Average Medicaid Office Visit Payments in Hauppauge, NY: $66.66
Avg. Paid
$66.66
Range
$0.60 – $153.46
Total Claims
114,194
Providers
48
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 Hauppauge, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nilofar K Hava
1 Kings Hwy |
$70.90 | 21,035 | 18,847 |
|
Alan M Bigman
1 Kings Hwy |
$59.00 | 11,063 | 9,930 |
|
Amb Medical Services, P.C.
1 Kings Hwy |
$74.32 | 10,098 | 8,395 |
|
Joel E Hershey
1 Kings Hwy |
$71.39 | 8,493 | 7,622 |
|
Eugenio M Capitle
519 Route 111 |
$134.02 | 8,433 | 7,935 |
|
Chanel Preyan
80 Arkay Dr Ste 230 |
$0.60 | 8,255 | 5,602 |
|
Karen Birgit Pols
1 Kings Hwy |
$48.73 | 7,300 | 7,103 |
|
Andrea Curnett Stengel
120 Plant Avenue |
$62.39 | 6,757 | 2,429 |
|
Anubhav Kaul
80 Arkay Dr Ste 230 |
$2.16 | 5,012 | 4,605 |
|
Joseph P Stubel
521 Route 111 |
$76.61 | 4,769 | 4,539 |
|
Robert Locastro
111 Smithtown Byp |
$55.95 | 3,021 | 2,857 |
|
Sabrina Walcott
150 Motor Pkwy Ste 401 |
$66.60 | 2,449 | 2,075 |
|
Ann-Marie Spinella
120 Plant Ave |
$75.11 | 2,141 | 1,017 |
|
Maria A Herrera
201 Moreland Rd Ste 8 |
$79.06 | 1,342 | 1,179 |
|
Amy L Eisenberg
80 Arkay Dr Ste 230 |
$116.22 | 1,274 | 1,220 |
|
County Of Suffolk
200 Wireless Blvd |
$109.56 | 1,109 | 794 |
|
Cheryl Dianne Meddles-Torres
1 Kings Hwy |
$77.17 | 1,097 | 895 |
|
James R Hess
200 Motor Pkwy Ste C-16 |
$153.46 | 1,005 | 1,001 |
|
Matthew Brown
120 Plant Ave |
$127.57 | 927 | 619 |
|
Sudha Dubey
80 Arkay Dr Ste 230 |
$87.42 | 811 | 749 |
|
Megan Elizabeth Bielawa
800 Veterans Memorial Hwy Fl 2 |
$72.45 | 756 | 725 |
|
James Lin
200 Motor Pkwy Ste A2 |
$79.74 | 671 | 667 |
|
Christopher D'Ambrosio
200 Motor Parkway |
$59.51 | 653 | 620 |
|
Dharampalsinh Gohil
200 Motor Pkwy Ste C14C15 |
$110.34 | 636 | 611 |
|
Victor Giamos
100 Motor Pkwy |
$62.79 | 626 | 591 |
|
Sight Medical Doctors Pllc
125 Kennedy Dr Ste 400 |
$69.58 | 607 | 589 |
|
Shahram Hormozi
515 Route 111 |
$41.52 | 575 | 553 |
|
Alisha Martin
150 Motor Pkwy Ste 401 |
$10.77 | 523 | 312 |
|
Sang H Song
740 Veterans Hwy |
$68.13 | 501 | 473 |
|
Amy Cohen
220 Veterans Hwy |
$68.08 | 272 | 234 |
|
Carol Anne Markowitz
1 Kings Hwy |
$43.29 | 231 | 203 |
|
Stephen J Miro
694 Motor Parkway |
$100.44 | 213 | 213 |
|
Jessica Lee
200 Motor Pkwy Ste A2 |
$78.11 | 199 | 195 |
|
Jaclyn C Abrahall
200 Motor Pkwy Ste C-16 |
$144.08 | 192 | 191 |
|
Albert Steven Li
200 Motor Pkwy Ste A2 |
$64.34 | 184 | 182 |
|
Integrated Medical Health Care Pc
624 Townline Rd |
$24.62 | 163 | 161 |
|
Orlando Vic Bautista
227 Mount Pleasant Rd |
$66.58 | 146 | 143 |
|
Andrew Joseph Leo
517 Route 111 |
$108.95 | 110 | 104 |
|
Leigh Ann Hutchinson
515 Route 111 |
$68.34 | 108 | 99 |
|
Oksana Boldyrev
282 Mount Pleasant Rd |
$79.47 | 86 | 68 |
|
Shaul Fishman
521 Route 111 |
$25.63 | 75 | 40 |
|
Paul Bonheim
521 Route 111 |
$8.37 | 59 | 25 |
|
Sekhar Gollapalli
497 Townline Rd |
$75.52 | 57 | 40 |
|
Renee Lynette Wilson-Bennett
200 Motor Pkwy Ste D22 |
$49.53 | 48 | 44 |
|
Seth Jason Koenig
200 Motor Pkwy Ste C-16 |
$137.09 | 39 | 37 |
|
Satwatie Antis
120 Plant Ave |
$69.52 | 37 | 23 |
|
Joshua David Miller
200 Motor Pkwy Ste C-16 |
$72.12 | 24 | 24 |
|
Kunal K Dansingani
200 Motor Pkwy Ste A2 |
$12.83 | 12 | 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 Hauppauge, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hauppauge, NY is $66.66 per claim, based on 114,194 claims from 48 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 Hauppauge, NY?
There are 48 Medicaid providers offering Office Visit related services in Hauppauge, NY according to public payment data.
What is the price range for Office Visit in Hauppauge, NY?
Medicaid reimbursement for Office Visit in Hauppauge, NY ranges from $0.60 to $153.46 per claim, with an average of $66.66. 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 Hauppauge, NY
Physical Therapy
Avg $51.20
333,084 claims
Home Health Visit
Avg $203.49
164,082 claims
Dental Cleaning & Exam
Avg $37.65
83,027 claims
Speech Therapy
Avg $78.88
64,769 claims
Case Management Services
Avg $4.70
62,761 claims
Substance Abuse Treatment
Avg $29.47
55,771 claims
EKG / ECG (Electrocardiogram)
Avg $8.50
37,772 claims
Eye Exam
Avg $46.53
34,017 claims