Average Medicaid Office Visit Payments in Maspeth, NY: $54.89
Avg. Paid
$54.89
Range
$15.74 – $115.77
Total Claims
39,481
Providers
14
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 Maspeth, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Changrae Kim
6508 Grand Ave |
$47.48 | 22,915 | 21,840 |
|
Randhir K Bajaj
6629 Grand Ave |
$49.68 | 6,193 | 5,032 |
|
East Point Medical Pc
7116 Grand Ave |
$64.57 | 2,875 | 2,519 |
|
Shilpi B Ahuja
6629 Grand Ave |
$65.58 | 2,214 | 1,921 |
|
Ammar Khan
7301 Grand Ave |
$110.17 | 1,818 | 1,811 |
|
Danielle Mercado Gregory
5901 69Th St |
$92.25 | 1,593 | 1,329 |
|
Armand Varujan Asadourian
6946 Grand Ave |
$59.04 | 942 | 936 |
|
Michael Paul Dellacorte
5901 69Th St |
$58.45 | 380 | 343 |
|
Atul Maini
6519 Borden Ave |
$15.74 | 293 | 237 |
|
Lori A Iurato
60 83 71St Street |
$42.98 | 112 | 96 |
|
Tsega Denneke
6971 Grand Ave |
$23.16 | 76 | 76 |
|
John R Fernandez Md Pllc
5536 69Th Pl |
$68.43 | 42 | 39 |
|
Jodumutt G. Bhat
6971 Grand Ave |
$18.70 | 15 | 13 |
|
Mahabub Rahman
6995 Queens Midtown Expy |
$115.77 | 13 | 13 |
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 Maspeth, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Maspeth, NY is $54.89 per claim, based on 39,481 claims from 14 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 Maspeth, NY?
There are 14 Medicaid providers offering Office Visit related services in Maspeth, NY according to public payment data.
What is the price range for Office Visit in Maspeth, NY?
Medicaid reimbursement for Office Visit in Maspeth, NY ranges from $15.74 to $115.77 per claim, with an average of $54.89. 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 Maspeth, NY
Speech Therapy
Avg $33.57
35,372 claims
Psychiatric Evaluation
Avg $82.23
33,380 claims
Blood Work & Lab Tests
Avg $21.77
24,613 claims
Home Health Visit
Avg $133.74
12,929 claims
Dental Cleaning & Exam
Avg $21.33
10,342 claims
Emergency Room Visit
Avg $91.34
7,423 claims
X-Ray
Avg $20.80
4,818 claims
Physical Therapy
Avg $32.33
3,581 claims