Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lake Success, NY: $104.59

Avg. Paid

$104.59

Range

$4.01 – $203.74

Total Claims

41,411

Providers

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 Success, NY

Provider	Avg. Paid	Claims	Patients
Ameeta Ahuja Walia 2001 Marcus Ave	$78.41	8,057	7,401
Jason B. Karp 6 Ohio Dr	$100.34	3,972	3,907
David Magier 410 Lakeville Rd	$91.17	3,741	3,300
Prohealth Care Associates Llp 2800 Marcus Ave	$72.04	3,081	2,879
Toni Webster 1991 Marcus Ave	$113.35	2,486	2,477
Jonathan Herman 2500 Marcus Ave	$77.42	1,832	1,698
Patricia M Vuguin 1991 Marcus Ave	$158.73	1,811	1,805
Allison Bauman Mekhoubad 1991 Marcus Avenue	$128.32	1,312	1,309
Veena John 450 Lakeville Road	$93.88	1,297	1,226
Ian Matthew Sambur 2800 Marcus Ave	$128.21	1,152	1,109
Trusha Narendra Shah 2800 Marcus Ave	$75.09	1,088	1,019
Karen Joan Yan 2 Pro Health Plz	$146.98	1,036	997
Lynn Talin Cetin 2 Pro Health Plz	$121.36	870	823
Integrated Medical Professionals Pllc 1 Hollow Lane	$88.63	867	844
Ruthee-Lu Bayer The Monter Cancer Center	$148.38	866	632
Rina Caprarella 2 Pro Health Plz	$180.45	789	771
Dipa R Avichal 1999 Marcus Avenue	$98.66	771	765
Yalissa Taveras 2001 Marcus Avenue	$158.11	672	668
Maurice J Chianese 2 Pro Health Plz	$126.86	670	631
Alyson Gutman Lij Dev. & Behav. Pediatrics	$139.23	669	657
Robert Wulwick 2500 Marcus Ave	$72.92	636	586
Jay Berger 2 Pro Health Plz	$123.87	602	570
Anna Krevskaya 1983 Marcus Ave	$178.95	355	351
Deborah Gruber 2 Pro Health Plz	$166.94	341	304
Lisa Katz Buglino 2800 Marcus Ave	$145.36	256	243
Thomas Bradley The Monter Cancer Center	$62.38	231	220
Craig Devoe The Monter Cancer Center	$108.42	207	173
Mitchell R Locke 410 Lakeville Rd	$113.64	194	186
Lawrence Shulman 2800 Marcus Ave	$124.34	182	180
Ummekalsoom Rahman Malik 410 Lakeville Rd	$136.00	174	167
Nili Elana Major 1983 Marcus Avenue	$203.74	164	162
Vahakn Shant Keskinyan 1 Dakota Drive	$128.06	132	123
Peyman Bizargity 225 Community Drive	$183.93	128	127
David M Hoenig 450 Lakeville Road, Suite M41	$90.91	121	119
Jane Carleton 450 Lakeville Road	$136.56	113	101
Henry Vuong 2800 Marcus Avenue	$145.48	73	63
Steven Savona The Monter Cancer Center	$135.93	68	67
Jim N Hilepo 4 Ohio Drive	$62.44	65	63
Jessica Caro Zuckerberg Cancer Center	$115.03	61	55
Katherine S Freeman 4 Ohio Drive	$86.22	42	41
Bradley Michael Morganstern 2001 Marcus Avenue	$134.32	38	38
James C Fagin 1 Dakota Drive	$85.94	28	28
Jonathan Kolitz The Monter Cancer Center	$140.41	22	15
James D'Olimpio 450 Lakeville Road	$101.46	20	19
Gary P Kaplan 2 Pro Health Plz	$4.01	14	14
Maxine Hines 450 Lakeville Road	$44.36	14	12
Jay Matthew Neugarten 2001 Marcus Ave	$109.72	14	14
Tejas Patel 4 Ohio Drive	$77.78	13	13
Louis Gleckel 2 Pro Health Plz	$118.15	13	13
Steve W Rucker 4 Ohio Drive	$79.02	13	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 Lake Success, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lake Success, NY is $104.59 per claim, based on 41,411 claims from 53 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 Success, NY?

There are 53 Medicaid providers offering Office Visit related services in Lake Success, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Lake Success, NY ranges from $4.01 to $203.74 per claim, with an average of $104.59. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Lake Success, NY: $104.59

Providers Offering Office Visit in Lake Success, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Lake Success, NY

Hearing Test (Audiometry)

Physical Therapy

Behavioral & Mental Health Therapy

Speech Therapy

Blood Work & Lab Tests

X-Ray

EKG / ECG (Electrocardiogram)

Urinalysis & Urine Tests