Average Medicaid Office Visit Payments in Mamaroneck, NY: $75.11
Avg. Paid
$75.11
Range
$31.52 – $148.01
Total Claims
40,642
Providers
29
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 Mamaroneck, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Caroline Tiglio
719 Prospect Ave |
$78.47 | 4,553 | 4,048 |
|
Ronald M Guberman
135 Mamaroneck Ave |
$31.52 | 4,411 | 2,695 |
|
Pm Pediatrics Of Mamaroneck
622 East Boston Post Rd |
$133.46 | 3,597 | 3,420 |
|
Kevin J Maloney
144 E Boston Post Rd |
$57.98 | 3,452 | 2,284 |
|
Lili Kung
933 Mamaorneck Ave |
$68.71 | 3,424 | 3,030 |
|
Allied Healthcare Physician Pllc
444 E Boston Post Rd Ste 201 |
$57.19 | 3,189 | 2,807 |
|
Seth Leven
444 E Boston Post Rd |
$103.95 | 2,360 | 2,009 |
|
Fadekemi Suliat Olude
444 E Boston Post Rd |
$69.87 | 2,254 | 1,828 |
|
Adebisi Tomi Tijani
444 E Boston Post Rd |
$80.25 | 1,752 | 1,656 |
|
David Amos Ben-Meir
1600 Harrison Ave |
$32.06 | 1,657 | 1,429 |
|
Alan Schrager
1600 Harrison Ave |
$53.88 | 1,514 | 1,368 |
|
Healthy Living. David Ben Meir Md. Mph. General Medicine Pllc
1600 Harrison Ave |
$83.85 | 1,506 | 1,177 |
|
Mamaroneck Medical, Pllc
933 Mamaroneck Ave |
$88.29 | 1,255 | 1,075 |
|
Frederick J Kaskel
1251 Raleigh Rd |
$120.73 | 1,144 | 1,089 |
|
Julia Paige Deloach
689 Mamaroneck Ave |
$98.57 | 1,120 | 794 |
|
Haley Smallwood
444 E Boston Post Rd |
$43.93 | 747 | 564 |
|
Ariana Rose Komaroff
1600 Harrison Ave Ste G105-2 |
$81.89 | 532 | 383 |
|
Andre Persaud
620 E Boston Post Rd |
$140.43 | 526 | 525 |
|
Varona Yvonne Sargent Tangarife
620 E Boston Post Rd |
$107.90 | 502 | 452 |
|
Sarah Seaforth
620 E Boston Post Rd |
$34.18 | 269 | 269 |
|
Maria Luisa De La Morena
1600 Harrison Ave |
$74.59 | 223 | 186 |
|
Andrea Zambetti Ledoux
620 E Boston Post Rd |
$148.01 | 162 | 162 |
|
Shahdah Harati
257 Mamaroneck Ave Ste 208 |
$74.92 | 134 | 107 |
|
Nahid Shirazy Majd
1600 Harrison Ave |
$70.08 | 102 | 88 |
|
Open Door Family Medical Center, Inc.
689 Mamaroneck Ave |
$124.57 | 86 | 83 |
|
Danna Chung
933 Mamaroneck Ave Ste 202 |
$61.45 | 63 | 26 |
|
Zachary Hart
1600 Harrison Ave Ste 206 |
$45.91 | 51 | 48 |
|
Jason Brett Lupow
1030 W Boston Post Rd |
$77.94 | 29 | 29 |
|
Jill D. Weintraub
30 Doris Ln |
$144.07 | 28 | 28 |
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 Mamaroneck, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mamaroneck, NY is $75.11 per claim, based on 40,642 claims from 29 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 Mamaroneck, NY?
There are 29 Medicaid providers offering Office Visit related services in Mamaroneck, NY according to public payment data.
What is the price range for Office Visit in Mamaroneck, NY?
Medicaid reimbursement for Office Visit in Mamaroneck, NY ranges from $31.52 to $148.01 per claim, with an average of $75.11. 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 Mamaroneck, NY
X-Ray
Avg $4.51
162,766 claims
Dental Cleaning & Exam
Avg $30.70
44,458 claims
Home Health Visit
Avg $197.92
29,636 claims
EKG / ECG (Electrocardiogram)
Avg $6.39
25,639 claims
Personal Care Services
Avg $163.94
18,809 claims
Physical Therapy
Avg $39.68
18,545 claims
Psychiatric Evaluation
Avg $81.89
16,754 claims
Ultrasound
Avg $61.89
14,897 claims