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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

53

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
David J Berger

2 Ohio Dr

$136.15 12 12
Louis Gleckel

2 Pro Health Plz

$118.15 13 13
Tejas Patel

4 Ohio Drive

$77.78 13 13
Michael M Ziegelbaum

2001 Marcus Ave

$93.52 13 12
Brian D Feingold

2001 Marcus Avenue

$85.10 13 13
Steve W Rucker

4 Ohio Drive

$79.02 13 12
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
James D'Olimpio

450 Lakeville Road

$101.46 20 19
Jonathan Kolitz

The Monter Cancer Center

$140.41 22 15
James C Fagin

1 Dakota Drive

$85.94 28 28
Bradley Michael Morganstern

2001 Marcus Avenue

$134.32 38 38
Katherine S Freeman

4 Ohio Drive

$86.22 42 41
Jessica Caro

Zuckerberg Cancer Center

$115.03 61 55
Jim N Hilepo

4 Ohio Drive

$62.44 65 63
Steven Savona

The Monter Cancer Center

$135.93 68 67
Henry Vuong

2800 Marcus Avenue

$145.48 73 63
Jane Carleton

450 Lakeville Road

$136.56 113 101
David M Hoenig

450 Lakeville Road, Suite M41

$90.91 121 119
Peyman Bizargity

225 Community Drive

$183.93 128 127
Vahakn Shant Keskinyan

1 Dakota Drive

$128.06 132 123
Nili Elana Major

1983 Marcus Avenue

$203.74 164 162
Ummekalsoom Rahman Malik

410 Lakeville Rd

$136.00 174 167
Lawrence Shulman

2800 Marcus Ave

$124.34 182 180
Mitchell R Locke

410 Lakeville Rd

$113.64 194 186
Craig Devoe

The Monter Cancer Center

$108.42 207 173
Thomas Bradley

The Monter Cancer Center

$62.38 231 220
Lisa Katz Buglino

2800 Marcus Ave

$145.36 256 243
Deborah Gruber

2 Pro Health Plz

$166.94 341 304
Anna Krevskaya

1983 Marcus Ave

$178.95 355 351
Jay Berger

2 Pro Health Plz

$123.87 602 570
Robert Wulwick

2500 Marcus Ave

$72.92 636 586
Alyson Gutman

Lij Dev. & Behav. Pediatrics

$139.23 669 657
Maurice J Chianese

2 Pro Health Plz

$126.86 670 631
Yalissa Taveras

2001 Marcus Avenue

$158.11 672 668
Dipa R Avichal

1999 Marcus Avenue

$98.66 771 765
Rina Caprarella

2 Pro Health Plz

$180.45 789 771
Ruthee-Lu Bayer

The Monter Cancer Center

$148.38 866 632
Integrated Medical Professionals Pllc

1 Hollow Lane

$88.63 867 844
Lynn Talin Cetin

2 Pro Health Plz

$121.36 870 823
Karen Joan Yan

2 Pro Health Plz

$146.98 1,036 997
Trusha Narendra Shah

2800 Marcus Ave

$75.09 1,088 1,019
Ian Matthew Sambur

2800 Marcus Ave

$128.21 1,152 1,109
Veena John

450 Lakeville Road

$93.88 1,297 1,226
Allison Bauman Mekhoubad

1991 Marcus Avenue

$128.32 1,312 1,309
Patricia M Vuguin

1991 Marcus Ave

$158.73 1,811 1,805
Jonathan Herman

2500 Marcus Ave

$77.42 1,832 1,698
Toni Webster

1991 Marcus Ave

$113.35 2,486 2,477
Prohealth Care Associates Llp

2800 Marcus Ave

$72.04 3,081 2,879

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.

Office Visit in Other Cities

Other Procedures in Lake Success, NY