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
George A. Agriantonis 7901 Broadway	$10.83	12	12
Jennifer Clarke 7901 Broadway	$137.96	12	12
Michele M. Dinome 7901 Broadway	$28.27	12	12
Mary Catherine Madden 80Th St & 41St Ave	$20.00	12	12
Stephanie Tsambazis 80Th St & 41St Ave	$87.20	12	12
Alan Ng Medical Rehabilitation Pc 8611 Justice Ave	$58.69	12	12
Charles Kim 94-07A 46 Avenue	$29.14	13	13
Andrew Leonard Eberlein 7901 Broadway # E2-27	$38.18	13	13
Queens Vision Center Inc 8112 Broadway	$138.35	13	13
David Feliciano 7901 Broadway Rm E2-69	$20.10	13	13
Susana Margarita Palmares 7901 Broadway	$99.37	13	12
Michelle Berkovski 7901 Broadway # D6-19	$24.63	13	12
John Mackenzie 7901 Broadway # D10-36	$75.07	14	12
Marina Boruhova 9141 Queens Blvd	$33.69	14	14
Sivagama S. Rathnam 7901 Broadway	$22.33	14	14
Carlos R. Salama 7901 Broadway	$18.16	14	12
Hope Fisher 79-01Broadway	$104.98	14	14
Muhammad Shariful Islam 7901 Broadway # B1-27	$0.00	14	14
Rand A. David 7901 Broadway	$13.19	14	14
Gregorio Gako Sungcad 7901 Broadway	$69.15	14	14
Ferdinand Visco 90-02 Queens Blvd	$51.53	15	13
Liwen Huang Medical Pc 8409 Queens Blvd # 1A	$96.71	16	12
Moon Adult Health Np Pllc 8635 Queens Blvd Ste 1B	$73.04	16	13
New York Gastroenterology And Endoscopy Pc 7911 41St Ave Apt A108	$0.00	17	16
Hanna Yakubova 7901 Broadway	$144.16	17	17
Mehrbanoo Lashai 7901 Broadway	$45.21	17	16
Gayatri Setia 7901 Broadway	$33.64	21	16
Sharisse Cato 7901 Broadway	$2.94	22	22
Nancy Marie Witterholt-Colter 80Th St & 41St Ave	$6.64	24	24
Huang Cardiovascular Pc 8118 Broadway	$69.58	25	24
Adriana Carpeniseanu 7911 41St Ave	$50.57	25	25
Charmaine Nagasarsingh 7901 Broadway # D10-36	$45.43	26	26
Linda Wong 7901 Broadway	$54.35	26	25
Abigail Hasan 8306 Vietor Ave	$55.12	26	26
Jamie Sue Ullman 79-01 Broadway	$78.53	26	25
Janki Shah Nyc Health & Hospitals/Elmhurst	$66.35	27	26
Robin Xu 7901 Broadway	$123.03	27	25
Dr. David Tsai, Optometrist, Pllc 8529 Broadway	$20.66	28	28
Jis Medical Office Pc 40-32 Forley St	$2.28	28	28
Neema Sherpa Lama 5910 Junction Blvd	$13.74	28	27
Haley Sutton 7901 Broadway	$129.25	29	29
Lena Mary George 7901 Broadway	$50.04	29	15
Mh Medical Services P.C 4011 Warren St	$78.35	29	25
Linda A Fernandez 80Th St & 41St Ave	$72.33	29	27
Surya Viriya 94-23 59 Avenue	$10.33	31	12
Mark Maraj 7901 Broadway	$103.15	31	30
Margaret Therese Re 80Th St & 41St Ave	$59.28	32	30
Alison Marie Liss 7901 Broadway # D10-38	$67.22	34	26
Carmen K. Wong 8114 Queens Blvd	$93.32	34	12
Kimberly Hsu 8708 Justice Ave Apt 1K	$37.45	36	18

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

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Elmhurst, NY

Physical Therapy

Blood Work & Lab Tests

Vaccines & Immunizations

Dental Cleaning & Exam

Psychiatric Evaluation

Emergency Room Visit

Substance Abuse Treatment

Eye Exam