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 |
|---|---|---|---|
|
Clear Vision Ophthalmology Pllc
7910 34Th Ave Ste 1Y |
$158.29 | 12 | 12 |
|
Stafford D John
3435 70Th St |
$37.13 | 13 | 13 |
|
Sarwar Zahid
7409 37Th Ave Ste 303 |
$63.98 | 13 | 13 |
|
Rokeya Habib
3741 77Th St |
$76.82 | 14 | 14 |
|
Jorge Won
84 07 Roosevelt Avenue |
$38.65 | 17 | 17 |
|
Jackson Heights Vision Associates
8407 Roosevelt Ave |
$39.18 | 21 | 21 |
|
Patricia Nelson
7302 Roosevelt Ave |
$57.72 | 25 | 25 |
|
Apicha Community Health Center
8211 37Th Ave Fl 5 |
$44.25 | 30 | 30 |
|
Swapna Vemulapalli
3435 70Th St |
$20.58 | 36 | 36 |
|
Seyyar Ahmad Khan
3435 70Th St |
$24.61 | 41 | 41 |
|
New York City Health And Hospitals Corporation
3750 72Nd St |
$57.18 | 42 | 39 |
|
Qcw Medical Services, P.C.
3747 77Th Street |
$30.37 | 42 | 37 |
|
New York Kidney Physicians
3435 70Th St |
$89.55 | 43 | 43 |
|
Richard St Michael Perrin
3711 88Th St |
$14.85 | 48 | 40 |
|
Monica Sidharaj Patel
7910 34Th Ave Ste 1Y |
$49.76 | 49 | 47 |
|
North Eastern Medical Care, P.C
7013 37Th Ave |
$177.49 | 50 | 36 |
|
Jai J Rhee
3725 75Th St |
$57.35 | 59 | 59 |
|
Maria Yolanda Piamonte Patron
7902 Roosevelt Ave |
$11.60 | 69 | 69 |
|
Bogdan D Negrea
7005 35Th Ave |
$112.69 | 70 | 62 |
|
Sanford M Gould
7312 35Th Ave Apt F1731235 |
$50.59 | 84 | 63 |
|
Jitendra N Tolia Md Pc
31 47 77Th Street |
$68.66 | 136 | 111 |
|
Health Corner Medical Pc
9301 Roosevelt Ave |
$66.20 | 139 | 76 |
|
Jie Feng
40-31 82Nd Street |
$60.97 | 139 | 135 |
|
Triboro Pediatrics Pc
3540 82Nd St |
$0.00 | 146 | 123 |
|
Jeff K H Cheung Medicine Pllc
9211 Roosevelt Ave |
$117.48 | 165 | 156 |
|
Island Allergy & Asthma Pc
3506 73Rd St |
$87.93 | 189 | 183 |
|
Allison Brown
3540 82Nd St |
$35.26 | 216 | 194 |
|
Md R Karim
7013 37Th Ave |
$76.07 | 220 | 144 |
|
Pediatric Family Mdpc
3752 82Nd St |
$0.00 | 235 | 227 |
|
Maria Assunta Giocon Solis Oca
9010 Elmhurst Ave |
$75.10 | 238 | 194 |
|
Square Health Care Np In Family Health, Pllc
7514 37Th Ave |
$75.43 | 244 | 205 |
|
Advanced Urology Associates, Llc
3739 75Th St |
$62.28 | 245 | 235 |
|
Elisa Alleyne
34-29 83Rd Street |
$12.05 | 246 | 236 |
|
Sandra Phan
8407 Roosevelt Ave |
$37.40 | 253 | 242 |
|
Laura Patricia Kabbabe
9033 Elmhurst Ave |
$0.00 | 254 | 217 |
|
David Tenembaum Md Pc
9001 Roosevelt Ave Ste 2A |
$75.84 | 261 | 252 |
|
James H Flesher
3728 77Th St |
$62.66 | 267 | 169 |
|
Charise Yvonne Guadarrama
93-19 Roosevelt Avenue |
$118.45 | 270 | 266 |
|
Cuidado Medico Y Geriatrico Of Queens Pc
3744 75Th St |
$1.82 | 274 | 268 |
|
Ihotu Medicine Pc
7321 37Th Rd |
$38.94 | 275 | 269 |
|
Verenisse Torres
8010 Northern Blvd |
$65.63 | 303 | 262 |
|
Hudson Primary Care Medical Pc
3429 83Rd St |
$70.96 | 355 | 329 |
|
Lucia Patino
8114 Roosevelt Ave |
$67.26 | 371 | 352 |
|
Nanjundaiah Kumar
3506 73Rd Street Cellar #2 |
$84.49 | 398 | 389 |
|
Ana Romeo
3726 76Th St Fl 1 |
$2.65 | 416 | 382 |
|
Gisela Lisa Vasquez
7916 37Th Ave Fl 1 |
$1.02 | 421 | 319 |
|
Edward Ostad
3739 75Th St |
$48.47 | 425 | 414 |
|
Tenzin Khandoe
7209 Northern Blvd |
$11.85 | 443 | 365 |
|
Liberty Physical Medicine & Rehab
3755 77Th St |
$63.51 | 443 | 392 |
|
James J Bernard
7409 37Th Ave |
$77.42 | 451 | 183 |
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