Average Medicaid Office Visit Payments in Hempstead, NY: $20.66
Avg. Paid
$20.66
Range
$3.94 – $166.43
Total Claims
714,500
Providers
76
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 Hempstead, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sandra Myrtil
540 Fulton Ave |
$25.89 | 12 | 12 |
|
Lynn A Gomez
540 Fulton Ave |
$60.72 | 12 | 12 |
|
John Alexander Jarbath
7 Surrey Ln |
$53.90 | 13 | 12 |
|
Lori Gershman
540 Fulton Ave |
$50.46 | 14 | 12 |
|
Saira Khalid Shahab
230 Hilton Ave |
$28.84 | 24 | 24 |
|
Sidharth Singh Yadav
230 Hilton Ave |
$55.73 | 27 | 27 |
|
Diane Jaworski Petito
201 President St |
$150.76 | 28 | 25 |
|
The Center For Rapid Recovery, Inc
312 Greenwich St |
$48.66 | 29 | 29 |
|
Maryanne Laffin
226 Clinton St |
$54.54 | 49 | 48 |
|
Delisa Marie Banks
540 Fulton Ave |
$8.74 | 75 | 75 |
|
Lilliana Aponte-Yap
344 Fulton Ave |
$39.81 | 82 | 71 |
|
Eben-Ezer Medical Associates P.C
275 Jerusalem Ave |
$35.42 | 83 | 82 |
|
Jose Manuel Romero Bosch
344 Fulton Ave |
$33.17 | 100 | 97 |
|
Phanessa Jean
228 Rhodes Ave |
$83.37 | 104 | 102 |
|
Nakeda Luna Moulton
60 Manor Ave |
$163.85 | 112 | 112 |
|
Hempstead Optical Inc.
112 Fulton Ave |
$37.95 | 115 | 112 |
|
Mark B Panish
226 Clinton St |
$88.12 | 128 | 113 |
|
Mossammat Mosfeka Mansur
230 Hilton Ave |
$52.92 | 134 | 132 |
|
Aretha Eysia Hamlin
19 Frazier St |
$103.76 | 191 | 189 |
|
Stuart B Shechter
72 Fulton Ave |
$54.48 | 204 | 197 |
|
Carline Guerrier
126 N Franklin St |
$62.30 | 227 | 102 |
|
Brian Donaldson
2 Main St |
$23.60 | 242 | 203 |
|
Milagro Perryman
210 Fulton Ave |
$140.21 | 258 | 224 |
|
Mavis M Bailey
11 Lincoln Rd |
$68.78 | 331 | 159 |
|
Jessica Elizabeth Mcguire
540 Fulton Ave |
$92.05 | 360 | 346 |
|
Marlene Maleta Pitamber
2 Main St |
$112.06 | 388 | 374 |
|
Madison Grace Dimattei
303 Main St Apt 340 |
$105.28 | 414 | 405 |
|
Gina Ann Galante
201 President St |
$166.43 | 414 | 260 |
|
Gamaliel Immanuel
230 Hilton Ave |
$57.40 | 502 | 447 |
|
Ranvir Singh Yadav
230 Hilton Ave |
$72.18 | 517 | 454 |
|
Mary Kim Mehlman
175 Fulton Ave |
$63.59 | 620 | 602 |
|
Roshan Kothandaram
474 Fulton Ave Ste 203 |
$24.84 | 645 | 640 |
|
Diane Elaine Lombardy
135 Main St |
$113.17 | 687 | 388 |
|
Michelle Renee Michitsch
175 Fulton Ave |
$101.98 | 695 | 665 |
|
Edwidge D Desgraves
129 Jackson St |
$73.73 | 700 | 690 |
|
Chi Tu Truong-Leisner
619 Fulton Ave |
$141.37 | 900 | 677 |
|
David Khanan
717 Front |
$6.07 | 966 | 630 |
|
Rebecca Ann Slone
175 Fulton Ave |
$91.30 | 977 | 848 |
|
David Immanuel
230 Hilton Ave |
$49.54 | 1,097 | 1,021 |
|
Mihir Patel
75 Washington St |
$97.45 | 1,168 | 935 |
|
Godfrey Ogbonna Aneke
230 Hilton Ave Ste 15 |
$93.01 | 1,258 | 1,020 |
|
Emilio Del Priore
230 Hilton Ave |
$65.35 | 1,428 | 705 |
|
Ira Gary Goldberg
112 Fulton Ave # B |
$37.88 | 1,555 | 1,504 |
|
Daniel Benasher
226 Clinton St |
$97.94 | 1,608 | 1,528 |
|
Syed T Ahmad
33 Front St |
$36.24 | 1,736 | 1,597 |
|
Maria Pillado
540 Fulton Ave |
$63.09 | 1,821 | 1,710 |
|
Carol Sasportas
70 Charles Lindbergh Blvd Ste 100 |
$49.55 | 1,932 | 1,889 |
|
Planned Parenthood Of Greater New York
540 Fulton Ave |
$116.13 | 1,941 | 1,837 |
|
Okoro Chigboh Ukpabi
229 Baldwin Rd |
$69.69 | 2,295 | 1,925 |
|
Ulka Tarush Kothari
175 Fulton Ave |
$69.40 | 2,376 | 2,328 |
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 Hempstead, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hempstead, NY is $20.66 per claim, based on 714,500 claims from 76 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 Hempstead, NY?
There are 76 Medicaid providers offering Office Visit related services in Hempstead, NY according to public payment data.
What is the price range for Office Visit in Hempstead, NY?
Medicaid reimbursement for Office Visit in Hempstead, NY ranges from $3.94 to $166.43 per claim, with an average of $20.66. 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 Hempstead, NY
Home Health Visit
Avg $148.04
188,485 claims
Dental Cleaning & Exam
Avg $29.12
180,397 claims
Vaccines & Immunizations
Avg $8.21
119,055 claims
Psychiatric Evaluation
Avg $104.59
97,655 claims
Hearing Test (Audiometry)
Avg $7.70
31,763 claims
Blood Work & Lab Tests
Avg $1.28
28,161 claims
Nursing Facility Care
Avg $9.85
26,502 claims
Dental Filling
Avg $67.16
22,460 claims