Average Medicaid Office Visit Payments in Franklin Square, NY: $68.37
Avg. Paid
$68.37
Range
$0.00 – $177.10
Total Claims
42,613
Providers
26
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 Franklin Square, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rachel Kushner
320 Franklin Ave |
$83.09 | 21,746 | 19,848 |
|
Nina Malika Hicks
1209 Hempstead Tpke |
$7.03 | 5,863 | 5,411 |
|
Christine Jane Miglino
263 Rintin St |
$90.42 | 2,755 | 2,661 |
|
Ottie Labranche
1209 Hempstead Tpke |
$27.11 | 1,916 | 1,803 |
|
Rana Hassan
71 Franklin Ave |
$61.32 | 1,751 | 1,437 |
|
Tejal Shah
380 Dogwood Ave |
$91.59 | 1,221 | 1,163 |
|
Corrine Renne
397 Franklin Ave |
$66.62 | 1,199 | 1,065 |
|
Rapid Response Medical Services Pllc
600 Franklin Ave |
$71.23 | 1,130 | 1,041 |
|
Kelly Lucas
925 Hempstead Tpke |
$58.42 | 1,096 | 995 |
|
Nicole Aliza Mazer
401 Franklin Ave |
$78.75 | 871 | 842 |
|
Elizabeth Y Katz
380 Dogwood Ave |
$92.77 | 661 | 624 |
|
Daniel C Camillery
380 Dogwood Ave |
$95.87 | 643 | 607 |
|
Leonard Timpone
1051 Adams Ave |
$64.60 | 466 | 450 |
|
Laura Delabastide
380 Dogwood Ave |
$89.60 | 366 | 355 |
|
Philip Mark Palmeri
925 Hempstead Tpke |
$35.30 | 262 | 222 |
|
Joseph R Accetta
100 Courthouse Road |
$71.47 | 137 | 125 |
|
Sandra Kelly
320 Franklin Ave |
$79.53 | 114 | 110 |
|
Paul A Cooperman
30 Franklin Ave |
$129.43 | 113 | 110 |
|
Ashley Blonder
308 Dogwood Avenue |
$71.72 | 93 | 87 |
|
Patrick Domenico Frisella
672 Dogwood Ave |
$47.12 | 57 | 57 |
|
Mildred Solano
1209 Hempstead Tpke |
$177.10 | 37 | 37 |
|
Batul Lukmanji
940 Shelburne Dr |
$109.19 | 34 | 34 |
|
Vadim Y Korol
390 Howard Ave |
$0.00 | 30 | 30 |
|
Scott J Ratner
407 Franklin Ave |
$95.52 | 25 | 25 |
|
Lagrangeville Medical Pc
71 Franklin Ave |
$7.12 | 14 | 14 |
|
Community Counseling Services Of West Nassau, Inc.
340 Dogwood Ave |
$123.50 | 13 | 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 Franklin Square, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Franklin Square, NY is $68.37 per claim, based on 42,613 claims from 26 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 Franklin Square, NY?
There are 26 Medicaid providers offering Office Visit related services in Franklin Square, NY according to public payment data.
What is the price range for Office Visit in Franklin Square, NY?
Medicaid reimbursement for Office Visit in Franklin Square, NY ranges from $0.00 to $177.10 per claim, with an average of $68.37. 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 Franklin Square, NY
Physical Therapy
Avg $33.67
51,987 claims
Psychiatric Evaluation
Avg $87.75
50,293 claims
Nursing Facility Care
Avg $16.70
44,778 claims
Speech Therapy
Avg $47.16
14,238 claims
Blood Work & Lab Tests
Avg $0.86
7,344 claims
Vaccines & Immunizations
Avg $14.10
5,680 claims
Hearing Test (Audiometry)
Avg $13.48
5,059 claims
EKG / ECG (Electrocardiogram)
Avg $10.23
4,585 claims