Average Medicaid Office Visit Payments in Larchmont, NY: $84.26
Avg. Paid
$84.26
Range
$0.00 – $256.25
Total Claims
31,984
Providers
26
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 Larchmont, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eyad Michel Hijazin
2365 Boston Post Rd |
$46.68 | 7,076 | 5,911 |
|
Robert M Simon
6 Highridge Rd |
$88.37 | 5,909 | 5,181 |
|
Susan D Klugman
Larchmont Women'S Center |
$101.09 | 4,909 | 4,876 |
|
Philip Heinegg
1890 Palmer Ave |
$69.43 | 2,591 | 2,157 |
|
Stephen Mark Renzin
1 Madison Ave |
$86.72 | 1,601 | 1,393 |
|
Mary K Parras
Larchmont Women'S Center |
$111.20 | 1,434 | 1,284 |
|
Rafaela Gonzalez-Lamos
1329 W. Boston Post Rd |
$82.93 | 1,278 | 1,202 |
|
Nathan Douglass
2345 Boston Post Rd |
$123.80 | 1,242 | 1,212 |
|
Suanne Garber Mallenbaum
1 West Ave |
$153.34 | 1,210 | 1,149 |
|
Peace Yeside Moore
1329 Boston Post Rd |
$56.99 | 1,199 | 1,119 |
|
Marc Douglas Wager
2365 Boston Post Rd Ste 203 |
$106.27 | 1,131 | 1,062 |
|
Kim Josette Abrams
2365 Boston Post Rd Ste 203 |
$119.37 | 600 | 569 |
|
Bivin Varghese
2365 Boston Post Rd Ste 201 |
$107.01 | 335 | 333 |
|
Jason Andrew Holdych
2345 Boston Post Rd |
$99.71 | 248 | 244 |
|
Mordechai Sacks
1890 Palmer Ave Ste 304 |
$67.07 | 241 | 226 |
|
Tobi Beth Klar
2345 Boston Post Road |
$54.51 | 215 | 206 |
|
Sarah Abdou
2365 Boston Post Rd |
$72.61 | 209 | 201 |
|
Payel Ghosh
2365 Boston Post Rd |
$83.94 | 130 | 128 |
|
Daniela Balint
1 West Ave |
$256.25 | 88 | 83 |
|
Samir Sidani
1890 Palmer Ave |
$94.15 | 84 | 79 |
|
Consuelo Rodriguez
2365 Boston Post Rd |
$83.50 | 75 | 58 |
|
Owen Bennet Schneider
5 Spanish Cove Rd |
$0.00 | 57 | 56 |
|
Larchmont Family Medicine, Pllc
1890 Palmer Ave |
$68.33 | 54 | 42 |
|
Rebecca Wachter
2365 Boston Post Rd Ste 203 |
$124.39 | 42 | 40 |
|
Nanci Levine
Larchmont Women'S Center |
$97.15 | 14 | 13 |
|
Nancy O Pawl
Larchmont Women'S Center |
$75.38 | 12 | 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 Larchmont, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Larchmont, NY is $84.26 per claim, based on 31,984 claims from 26 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 Larchmont, NY?
There are 26 Medicaid providers offering Office Visit related services in Larchmont, NY according to public payment data.
What is the price range for Office Visit in Larchmont, NY?
Medicaid reimbursement for Office Visit in Larchmont, NY ranges from $0.00 to $256.25 per claim, with an average of $84.26. 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 Larchmont, NY
Nursing Facility Care
Avg $6.56
11,715 claims
Dental Cleaning & Exam
Avg $38.37
5,846 claims
Psychiatric Evaluation
Avg $81.65
5,800 claims
Blood Work & Lab Tests
Avg $2.13
5,184 claims
Ultrasound
Avg $98.85
4,142 claims
Podiatry (Foot Care)
Avg $3.43
2,512 claims
Urinalysis & Urine Tests
Avg $2.13
1,775 claims
X-Ray
Avg $11.41
1,605 claims