Average Medicaid Office Visit Payments in Jackson Heights, NY: $47.08
Avg. Paid
$47.08
Range
$0.00 – $177.49
Total Claims
977,226
Providers
196
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 Jackson Heights, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alberto Rozo
9033 Elmhurst Ave |
$13.60 | 64,338 | 52,389 |
|
Sultan Ahmed
3728 77Th St |
$77.38 | 44,150 | 36,417 |
|
Sergio Martinez
3711 88Th St |
$40.19 | 33,875 | 30,615 |
|
Ferdausi Hassan
3743 76Th St |
$49.73 | 24,234 | 19,320 |
|
Karine M Mednik
8710 37Th Ave |
$52.69 | 24,179 | 21,825 |
|
Gabriel Gustin
3769 80Th St Fl 2 |
$18.64 | 22,339 | 17,326 |
|
Rounak Ahmed
3728 77Th St |
$75.82 | 20,600 | 16,709 |
|
Jahidul Abedin
7036 Broadway |
$40.71 | 19,724 | 14,710 |
|
Mental Health Providers Of Western Queens, Inc.
74 09 37Th Ave |
$114.76 | 19,612 | 18,237 |
|
Ferdous Khandker
7017 37Th Ave |
$8.65 | 19,486 | 17,749 |
|
Irina Ilyayeva
3703 92Nd St Fl 1 |
$79.47 | 19,203 | 17,321 |
|
Mehran Moarefi
8201 37Th Ave |
$0.23 | 18,910 | 16,113 |
|
Alvaro Ramirez
8818 37Th Ave |
$36.46 | 17,789 | 16,672 |
|
Thomas J Izquierdo
3757 91St St |
$68.26 | 17,479 | 17,066 |
|
Alfredo Castillo
9033 Elmhurst Ave |
$10.15 | 17,382 | 14,931 |
|
Rest Medical Care Pc
3728 77Th St |
$0.57 | 17,381 | 14,758 |
|
Zenaida Espino Santos
7610 34Th Ave |
$51.01 | 17,198 | 15,087 |
|
Ella Zavolunova
3347 91St St |
$64.03 | 15,656 | 12,814 |
|
Jaime F. Roman
3751 91St St |
$26.81 | 15,408 | 14,331 |
|
Paul Edward Gonzalez
3540 82Nd St Ste 1D |
$7.26 | 15,089 | 13,201 |
|
Eneida Agosto-Colon
3713 85Th St Bsmt |
$78.94 | 14,146 | 13,668 |
|
Marco A. Garcia, Md, Pc
9319 Roosevelt Ave |
$68.30 | 13,914 | 11,497 |
|
David Szuster
3712 82Nd St Ste 232 |
$67.27 | 12,842 | 11,502 |
|
Mohammad Jawaid
8201 37Th Ave |
$28.99 | 12,716 | 10,382 |
|
Bettina Manduca
3722 82Nd St |
$37.34 | 12,125 | 9,778 |
|
Lucot Cherenfant
3559 84Th St |
$56.73 | 11,882 | 10,515 |
|
9317 Medical Office Pc
9317 Roosevelt Ave |
$0.77 | 11,718 | 10,699 |
|
Best Care Medical Services Pc
7036 Broadway |
$0.00 | 11,693 | 10,618 |
|
Lana Nirenstein
7206 Northern Blvd Fl 2 |
$128.95 | 11,638 | 11,332 |
|
Rafael Rodriguez
9001A Roosevelt Ave |
$4.39 | 10,809 | 10,704 |
|
Israel Angel Aviles Sanchez
9001A Roosevelt Ave |
$88.05 | 10,401 | 10,258 |
|
Dr Mednik Medical Practice Pc
8710 37Th Ave |
$53.81 | 9,867 | 8,902 |
|
Atm Yousuf
3729 72Nd St Fl 1 |
$60.79 | 9,801 | 8,419 |
|
Nyc Local Medical Care P.C.
7134 Roosevelt Ave |
$69.25 | 9,701 | 7,941 |
|
Kevin I Pak
7206 Northern Blvd |
$82.65 | 9,536 | 9,336 |
|
Armando Lascano
3741 91St St |
$45.64 | 9,360 | 8,734 |
|
James J Anarella
3741 91St Street |
$44.44 | 9,258 | 8,821 |
|
Miriam Norma Casal
3742 77Th St |
$60.95 | 8,786 | 8,354 |
|
Nyla Manning
3712 82Nd St # 37-22 |
$52.45 | 8,694 | 6,176 |
|
International Pediatrics Plus
9320A Roosevelt Avenue |
$1.15 | 8,014 | 7,450 |
|
Nadia A Martinez De Pimentel
3744 75Th St |
$20.19 | 7,342 | 7,168 |
|
Ramon R Pimentel
3744 75Th St |
$18.86 | 7,166 | 6,976 |
|
Nuzhat Faridi
37 58 72Nd St |
$56.73 | 7,073 | 6,318 |
|
Tommy Galanis Md Pc
3540 82Nd St Ste 1D |
$0.03 | 6,760 | 5,626 |
|
Libi Zahava Galmer
7206 Northern Blvd |
$104.88 | 6,636 | 6,469 |
|
Pediatrics For Queens & Kings
9542 Roosevelt Ave |
$36.24 | 6,432 | 5,924 |
|
Alveris Molina
93-15 Roosevelt Ave. |
$6.25 | 6,258 | 6,217 |
|
First Choice Pediatrics, Pc
3347 91St St Apt 1J |
$69.50 | 6,181 | 5,044 |
|
Kevin Nan Jiang
7206 Northern Blvd Fl 2 |
$113.15 | 6,142 | 6,064 |
|
Benclement Gervacio
3722 82Nd St |
$39.62 | 6,044 | 5,761 |
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 Jackson Heights, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jackson Heights, NY is $47.08 per claim, based on 977,226 claims from 196 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 Jackson Heights, NY?
There are 196 Medicaid providers offering Office Visit related services in Jackson Heights, NY according to public payment data.
What is the price range for Office Visit in Jackson Heights, NY?
Medicaid reimbursement for Office Visit in Jackson Heights, NY ranges from $0.00 to $177.49 per claim, with an average of $47.08. 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 Jackson Heights, NY
Home Health Visit
Avg $148.23
1,667,019 claims
Psychiatric Evaluation
Avg $112.72
378,598 claims
Dental Cleaning & Exam
Avg $29.16
351,319 claims
Physical Therapy
Avg $24.76
341,985 claims
Blood Work & Lab Tests
Avg $2.06
177,893 claims
Vaccines & Immunizations
Avg $9.47
153,582 claims
Eye Exam
Avg $47.24
142,545 claims
Dental Filling
Avg $72.65
76,444 claims