Average Medicaid Office Visit Payments in Holbrook, NY: $113.42
Avg. Paid
$113.42
Range
$36.34 – $165.01
Total Claims
54,815
Providers
25
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 Holbrook, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mitchell Kleinberg
270 Union Ave |
$113.63 | 7,026 | 6,607 |
|
Phyllis G Simon-Goldman
270 Union Ave |
$118.11 | 6,753 | 6,538 |
|
Jason Kronberg
270 Union Ave |
$112.34 | 5,994 | 5,713 |
|
Michael Nussbaum
270 Union Ave |
$111.54 | 4,981 | 4,796 |
|
Debra Anne Reilly
270 Union Ave |
$119.09 | 4,727 | 4,640 |
|
Laci Nicole Cook
270 Union Ave |
$114.95 | 4,165 | 4,065 |
|
Jeanne Marie Schaefer
270 Union Ave |
$138.91 | 3,888 | 3,811 |
|
Barbara Loretta Kolk-Seda
270 Union Ave |
$121.31 | 3,840 | 3,692 |
|
Michele M Welch
270 Union Ave |
$115.97 | 3,124 | 3,030 |
|
Tina Marie Lafemina
270 Union Ave |
$118.08 | 2,882 | 2,764 |
|
Lawrence S. Goldman
203 Union Ave |
$69.10 | 2,005 | 1,754 |
|
Scott Hopkins
100 Greenbelt Pkwy |
$117.00 | 1,316 | 1,291 |
|
Foazia Siddiq
800 Broadway Ave |
$60.07 | 837 | 759 |
|
Dawn M Dawson
270 Union Ave |
$38.32 | 684 | 674 |
|
Amanda Rachel Anaya
270 Union Ave |
$113.93 | 622 | 598 |
|
Kenneth R. Barry
203 Union Ave |
$165.01 | 455 | 446 |
|
Victoria Dennis
270 Union Ave |
$130.53 | 426 | 412 |
|
Kimberly Patrice Barnaby
280 Union Ave |
$40.06 | 338 | 304 |
|
Victoria Vamos
751 Coates Ave Ste 31 |
$75.92 | 253 | 228 |
|
Yelena Melman
800 Broadway Ave |
$64.78 | 248 | 220 |
|
Danielle D'Alleva-Byrne
270 Union Ave |
$85.21 | 108 | 98 |
|
Christopher J Jerome
203 Union Ave |
$100.48 | 88 | 88 |
|
Stephanie Joanne Luca
203 Union Ave |
$98.91 | 29 | 27 |
|
Laura Mcdowell
270 Union Ave |
$93.50 | 14 | 14 |
|
Marina Stephen
203 Union Ave |
$36.34 | 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 Holbrook, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Holbrook, NY is $113.42 per claim, based on 54,815 claims from 25 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 Holbrook, NY?
There are 25 Medicaid providers offering Office Visit related services in Holbrook, NY according to public payment data.
What is the price range for Office Visit in Holbrook, NY?
Medicaid reimbursement for Office Visit in Holbrook, NY ranges from $36.34 to $165.01 per claim, with an average of $113.42. 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 Holbrook, NY
Dental Cleaning & Exam
Avg $33.75
24,170 claims
Vaccines & Immunizations
Avg $21.46
22,060 claims
Hearing Test (Audiometry)
Avg $7.82
10,240 claims
Physical Therapy
Avg $48.56
9,088 claims
Psychiatric Evaluation
Avg $35.91
9,062 claims
Speech Therapy
Avg $24.45
5,787 claims
X-Ray
Avg $22.98
941 claims
Eye Exam
Avg $41.05
543 claims