Average Medicaid Office Visit Payments in Northport, NY: $76.76
Avg. Paid
$76.76
Range
$0.92 – $182.78
Total Claims
28,127
Providers
26
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 Northport, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Susan Gunduz
1014 Fort Salonga Rd |
$87.63 | 7,522 | 6,685 |
|
Jose S Leon
108 Scudder Pl |
$86.64 | 6,173 | 5,933 |
|
Helen M Daly
48 Hillside Pl |
$82.94 | 1,844 | 1,449 |
|
Ilene Lauren Friedman
79 Middleville Rd |
$61.13 | 1,828 | 1,803 |
|
Paul R Leva
320 Laurel Rd |
$0.92 | 1,406 | 1,297 |
|
Isabel M Tolentino-Mirasol
79 Middleville Rd |
$53.85 | 1,368 | 1,274 |
|
Brittany Zaid
19 Crestwood Dr |
$55.89 | 1,144 | 1,059 |
|
Uzma Nasir
79 Middleville Rd |
$71.62 | 1,093 | 966 |
|
Monica Weinberg
79 Middleville Road |
$128.61 | 1,028 | 984 |
|
Ali John Zarrabi
5 Beach Plum Dr |
$42.75 | 912 | 873 |
|
Soojin Ahn
79 Middleville Rd |
$75.71 | 744 | 719 |
|
Hillary Diamond
99 Sea Cove Rd |
$50.89 | 706 | 664 |
|
Amit Mittal
79 Middleville Rd |
$98.24 | 583 | 498 |
|
Suzanne Cara Schulman
399 Fort Salonga Rd |
$127.62 | 470 | 464 |
|
Steven E Klein
325 Main St |
$100.89 | 425 | 224 |
|
Bernadette Dube
325 Main St |
$47.79 | 203 | 193 |
|
Robert E Scully
399 Fort Salonga Rd |
$66.61 | 162 | 123 |
|
North Shore Medical Care, P.C.
399 Fort Salonga Rd |
$38.22 | 152 | 119 |
|
Mohammad Mostafa Amin
79 Middleville Rd |
$64.24 | 102 | 102 |
|
Chrystyne Olivieri
325 Main St |
$182.78 | 88 | 66 |
|
Hussein D Foda
Northport Vamc |
$106.95 | 55 | 55 |
|
Susan Marie Stickevers
79 Middleville Rd |
$24.86 | 54 | 53 |
|
Karen L Olivieri
325 Main St |
$61.12 | 25 | 25 |
|
Marissa Cristina Koopman
79 Middleville Rd |
$50.44 | 14 | 12 |
|
Peter Lee Shue
79 Middleville Rd # A1-1 |
$20.94 | 13 | 13 |
|
Roger Perrone
1019 Fort Salonga Rd |
$64.48 | 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 Northport, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Northport, NY is $76.76 per claim, based on 28,127 claims from 26 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 Northport, NY?
There are 26 Medicaid providers offering Office Visit related services in Northport, NY according to public payment data.
What is the price range for Office Visit in Northport, NY?
Medicaid reimbursement for Office Visit in Northport, NY ranges from $0.92 to $182.78 per claim, with an average of $76.76. 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 Northport, NY
Home Health Visit
Avg $145.31
307,635 claims
Eye Exam
Avg $49.89
8,342 claims
Physical Therapy
Avg $58.92
5,919 claims
Vaccines & Immunizations
Avg $8.61
5,864 claims
X-Ray
Avg $6.84
5,728 claims
Speech Therapy
Avg $46.92
5,031 claims
Dental Cleaning & Exam
Avg $40.89
4,023 claims
Nursing Facility Care
Avg $3.51
3,725 claims