Average Medicaid Office Visit Payments in Hawthorne, NY: $133.96
Avg. Paid
$133.96
Range
$0.00 – $235.32
Total Claims
153,681
Providers
147
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 Hawthorne, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anne Hardart
19 Bradhurst Ave Ste 2700S |
$66.26 | 12 | 12 |
|
Gylynthia E. Trotman
19 Bradhurst Ave Ste 2700S |
$130.80 | 12 | 12 |
|
Joshua A Melcer
19 Bradhurst Ave |
$17.65 | 12 | 12 |
|
Julia Keltz
19 Bradhurst Ave |
$76.72 | 12 | 12 |
|
Robert John Timmermans
19 Bradhurst Ave |
$111.95 | 12 | 12 |
|
Augustine Moscatello
19 Bradhurst Ave Ste 3600S |
$90.47 | 13 | 13 |
|
Anila Marie Thomas
19 Bradhurst Ave. |
$114.27 | 13 | 13 |
|
Lauren Matera
40 Saw Mill River Rd |
$171.20 | 13 | 13 |
|
Tracey A Milligan
19 Bradhurst Ave Ste 3850S |
$28.79 | 14 | 14 |
|
Lauren Elizabeth Levi
19 Skyline Drive |
$35.41 | 15 | 12 |
|
Sonia Solomon
19 Bradhurst Ave Ste 2400 |
$167.18 | 15 | 15 |
|
Michael Paul Fanucchi
19 Bradhurst Ave Ste 2300N |
$91.13 | 16 | 13 |
|
Edmund Paul Farris
24 Saw Mill River Rd Ste 202 |
$44.68 | 16 | 16 |
|
Jennifer Nadelmann
19 Bradhurst Ave Ste 3750S |
$5.55 | 18 | 13 |
|
Jennifer Anne Krajewski
19 Bradhurst Ave Ste 800S |
$107.04 | 22 | 14 |
|
Erika Felicia Brutsaert
19 Bradhurst Ave Ste 3060N |
$99.41 | 24 | 24 |
|
Karen P Seligman
19 Bradhurst Ave |
$177.58 | 25 | 25 |
|
Howard E Bostwick
19 Bradhurst Ave |
$193.43 | 28 | 27 |
|
Edward Lebovics
19 Bradhurst Ave |
$136.99 | 29 | 29 |
|
Matthew David Cantor
19 Bradhurst Ave |
$87.51 | 29 | 25 |
|
Jean R Tostanoski
Hudson Valley Eye Associates |
$22.08 | 30 | 30 |
|
Natalia Rojas
19 Bradhurst Avenue |
$204.22 | 30 | 30 |
|
Warren Rosenblum
19 Bradhurst Ave |
$110.13 | 30 | 25 |
|
Aromma Kapoor
19 Bradhurst Ave |
$24.75 | 31 | 31 |
|
Romeo Mateo
19 Bradhurst Ave |
$5.86 | 38 | 36 |
|
Anubha Arora
19 Bradhurst Ave Ste 2700 |
$68.54 | 39 | 37 |
|
Jennifer A Scherr
22 Saw Mill River Road |
$95.68 | 40 | 37 |
|
Christine M Pellegrino
19 Bradhurst Ave Ste 2300N |
$46.04 | 40 | 39 |
|
Desmond White
19 Bradhurst Ave |
$68.21 | 44 | 29 |
|
Olivia Grubman
19 Bradhurst Ave Ste 2750S |
$26.87 | 44 | 36 |
|
Savneek Singh Chugh
19 Bradhurst Ave |
$27.09 | 49 | 48 |
|
Farrah Elyse Gutwein
24 Saw Mill River Rd Ste 206 |
$133.79 | 50 | 50 |
|
Jamie Ann Mullally
19 Bradhurst Ave Ste 3100N |
$24.29 | 53 | 52 |
|
Jeffrey E. Vergales
19 Bradhurst Ave Ste 1400 |
$79.22 | 53 | 52 |
|
Albert Deluca
19 Bradhurst Ave |
$120.89 | 54 | 51 |
|
Allen J Dozor
19 Bradhurst Ave |
$173.31 | 58 | 57 |
|
Sandra Marie Tarpey
19 Bradhurst Ave Ste 3750 |
$39.00 | 58 | 57 |
|
Russell Rozario
19 Bradhurst Ave |
$87.21 | 59 | 56 |
|
Lorena Analisa Madera
19 Bradhurst Ave Ste 2750S |
$0.00 | 62 | 40 |
|
Lindsey Lapointe
19 Bradhurst Ave Ste 2700S |
$64.06 | 70 | 67 |
|
Nysarc Inc Westchester County Chapter
265 Saw Mill River Road |
$134.10 | 76 | 75 |
|
Daniel Zelazny
19 Bradhurst Ave |
$102.01 | 93 | 92 |
|
Brij M Ahluwalia
19 Bradhurst Ave Ste 2850 |
$111.73 | 95 | 94 |
|
Ann Catherine Frisse
19 Bradhurst Ave Ste 2550S |
$66.29 | 96 | 35 |
|
Skye El Sayegh
19 Bradhurst Ave Ste 200N |
$101.90 | 101 | 95 |
|
Lauren Plante
19 Bradhurst Ave Ste 2750S |
$61.43 | 101 | 92 |
|
Robert Fekete
19 Bradhurst Ave |
$87.40 | 114 | 112 |
|
Craig Hjemdahl-Monsen
40 Saw Mill River Rd Ste Ul1 |
$37.02 | 118 | 115 |
|
Alyson Small Helmandollar
19 Bradhurst Ave Ste 2750S |
$72.68 | 120 | 110 |
|
Samantha Nicole Nogula
19 Bradhurst Ave |
$57.79 | 120 | 113 |
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 Hawthorne, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hawthorne, NY is $133.96 per claim, based on 153,681 claims from 147 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 Hawthorne, NY?
There are 147 Medicaid providers offering Office Visit related services in Hawthorne, NY according to public payment data.
What is the price range for Office Visit in Hawthorne, NY?
Medicaid reimbursement for Office Visit in Hawthorne, NY ranges from $0.00 to $235.32 per claim, with an average of $133.96. 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 Hawthorne, NY
Home Health Visit
Avg $213.75
87,682 claims
EKG / ECG (Electrocardiogram)
Avg $7.44
53,314 claims
Ultrasound
Avg $67.58
40,063 claims
Blood Work & Lab Tests
Avg $26.29
37,669 claims
Vaccines & Immunizations
Avg $8.09
30,374 claims
Dental Cleaning & Exam
Avg $56.62
21,927 claims
X-Ray
Avg $7.31
20,305 claims
Physical Therapy
Avg $49.67
19,438 claims