Average Medicaid Office Visit Payments in Nesconset, NY: $61.98
Avg. Paid
$61.98
Range
$14.81 – $146.37
Total Claims
32,407
Providers
19
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 Nesconset, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Randi Rasberry
100 Southern Blvd |
$49.12 | 28 | 25 |
|
David Henry Oustecky
59 Southern Blvd |
$90.96 | 30 | 29 |
|
Matthew Mattone
100 Southern Blvd |
$66.49 | 85 | 84 |
|
Mitchell A Kohan
276 Smithtown Blvd |
$18.90 | 87 | 73 |
|
Justin Michael Waryold
59 Southern Blvd |
$58.66 | 211 | 201 |
|
Syeda Tanzia Hossain
61 Southern Blvd |
$102.80 | 291 | 287 |
|
Louis Scotti
130 Gibbs Pond Rd |
$23.91 | 339 | 310 |
|
Lindsey Michelle Xiao
130 Gibbs Pond Rd |
$26.84 | 376 | 305 |
|
Alexander Godefridus Jacobus Druif
465 Smithtown Blvd |
$146.37 | 449 | 437 |
|
Rhonda R Edwards-Braithwaite
465 Smithtown Blvd |
$102.84 | 597 | 357 |
|
Augustus G Mantia
59 Southern Blvd |
$19.19 | 617 | 555 |
|
Laura Ann Levinsky
19 Nottingham Ct |
$35.48 | 719 | 533 |
|
Richard N Sabinsky
55 Southern Blvd |
$66.65 | 943 | 898 |
|
Peter Gregg Michaelson
59 Southern Blvd |
$50.16 | 1,087 | 1,017 |
|
Lidia Mikolaenko
59 Southern Blvd |
$68.27 | 1,789 | 1,645 |
|
Maria Sarah N. Guevarra
59A Nichols Rd |
$89.20 | 4,274 | 4,249 |
|
Excel Urgent Care Of Nesconset, Pllc
465 Smithtown Blvd |
$93.29 | 6,207 | 5,779 |
|
Manpreet Singh
465 Smithtown Blvd |
$72.50 | 6,259 | 5,273 |
|
Baljinder Kaur Grewal
465 Smithtown Blvd |
$14.81 | 8,019 | 7,139 |
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 Nesconset, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Nesconset, NY is $61.98 per claim, based on 32,407 claims from 19 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 Nesconset, NY?
There are 19 Medicaid providers offering Office Visit related services in Nesconset, NY according to public payment data.
What is the price range for Office Visit in Nesconset, NY?
Medicaid reimbursement for Office Visit in Nesconset, NY ranges from $14.81 to $146.37 per claim, with an average of $61.98. 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 Nesconset, NY
Dental Cleaning & Exam
Avg $35.69
15,985 claims
Psychiatric Evaluation
Avg $18.73
9,052 claims
Podiatry (Foot Care)
Avg $4.85
5,211 claims
Dental Filling
Avg $79.20
2,450 claims
Non-Emergency Medical Transportation
Avg $45.11
2,278 claims
Substance Abuse Treatment
Avg $2.32
1,762 claims
Nursing Facility Care
Avg $8.87
1,363 claims
Ambulance Transport
Avg $86.04
948 claims