Average Medicaid Office Visit Payments in Lake Ronkonkoma, NY: $69.68
Avg. Paid
$69.68
Range
$3.20 – $104.81
Total Claims
52,835
Providers
20
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 Lake Ronkonkoma, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ismail Ozcan Md Pc
95 Church St |
$26.13 | 17 | 15 |
|
Frank Thomas Adam
500 Portion Rd |
$62.08 | 57 | 55 |
|
Salma Afroze
640 Hawkins Ave |
$72.76 | 104 | 93 |
|
Jack Z Nussbaum
388 Hawkins Ave |
$20.43 | 146 | 133 |
|
Manuel R Rosales
388 Hawkins Ave |
$28.57 | 553 | 514 |
|
George Daniel Emmons
388 Hawkins Ave |
$3.20 | 1,268 | 1,236 |
|
Austin D Prince
601 Portion Rd Ste 2 |
$84.67 | 1,666 | 1,523 |
|
Khadiga Ahmed
640 Hawkins Ave |
$34.67 | 1,676 | 1,638 |
|
Michael Lee
640 Hawkins Ave |
$104.81 | 1,691 | 1,647 |
|
Alexa Renee Haemer
500 Portion Rd Ste 11 |
$84.27 | 1,835 | 1,798 |
|
Anang Modi
640 Hawkins Ave |
$75.79 | 2,845 | 2,767 |
|
Mohinder K Guram
640 Hawkins Ave |
$50.05 | 2,862 | 2,721 |
|
Zenaida Reyes Ignacio-Cruz
42 Metzner Rd |
$66.98 | 2,924 | 2,535 |
|
Robert Frederick Mazzeo
640 Hawkins Ave |
$41.87 | 3,256 | 3,092 |
|
Jenna M Mckenzie
640 Hawkins Ave |
$76.85 | 3,448 | 3,347 |
|
Tara K Singh
640 Hawkins Ave |
$59.36 | 3,534 | 3,382 |
|
Diana Kaplinsky
640 Hawkins Ave |
$61.98 | 4,474 | 4,242 |
|
Bhanumathy Vinayagasundaram
640 Hawkins Avenue |
$54.91 | 4,581 | 4,426 |
|
Robert Andrew Tufano
201 Portion Rd |
$81.17 | 7,847 | 7,013 |
|
Michael Gladstein
640 Hawkins Ave |
$97.45 | 8,051 | 7,448 |
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 Lake Ronkonkoma, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lake Ronkonkoma, NY is $69.68 per claim, based on 52,835 claims from 20 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 Lake Ronkonkoma, NY?
There are 20 Medicaid providers offering Office Visit related services in Lake Ronkonkoma, NY according to public payment data.
What is the price range for Office Visit in Lake Ronkonkoma, NY?
Medicaid reimbursement for Office Visit in Lake Ronkonkoma, NY ranges from $3.20 to $104.81 per claim, with an average of $69.68. 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 Lake Ronkonkoma, NY
Physical Therapy
Avg $51.76
19,011 claims
Blood Work & Lab Tests
Avg $1.57
9,123 claims
Vaccines & Immunizations
Avg $16.24
4,273 claims
Speech Therapy
Avg $80.33
2,405 claims
Urinalysis & Urine Tests
Avg $3.00
2,233 claims
EKG / ECG (Electrocardiogram)
Avg $11.12
1,191 claims
Hearing Test (Audiometry)
Avg $9.92
398 claims
Eye Exam
Avg $26.61
354 claims