Average Medicaid Office Visit Payments in Lawrence, NY: $67.39
Avg. Paid
$67.39
Range
$2.19 – $127.48
Total Claims
76,360
Providers
25
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 Lawrence, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Urological Consultants Of Ny & Li Pllc
290 Central Ave |
$58.89 | 12 | 12 |
|
Stewart Kalatsky
56 Lawrence Ave |
$2.19 | 24 | 24 |
|
Nathan Ira Rothman
360 Central Ave |
$34.76 | 158 | 155 |
|
Joseph T Miccoli
215 Rockaway Tpke |
$42.24 | 211 | 174 |
|
Margo F. Spitzer
14 Meadow Ln |
$3.32 | 224 | 216 |
|
Steven Jacobs
215 Rockaway Tpke |
$127.48 | 289 | 278 |
|
Rajbir Singh Chopra
290 Central Ave Ste 205 |
$50.71 | 309 | 302 |
|
Faina Norinskiy
290 Central Ave Ste 202 |
$110.67 | 317 | 316 |
|
Neysa I Valentin-Capeles
275 Rockaway Tpke |
$31.19 | 357 | 337 |
|
Paul Hochsztein
290 Central Ave |
$55.95 | 425 | 398 |
|
Mark H. Krotowski
525 Jorgen St |
$29.85 | 858 | 392 |
|
Raul Mendoza
135 Rockaway Tpke |
$34.95 | 931 | 926 |
|
Rubin Brecher
6 Meadow Ln |
$91.30 | 934 | 921 |
|
Yitzhak David Twersky
290 Central Ave |
$51.02 | 949 | 947 |
|
Merlyn Mathew
290 Central Ave Ste 202 |
$86.57 | 1,081 | 1,080 |
|
Irene Lois Zide
290 Central Ave Ste 202 |
$100.56 | 1,355 | 1,349 |
|
Sam Jin Yee
215 Rockaway Tpke |
$76.30 | 2,214 | 2,071 |
|
Leonard Feiner
360 Central Ave |
$96.15 | 3,049 | 3,046 |
|
Matteo Spera
215 Rockaway Tpke |
$79.52 | 3,253 | 3,116 |
|
Dominic Spera
215 Rockaway Tpke |
$61.74 | 5,600 | 5,112 |
|
Neil Smith
215 Rockaway Tpke |
$61.54 | 7,140 | 6,594 |
|
Mark Sperber
287 Rockaway Tpke |
$109.75 | 7,531 | 6,781 |
|
Michael Rotman
290 Central Ave |
$64.55 | 9,242 | 8,632 |
|
Jason A Grotas
290 Central Ave Ste 207 |
$58.30 | 10,578 | 8,475 |
|
Robert L Bruckstein
290 Central Ave |
$53.83 | 19,319 | 16,360 |
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 Lawrence, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lawrence, NY is $67.39 per claim, based on 76,360 claims from 25 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 Lawrence, NY?
There are 25 Medicaid providers offering Office Visit related services in Lawrence, NY according to public payment data.
What is the price range for Office Visit in Lawrence, NY?
Medicaid reimbursement for Office Visit in Lawrence, NY ranges from $2.19 to $127.48 per claim, with an average of $67.39. 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 Lawrence, NY
Non-Emergency Medical Transportation
Avg $52.50
114,700 claims
Dialysis
Avg $17.24
114,569 claims
Eye Exam
Avg $44.58
51,834 claims
Home Health Visit
Avg $233.67
50,987 claims
Blood Work & Lab Tests
Avg $9.04
50,262 claims
EKG / ECG (Electrocardiogram)
Avg $6.08
20,620 claims
Prescription Medications
Avg $33.61
19,568 claims
Nursing Facility Care
Avg $9.11
18,423 claims