Average Medicaid Office Visit Payments in Patchogue, NY: $68.01
Avg. Paid
$68.01
Range
$0.00 – $169.41
Total Claims
254,368
Providers
100
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 Patchogue, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Medihealth Medical Pc
200 E Main St |
$86.29 | 12 | 12 |
|
Sarah Desiree Pelcher
101 Hospital Rd |
$10.57 | 13 | 13 |
|
Enida Zekovic
101 Hospital Rd |
$114.32 | 15 | 14 |
|
Daniel Thomas Ippolito
77 Medford Ave |
$19.55 | 15 | 15 |
|
Patricia Doris Cherasard
157 E Woodside Ave |
$83.67 | 28 | 27 |
|
Nicole Ashley Siguencia
260 Sills Road Suite C |
$15.08 | 28 | 28 |
|
Michelle Guevarra Pena
14A Jayne Avenue |
$11.28 | 33 | 28 |
|
Michael Volpe
101 Hospital Rd |
$105.57 | 41 | 41 |
|
Cheyenne Nicole Clinkscales
501 N Ocean Ave |
$102.49 | 48 | 25 |
|
Melissa Diana Sgro
11 Theresa Ct |
$84.57 | 57 | 53 |
|
Island Musculoskeletal Care, Md, Pc
485 N Ocean Ave |
$0.00 | 58 | 50 |
|
Vijay Shah
444 W Main St |
$51.90 | 79 | 70 |
|
Theresa Rosko
101 Hospital Rd |
$89.51 | 90 | 90 |
|
Andrew Mapley
101 Hospital Rd |
$111.21 | 99 | 99 |
|
Jason Allen Winslow
101 Hospital Road |
$111.71 | 104 | 101 |
|
Clara Markovits
250 Yaphank Rd Suite 5A |
$33.53 | 105 | 102 |
|
Badri Nath
4 Phyllis Drive |
$39.31 | 111 | 105 |
|
Mark Szigeti
24 Railroad Ave |
$77.33 | 119 | 114 |
|
Patchogue Urgent Care, P.C.
152 N Ocean Ave |
$30.24 | 144 | 129 |
|
Natalia Beridze
325 E Main St |
$41.28 | 148 | 139 |
|
Thomas F. Gerold
4 Phyllis Dr Ste B |
$68.95 | 153 | 146 |
|
Deanna Rose Sparaco
157 E Woodside Ave |
$97.69 | 174 | 168 |
|
Michael John Post
Long Island Community Hospital |
$128.37 | 236 | 235 |
|
Caremed Primary And Urgent Care Pc
1 E Roe Blvd |
$104.30 | 239 | 214 |
|
Anthony P Spera
1 E Roe Blvd |
$48.80 | 297 | 276 |
|
Christina Marie Suozzo
475 E Main St |
$36.04 | 359 | 308 |
|
Brandon Lee
101 Hospital Rd |
$119.95 | 367 | 364 |
|
Yim Ping Cheung
101 Hospital Rd |
$29.20 | 378 | 310 |
|
Vandana Chand
205 S Ocean Ave |
$98.73 | 462 | 452 |
|
Edward J Kormylo
33 Medford Ave Ste D |
$47.47 | 471 | 406 |
|
Susan Tara Mackey
77 Medford Ave |
$138.66 | 493 | 425 |
|
Ravi Chandra Pulipati
33 Medford Ave |
$24.81 | 496 | 481 |
|
Roberto R Cabral
9 Village Grn Unit A |
$59.17 | 501 | 488 |
|
Sarah Aisling Cheek
31 Oak St Ste 3 |
$69.43 | 503 | 482 |
|
Tatyana I Katz
499 Sunrise Hwy W Ste 80 |
$19.36 | 573 | 536 |
|
Grace Mroz
450 Waverly Ave |
$26.42 | 662 | 575 |
|
Steven B Axt
4 Phyllis Dr |
$50.34 | 691 | 566 |
|
Michael Kirk
101 Hospital Road |
$47.59 | 721 | 654 |
|
Richard Marotto
1 E Roe Blvd |
$51.99 | 738 | 665 |
|
Raymond G. Lau
157 E Woodside Ave |
$93.41 | 799 | 787 |
|
Ronald S Klein
485 N Ocean Avenue |
$72.21 | 804 | 713 |
|
Sultana Yasmin Rahman
31 Oak St |
$56.63 | 808 | 780 |
|
Troy E Dickinson
475 E Main St |
$52.21 | 814 | 752 |
|
Ahmed Elfiky
200 E Main St |
$51.55 | 821 | 784 |
|
Tracey Lynn Messina
112 Cedar Ave |
$97.75 | 845 | 806 |
|
Courtney Bofinger
101 Hospital Rd |
$136.22 | 851 | 846 |
|
Jennifer A Fincke
101 Hospital Road |
$169.41 | 853 | 821 |
|
Taryn Fellini
152 N Ocean Ave |
$69.34 | 858 | 840 |
|
Robert Bobrow
450 Waverly Ave |
$103.53 | 859 | 551 |
|
Bernice Bouzy
365 E Main St |
$86.72 | 869 | 393 |
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 Patchogue, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Patchogue, NY is $68.01 per claim, based on 254,368 claims from 100 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 Patchogue, NY?
There are 100 Medicaid providers offering Office Visit related services in Patchogue, NY according to public payment data.
What is the price range for Office Visit in Patchogue, NY?
Medicaid reimbursement for Office Visit in Patchogue, NY ranges from $0.00 to $169.41 per claim, with an average of $68.01. 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 Patchogue, NY
Blood Work & Lab Tests
Avg $7.24
201,055 claims
Home Health Visit
Avg $215.56
130,469 claims
Emergency Room Visit
Avg $120.73
114,359 claims
Urinalysis & Urine Tests
Avg $2.33
56,836 claims
Vaccines & Immunizations
Avg $8.28
55,259 claims
EKG / ECG (Electrocardiogram)
Avg $7.08
54,063 claims
X-Ray
Avg $3.12
44,550 claims
Physical Therapy
Avg $42.96
36,682 claims