Average Medicaid Office Visit Payments in Middle Village, NY: $85.73
Avg. Paid
$85.73
Range
$0.00 – $205.89
Total Claims
365,419
Providers
32
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 Middle Village, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Josef D. Schenker
6122G Fresh Pond Rd |
$91.30 | 149,566 | 138,469 |
|
Josef Schenker Md Pc
6122G Fresh Pond Rd |
$87.56 | 125,135 | 115,232 |
|
Adeeti Gupta
7001 Metropolitan Ave |
$83.27 | 33,201 | 30,246 |
|
Syed Ajmal Husain
7812 Metropolitan Ave |
$73.36 | 10,719 | 7,521 |
|
Gennadiy Kvetny
7554 Metropolitan Ave |
$36.20 | 8,704 | 8,210 |
|
Michael Galoyan
6660 80Th St |
$66.33 | 7,282 | 6,761 |
|
Yehuda Emanuel Kleinman
7815 Eliot Ave |
$88.64 | 4,442 | 4,243 |
|
Sunil Mehra
8404 Penelope Ave |
$49.26 | 3,474 | 3,328 |
|
Calogero Tumminello
7817 Metropolitan Ave |
$69.19 | 3,410 | 3,090 |
|
Hope Medical Services Pc
7812 Metropolitan Ave |
$101.04 | 2,834 | 1,984 |
|
Omid Hakimian
75-54 Metropolitan Avenue |
$30.63 | 2,561 | 2,493 |
|
Robert Michael Yu
7506 Eliot Ave |
$96.38 | 2,334 | 2,045 |
|
Tziporah Falkovsky
6122G Fresh Pond Rd |
$35.10 | 2,109 | 2,047 |
|
Vijaypal Arya
7517 Metropolitan Ave |
$86.17 | 1,935 | 1,911 |
|
Metropolitan Podiatry Pllc
6660 80Th St Ste G3 |
$82.20 | 1,292 | 1,222 |
|
Rebecca Carcana
5821 80Th St |
$67.03 | 1,157 | 1,085 |
|
Ashok K Rajput
8404 Penelope Ave |
$205.89 | 985 | 446 |
|
Kap-Jae Sung
6683 70Th St |
$97.28 | 922 | 896 |
|
Isabella Ilarda
78-12 Metropolitan Ave |
$84.21 | 852 | 777 |
|
Annmarie Yu
7506 Eliot Ave |
$93.63 | 770 | 699 |
|
Kevork George Boyadjian
7506 Eliot Ave |
$63.57 | 507 | 496 |
|
Edward Stanley Pineles
7812 Metropolitan Ave |
$93.81 | 482 | 462 |
|
Adam Rozenstrauch
7844 Metropolitan Ave |
$60.75 | 173 | 149 |
|
Bernard F. Martin
66-60 80Th Street |
$92.47 | 137 | 93 |
|
Paul E Brody
73-05 Metropolitan Ave |
$36.81 | 135 | 128 |
|
Kristina Theresia Ruff
7844 Metropolitan Ave |
$57.73 | 104 | 96 |
|
Renee Adriana Nichols
7960 Metropolitan Ave |
$10.69 | 68 | 65 |
|
Peyman Alaghband
7006 Eliot Ave Apt B2 |
$18.48 | 48 | 46 |
|
D&S Pharmacy Llc
6471 Dry Harbor Rd |
$0.00 | 40 | 36 |
|
Alvin Bregman
7907 Metropolitan Ave |
$85.91 | 14 | 14 |
|
Francis Joseph Anello
8204 Caldwell Ave |
$49.22 | 14 | 12 |
|
Dr Ganapathi Baskar Medical Pc
7915 Metropolitan Ave |
$73.91 | 13 | 12 |
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 Middle Village, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Middle Village, NY is $85.73 per claim, based on 365,419 claims from 32 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 Middle Village, NY?
There are 32 Medicaid providers offering Office Visit related services in Middle Village, NY according to public payment data.
What is the price range for Office Visit in Middle Village, NY?
Medicaid reimbursement for Office Visit in Middle Village, NY ranges from $0.00 to $205.89 per claim, with an average of $85.73. 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 Middle Village, NY
Physical Therapy
Avg $29.67
49,015 claims
Psychiatric Evaluation
Avg $79.25
36,578 claims
Pulmonary Function Test
Avg $29.50
34,626 claims
Urinalysis & Urine Tests
Avg $4.67
30,424 claims
Ultrasound
Avg $93.80
23,384 claims
Speech Therapy
Avg $40.22
22,078 claims
Blood Work & Lab Tests
Avg $2.53
19,552 claims
Nursing Facility Care
Avg $13.54
7,819 claims