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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Islip, NY: $70.31

Avg. Paid

$70.31

Range

$38.44 – $126.33

Total Claims

88,042

Providers

29

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 Islip, NY

Provider Avg. Paid Claims Patients
Jung G Oh

2330 Union Blvd

 $59.38 16 13
Elissa H Kravis

712 Main St

 $77.15 66 55
Steven A Rosen

712 Main St

 $73.73 87 87
Kristi M Egner

2330 Union Blvd

 $87.09 96 95
Melissa Sonya Stockman

152 Islip Ave Ste 23

 $50.28 98 96
Diane Wagner

43 Shebar Dr

 $82.92 102 99
Neelofar R Khan

260 Main St

 $107.93 145 145
Veronica Natacha Ramsaroop

20 Windsor St

 $104.36 167 164
Selina A Williams

712 Main St

 $117.31 313 311
Agha M Raza

712 Main St

 $69.88 357 355
Hugh Xian

712 Main St

 $74.06 358 357
Melissa Lauren Bernbaum

712 Main St

 $89.23 369 367
Elaine Margaret Schaefer

260 Main St

 $98.83 560 538
Nana Yaa Anima Baffour-Awuah

152 Islip Ave Ste 22

 $126.33 681 657
Henry G Moreta

712 Main St

 $88.77 776 770
West Islip Youth Enrichment Services Incorporated

401 Main St

 $119.55 1,360 1,261
Norman Pflaster

712 Main St

 $55.81 1,577 1,569
Kiran Trivedi

1 Grant Ave

 $38.44 1,768 1,589
Ronald Michael Dunphy

150 Islip Ave

 $59.24 2,019 1,351
Antigone Argyriou

712 Main St

 $57.85 2,078 2,022
Bhupinder S Anand

712 Main St

 $71.98 2,927 2,912
Myassar Zarif

712 Main St

 $56.71 3,010 3,001
Philippe Vaillancourt

712 Main St

 $58.87 3,028 2,961
Gloria S Escobar

148 Islip Avenue

 $41.25 3,418 3,197
Mark Gudesblatt

712 Main St

 $67.89 4,022 3,983
Edward Firouztale

712 Main St

 $60.15 4,208 4,183
Deborah Louise Duprey-Murphy

265 Main St Fl 2

 $77.49 5,706 4,356
Cleadous Wyndell Murphy

265 Main St Fl 2

 $72.61 12,049 10,664
Audrey Chong-Gayle

215 Islip Ave

 $73.31 36,681 32,553

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 Islip, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Islip, NY is $70.31 per claim, based on 88,042 claims from 29 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 Islip, NY?

There are 29 Medicaid providers offering Office Visit related services in Islip, NY according to public payment data.

What is the price range for Office Visit in Islip, NY?

Medicaid reimbursement for Office Visit in Islip, NY ranges from $38.44 to $126.33 per claim, with an average of $70.31. 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 Islip, NY

Physical Therapy

Avg $46.69

37,306 claims

Vaccines & Immunizations

Avg $35.04

14,894 claims

Psychiatric Evaluation

Avg $133.97

11,732 claims

Speech Therapy

Avg $37.23

11,633 claims

Urinalysis & Urine Tests

Avg $1.79

8,050 claims

Ultrasound

Avg $76.51

4,476 claims

Chemotherapy

Avg $86.57

4,066 claims

Case Management Services

Avg $32.28

1,947 claims