Average Medicaid Office Visit Payments in Hampton Bays, NY: $75.42
Avg. Paid
$75.42
Range
$46.73 – $223.68
Total Claims
44,969
Providers
16
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 Hampton Bays, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Meciko A Muharemovic
145 W Montauk Hwy |
$57.33 | 8,104 | 6,484 |
|
Barbara J Cusumano
5 Squiretown Rd |
$61.31 | 6,988 | 6,650 |
|
Catholic Charities Of The Diocese Of Rockville Centre
31 E Montauk Hwy |
$109.69 | 5,822 | 5,392 |
|
Joseph B Quinn
5 Squiretown Rd |
$65.40 | 5,062 | 4,908 |
|
Lisa Cordaro
5 Squiretown Rd |
$60.68 | 5,039 | 4,892 |
|
Michael Katz
23 West Montouk Highway |
$58.49 | 4,026 | 3,859 |
|
Robert J Gottlieb
5 Squiretown Rd |
$74.68 | 3,940 | 3,867 |
|
Julie Bates
182 West Montauk Hwy |
$133.09 | 3,229 | 1,975 |
|
Alexandra Halitsky
5 Squiretown Rd |
$92.45 | 1,628 | 1,528 |
|
Donna M. Trees-Barker
Hampton Medical Care |
$46.73 | 329 | 318 |
|
Mark G Creighton
182 W Montauk Hwy |
$116.33 | 277 | 274 |
|
Marc Puchir
80 E Montauk Hwy Ste 102 |
$63.26 | 201 | 191 |
|
Kennworth Eaton
240 W Montauk Hwy |
$223.68 | 171 | 164 |
|
Sandy Adjei Bawuah
145 W Montauk Hwy |
$87.44 | 83 | 81 |
|
Tara Christine Barcia
34 E Montauk Hwy Ste 4 |
$106.67 | 57 | 55 |
|
Eric Lella
182 W Montauk Hwy Ste D |
$93.35 | 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 Hampton Bays, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hampton Bays, NY is $75.42 per claim, based on 44,969 claims from 16 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 Hampton Bays, NY?
There are 16 Medicaid providers offering Office Visit related services in Hampton Bays, NY according to public payment data.
What is the price range for Office Visit in Hampton Bays, NY?
Medicaid reimbursement for Office Visit in Hampton Bays, NY ranges from $46.73 to $223.68 per claim, with an average of $75.42. 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 Hampton Bays, NY
Vaccines & Immunizations
Avg $18.22
19,168 claims
Psychiatric Evaluation
Avg $108.91
14,042 claims
Substance Abuse Treatment
Avg $58.62
5,269 claims
Blood Work & Lab Tests
Avg $3.85
4,824 claims
Podiatry (Foot Care)
Avg $10.60
4,747 claims
Eye Exam
Avg $19.27
2,895 claims
Physical Therapy
Avg $20.65
2,020 claims
Nursing Facility Care
Avg $9.85
1,308 claims