Average Medicaid Office Visit Payments in Massapequa, NY: $60.67
Avg. Paid
$60.67
Range
$0.00 – $138.28
Total Claims
90,025
Providers
78
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 Massapequa, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael L Sacher
100 Veterans Blvd |
$6.23 | 12 | 12 |
|
Arianna Lyn Ruling
892 N Broadway |
$63.39 | 12 | 12 |
|
Nicholas John Montemurro
5500 Merrick Rd |
$108.76 | 12 | 12 |
|
Marissa Taylor
5550 Merrick Rd |
$60.25 | 12 | 12 |
|
Cassandra Michelle Shapiro
504 Hicksville Rd Fl 2 |
$62.89 | 13 | 13 |
|
Matthew Joseph Valvo
22 Harrison Ave |
$81.19 | 13 | 12 |
|
Corey Fox
4160 Merrick Rd |
$30.11 | 13 | 12 |
|
Youth Environmental Services, Inc.
75 Grand Ave |
$138.28 | 13 | 13 |
|
Michael Guzzardi
56 Margaret Rd |
$26.37 | 13 | 13 |
|
Birendra Kumar Trivedi
924 N Broadway Ste 2 |
$0.00 | 14 | 13 |
|
Island Neuro Care, Pc
924 N Broadway Ste 2 |
$66.51 | 27 | 25 |
|
Gina Nicolas
46 Francine Ave |
$0.00 | 30 | 30 |
|
Christina Lynn Errichiello
1061 N Broadway |
$75.15 | 34 | 31 |
|
Jonathan David Owens
5500 Merrick Road |
$18.09 | 41 | 37 |
|
Joseph C Colucci
510 Hicksville Rd |
$83.24 | 41 | 37 |
|
Jill A Ryan
727 N Broadway Ste A1 |
$137.38 | 45 | 40 |
|
Stanley Alan Fox
585 Broadway |
$133.11 | 50 | 50 |
|
Priyadarshan Bajpayi, M.D. Pc
5550 Merrick Rd Ste 200 |
$46.15 | 55 | 54 |
|
Ruth Moze
55505 Merrick Road |
$9.89 | 55 | 36 |
|
Eva Rubin
510 Hicksville Rd |
$69.43 | 55 | 52 |
|
Brett Michael Spain
5500 Merrick Rd |
$81.43 | 66 | 62 |
|
Howard Sacher
510 Hicksville Rd |
$76.55 | 74 | 64 |
|
Mark Joel Neuman
1130 N Broadway Ste 120 |
$98.01 | 76 | 69 |
|
Paul Barry Bernstein
4200 Sunrise Hwy |
$61.62 | 99 | 78 |
|
Conan Tu
4150 Sunrise Hwy |
$128.40 | 103 | 100 |
|
Padmaja Aradhya
924 N Broadway # 2 |
$91.31 | 109 | 108 |
|
Aristide Burducea
5500 Merrick Rd |
$70.31 | 132 | 114 |
|
Joanne Pierre-Louis
25 Denise St |
$97.66 | 133 | 131 |
|
Pushpaben M Parikh
510 Hicksville Rd |
$63.75 | 179 | 173 |
|
Mauro D Gasparini
119 New York Avenue |
$38.19 | 180 | 169 |
|
David Alan Goldstein
510 Hicksville Road |
$70.65 | 192 | 188 |
|
Frederic Kalenscher
532 Broadway |
$87.14 | 192 | 185 |
|
Dawnell Carroll
11 Riviera Dr E |
$86.12 | 203 | 197 |
|
Samantha Landau
300 E Shore Dr |
$46.20 | 224 | 208 |
|
Jill Sisselman
627 Broadway |
$50.11 | 253 | 236 |
|
Mahjabeen Haq
585 Broadway |
$72.66 | 291 | 287 |
|
Luis E Alejo
510 Hicksville Rd |
$59.43 | 347 | 280 |
|
Natalya Krichmar
200 Boundary Ave |
$81.32 | 347 | 340 |
|
Greg Ross Blair
510 Hicksville Rd |
$66.01 | 351 | 339 |
|
Elizabeth Mary Morrison
5500 Merrick Rd |
$96.76 | 351 | 327 |
|
Sarah Burns
4150 Sunrise Hwy |
$111.56 | 359 | 350 |
|
Ching Yeh Lin
4410 Sunrise Hwy |
$72.35 | 363 | 358 |
|
Paul Ricca
510 Hicksville Rd |
$61.18 | 368 | 321 |
|
Iffera Zahid
5550 Merrick Rd Ste 200 |
$59.02 | 399 | 368 |
|
Charles James Ruotolo
5500 Merrick Rd |
$102.44 | 412 | 412 |
|
Ayesha Mannan
515 Broadway |
$111.51 | 446 | 369 |
|
Nicole Germano
504 Hicksville Rd |
$92.12 | 478 | 463 |
|
Rebecca Moers
4410 Sunrise Hwy |
$100.78 | 505 | 505 |
|
Stuart Horowitz
99 Grand Ave |
$96.94 | 506 | 390 |
|
Tatyana Goykhberg
4190 Sunrise Highway |
$65.31 | 548 | 500 |
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 Massapequa, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Massapequa, NY is $60.67 per claim, based on 90,025 claims from 78 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 Massapequa, NY?
There are 78 Medicaid providers offering Office Visit related services in Massapequa, NY according to public payment data.
What is the price range for Office Visit in Massapequa, NY?
Medicaid reimbursement for Office Visit in Massapequa, NY ranges from $0.00 to $138.28 per claim, with an average of $60.67. 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 Massapequa, NY
Home Health Visit
Avg $175.18
1,524,856 claims
Psychiatric Evaluation
Avg $71.35
73,309 claims
Physical Therapy
Avg $34.86
32,995 claims
Dental Cleaning & Exam
Avg $30.50
31,521 claims
Eye Exam
Avg $30.17
25,467 claims
Blood Work & Lab Tests
Avg $7.23
16,135 claims
Speech Therapy
Avg $26.65
11,422 claims
Ultrasound
Avg $70.41
10,907 claims