	28,574	27,910
Annette Perea 4008 Forley St	$64.74	28,480	25,392
City Central Dermatology Pllc 40-37 74 Street	$102.18	27,572	25,387
Maria Elena Duran-Soriano 91-31 Queens Blvd Ste 322	$96.08	26,404	26,310
Aslam Aziz Jivani 8812 Queens Blvd Ste 1	$65.49	25,194	23,487
Advanced Pediatrics, Pc 9436 59Th Ave	$0.63	25,059	22,193
Zia Ahmed 9425 59Th Ave	$83.18	23,753	23,075
Yiling Huang 9418 57Th Ave	$56.41	23,534	18,678
Alain A Sosa 4008 Forley Street	$65.58	23,210	20,979
Audrey Michelle Weissman 5910 Junction Blvd	$85.14	23,061	14,913
Chuansheng Wang 8708 Justice Ave Ste C6	$83.91	21,210	19,323
Daniela Atanassova-Lineva 79 01 Broadway	$57.59	18,374	13,230
Long Island Consultation Center, Inc. 9131 Queens Blvd Ste 222	$114.46	17,525	16,039
Jasmin Moshirpur Iraj 7901 Broadway	$20.28	17,236	15,086
Lu Cai 8425 Elmhurst Ave	$65.44	16,979	14,789
Stacy W Li 4012 80Th St	$95.14	16,941	16,364
Teresella M Gondolo 40-08 B Forley Street	$58.84	16,214	16,071
Emily Meiying Wu 8701 56Th Ave	$81.66	15,391	15,209
Arlene Basa Mercado 8824 Saint James Ave	$104.37	15,119	11,896
Angel Aguilera 87-08 Justice Ave	$60.85	15,105	13,139
Queens Medical Office, P.C. 4046 74Th St	$6.51	13,991	11,337
Dr Ww Dermatology Pllc 8516 Queens Blvd Fl 1	$89.28	13,748	13,383
Benefita Floral Jones 9205 Whitney Ave Apt B42	$129.09	12,749	12,089
Charles C Kwak 4012 80Th St	$102.52	12,423	11,915
Michael Christopher Moy 8710 Queens Blvd Fl 1	$89.65	12,356	8,760
Liwen Huang 8409 Queens Blvd # 1A	$79.22	11,776	9,464
Utpal Chowdhury 7517 41St Ave	$78.44	11,680	10,086
Jagat M Rawal 9204 Corona Ave	$93.99	11,351	10,106
Khin Aung 8708 Justice Ave Apt 1N	$44.31	11,229	10,744
Myo Thant 8605 51St Ave	$88.41	10,618	9,431
True Medical Care Pc 7517 41St Ave	$81.37	10,608	9,138
Shing Cheung Yuen 8510 Queens Blvd	$75.98	10,588	9,315
Edgar A Flores-Castillo 4053 75Th St	$5.25	10,289	9,610
Xinqi Xu 94-29 59Th Avenue	$75.45	10,249	8,933
Li-Teh Wu 8806 55Th Ave	$70.09	10,228	9,393
Weihong Yan 8311 Queens Blvd	$92.29	9,703	8,719

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 Elmhurst, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elmhurst, NY is $64.45 per claim, based on 2,285,070 claims from 407 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 Elmhurst, NY?

There are 407 Medicaid providers offering Office Visit related services in Elmhurst, NY according to public payment data.

What is the price range for Office Visit in Elmhurst, NY?

Medicaid reimbursement for Office Visit in Elmhurst, NY ranges from $0.00 to $244.72 per claim, with an average of $64.45. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Elmhurst, NY: $64.45

Providers Offering Office Visit in Elmhurst, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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