Average Medicaid Office Visit Payments in Elmont, NY: $71.99
Avg. Paid
$71.99
Range
$0.00 – $125.91
Total Claims
111,244
Providers
22
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 Elmont, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Farzana H. Aziz
374 Meacham Ave |
$58.00 | 30,512 | 23,706 |
|
Stuart Feinstein
2266 Dutch Broadway |
$81.13 | 22,191 | 20,022 |
|
Shanmukha Priya
20B Meacham Ave |
$70.97 | 11,978 | 10,450 |
|
Carlton B Barnswell
438 Elmont Rd |
$57.36 | 7,331 | 6,929 |
|
Sharon Michele Perlman
2266 Dutch Broadway |
$83.50 | 7,029 | 6,587 |
|
Ilya Tarascin
161 Hempstead Tpke |
$105.05 | 6,372 | 3,764 |
|
Andrea R Carson
570 Elmont Rd |
$57.44 | 5,446 | 2,673 |
|
Monique Rachelle Apollon
161 Hempstead Tpke |
$99.48 | 4,841 | 4,550 |
|
Karen Elizabeth Staple
34 Cromer Rd E |
$93.04 | 3,711 | 2,762 |
|
Roger P Feldman
570 Elmont Rd |
$57.88 | 2,633 | 1,732 |
|
Akwasi Afriyie Achampong
135 Rockmart Avenue |
$14.29 | 2,227 | 2,007 |
|
Archana Arun Pai
161 Hempstead Tpke |
$103.10 | 2,087 | 1,512 |
|
Nancy Candio Duplessy
11734 240Th St |
$66.85 | 1,956 | 1,914 |
|
Max Noel
2366 Dutch Broadway |
$60.56 | 1,129 | 1,024 |
|
Cynthia Phanord
2266 Dutch Broadway |
$122.35 | 554 | 533 |
|
Bruce W Greenberg
1554 Dutch Broadway |
$88.10 | 415 | 407 |
|
Kunjuraman Chandramohan
1999 Dutch Broadway |
$123.67 | 374 | 363 |
|
Marie Guelce
1810 Monaco Ave |
$59.78 | 159 | 77 |
|
Mab Industries Llc
89 Hendrickson Ave |
$0.00 | 155 | 61 |
|
Abellard Louis-Jeune
11530 237Th St |
$60.06 | 73 | 72 |
|
Ryan Chang
282 Keller Ave |
$125.91 | 55 | 50 |
|
Gerda Lamothe, Llc
51 Essex Rd |
$93.22 | 16 | 12 |
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 Elmont, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elmont, NY is $71.99 per claim, based on 111,244 claims from 22 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 Elmont, NY?
There are 22 Medicaid providers offering Office Visit related services in Elmont, NY according to public payment data.
What is the price range for Office Visit in Elmont, NY?
Medicaid reimbursement for Office Visit in Elmont, NY ranges from $0.00 to $125.91 per claim, with an average of $71.99. 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 Elmont, NY
Home Health Visit
Avg $145.06
58,808 claims
Blood Work & Lab Tests
Avg $1.74
40,484 claims
Vaccines & Immunizations
Avg $16.96
39,123 claims
Physical Therapy
Avg $55.38
13,071 claims
Nursing Facility Care
Avg $7.58
12,336 claims
Dental Cleaning & Exam
Avg $31.10
10,876 claims
Hearing Test (Audiometry)
Avg $17.86
10,798 claims
Urinalysis & Urine Tests
Avg $2.70
10,362 claims