Average Medicaid Office Visit Payments in Merrick, NY: $70.74
Avg. Paid
$70.74
Range
$0.00 – $157.72
Total Claims
36,716
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 Merrick, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ling Cui
2209 Merrick Rd Ste 101 |
$116.48 | 12 | 12 |
|
Suraiya Chowdhury
2291 Merrick Rd |
$72.92 | 12 | 12 |
|
Ayanna Elaine Lewis
2209 Merrick Rd Ste 100 |
$113.62 | 13 | 13 |
|
Samima Sultana Habbsa
2209 Merrick Rd |
$121.27 | 13 | 13 |
|
Darlene Maria Sanchez
389 Merrick Ave |
$68.92 | 46 | 45 |
|
Alexa Giovino
3164 Denton Dr |
$97.04 | 52 | 51 |
|
Gary J Shore
31 Merrick Ave |
$82.49 | 55 | 55 |
|
Vital Medical Care Aesthetics P.C.
2209 Merrick Rd Ste 202 |
$0.00 | 67 | 25 |
|
Nusrat Mitu
2291 Merrick Rd |
$12.25 | 69 | 67 |
|
Marissa S Sydial
389 Merrick Ave |
$50.50 | 100 | 98 |
|
Joel Attard
951 Merrick Ave |
$70.89 | 137 | 136 |
|
Louisa Mae Fennell
1695 Merrick Ave |
$25.93 | 288 | 240 |
|
Michael C Poliseno
2094 Merrick Ave |
$65.09 | 318 | 249 |
|
Pediatric Nurse Practitioner, Pllc
2944 Holiday Park Dr |
$143.84 | 410 | 211 |
|
Matthew J Reifler
2119 Merrick Rd |
$91.41 | 486 | 475 |
|
Christopher Titterton
1989 Merrick Rd |
$125.85 | 501 | 499 |
|
Stacey Radinsky
2209 Merrick Rd Ste 202 |
$157.72 | 528 | 446 |
|
Amy Ng Waldman
995 Orion Ct |
$61.63 | 850 | 795 |
|
True North Medical Group Pc
1728 Sunrise Hwy |
$102.96 | 989 | 936 |
|
Kerry Rut
31 Merrick Ave |
$77.14 | 1,328 | 1,286 |
|
Myles Grossman
2174 Hewlett Ave |
$43.47 | 1,534 | 1,354 |
|
Joelle Vital
2209 Merrick Rd Ste 202 |
$16.28 | 1,668 | 1,243 |
|
Sarada Jaimungal
2209 Merrick Rd Ste 100 |
$77.11 | 2,074 | 1,896 |
|
Nancy Ellen Tice
1955 Merrick Rd |
$52.41 | 2,578 | 2,065 |
|
Jeffrey C Silverstein
155 Merrick Ave |
$63.95 | 2,822 | 2,363 |
|
Mansoor Farooki
2094 Merrick Ave |
$35.86 | 3,083 | 2,803 |
|
Pamela Banks
150 Hewlett Ave |
$71.08 | 3,608 | 3,135 |
|
Daniel Mitchell Rosenthal
1548 Jerusalem Ave |
$114.63 | 4,643 | 4,539 |
|
Mark Harris Haltrecht
1825 Merrick Rd |
$66.45 | 8,432 | 7,584 |
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 Merrick, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Merrick, NY is $70.74 per claim, based on 36,716 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 Merrick, NY?
There are 29 Medicaid providers offering Office Visit related services in Merrick, NY according to public payment data.
What is the price range for Office Visit in Merrick, NY?
Medicaid reimbursement for Office Visit in Merrick, NY ranges from $0.00 to $157.72 per claim, with an average of $70.74. 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 Merrick, NY
Home Health Visit
Avg $180.81
609,729 claims
Speech Therapy
Avg $79.64
111,987 claims
Dental Cleaning & Exam
Avg $37.77
87,405 claims
Tooth Extraction
Avg $134.73
12,339 claims
Dental Filling
Avg $91.36
10,798 claims
Psychiatric Evaluation
Avg $48.98
8,389 claims
Blood Work & Lab Tests
Avg $0.55
7,828 claims
Urinalysis & Urine Tests
Avg $2.75
7,328 claims