Average Medicaid Office Visit Payments in Plainview, NY: $75.59
Avg. Paid
$75.59
Range
$2.29 – $205.70
Total Claims
108,239
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 Plainview, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thafarie Thomas
131 E Ames Ct |
$6.43 | 12 | 12 |
|
Ezra Bendit
1181 Old Country Rd |
$87.41 | 13 | 13 |
|
Saad Syed
1181 Old Country Rd Ste 3 |
$115.95 | 13 | 12 |
|
Brigitte Roche Rizzo
750 Old Country Rd |
$44.71 | 13 | 12 |
|
Judah Philip Guy
146A Manetto Hill Rd Ste 205 |
$49.48 | 14 | 13 |
|
Haim Brandspiegel
789 Old Country Rd |
$181.93 | 14 | 13 |
|
John Kelemen
824 Old Country Rd |
$103.91 | 16 | 16 |
|
Santosh J Mathen
651 Old Country Rd |
$64.14 | 18 | 18 |
|
Mehran Mansouri
25 Central Park Rd |
$3.28 | 18 | 15 |
|
Stephen Mark Newman
824 Old Country Rd |
$124.74 | 19 | 17 |
|
Fernando Jose Checo
651 Old Country Rd |
$33.33 | 27 | 25 |
|
James John Tsiakos
875 Old Country Rd |
$113.34 | 28 | 28 |
|
Nitasha Ali-Chojnowski
100 Manetto Hill Rd |
$25.43 | 40 | 39 |
|
Jennifer Ahmed
824 Old Country Rd |
$112.31 | 40 | 40 |
|
Annamaria Giordano
525 Woodbury Road |
$46.05 | 43 | 41 |
|
Sanjiv Sharma
10 Gerhard Rd |
$59.95 | 54 | 50 |
|
City Medical Of Upper East Side, Pllc
1117 Old Country Rd |
$110.00 | 64 | 60 |
|
Nathalie Theresa Sejour
131 E Ames Ct |
$76.62 | 65 | 65 |
|
Joseph Brian Cohen
1171 Old Country Road |
$115.83 | 66 | 65 |
|
Jill A. Marcus
146 Manetto Hill Rd |
$115.22 | 68 | 67 |
|
Shaan M. Waqar
146A Manetto Hill Rd Ste 200 |
$88.99 | 68 | 67 |
|
Nancy Lippman
100 Manetto Hill Rd |
$101.17 | 69 | 67 |
|
Tricia Narine
700 Old Country Rd Ste 105 |
$104.92 | 72 | 70 |
|
Sonia A Talwar
1097 Old Country Rd |
$2.29 | 74 | 74 |
|
Kerry Frommer Fierstein
100 Manetto Hill Rd |
$110.68 | 78 | 76 |
|
Sander Leiman
789 Old Country Rd |
$178.59 | 85 | 84 |
|
Christine Jihye Lee
888 Old Country Rd |
$59.31 | 85 | 85 |
|
Jennifer Lynn Eisele
100 Manetto Hill Rd Ste 302 |
$96.78 | 89 | 87 |
|
Julie Chandy
888 Old Country Rd |
$62.65 | 94 | 92 |
|
William Joseph Tamparo
1097 Old Country Rd Ste 201 |
$101.45 | 96 | 93 |
|
Sangeetha Kamath
12 Pound Ridge Rd |
$52.77 | 102 | 96 |
|
Evan Green
888 Old Country Rd |
$113.60 | 104 | 95 |
|
Michelle Turner
998 Old Country Rd Ste C |
$136.47 | 125 | 117 |
|
Jennifer L Gallub
522 Old Country Rd |
$150.01 | 132 | 126 |
|
Heddy J Zirin
202 Terminal Dr |
$105.77 | 139 | 128 |
|
Georgette Dixon
255 Executive Dr |
$193.73 | 139 | 134 |
|
Brian Goldstein
100 Manetto Hill Rd |
$91.19 | 162 | 157 |
|
Stewart Samuel
100 Manetto Hill Rd |
$97.94 | 168 | 162 |
|
Irene Eve Lainiotis
522 Old Country Rd |
$61.16 | 176 | 168 |
|
Stanley Weindorf
202 Terminal Dr |
$91.54 | 189 | 164 |
|
Iquinder Pal-Kaur Singh
700 Old Country Rd Ste 206 |
$114.59 | 194 | 192 |
|
Ashish Kumar
888 Old Country Rd |
$52.60 | 199 | 195 |
|
Irene Cheung
522 Old Country Rd |
$34.02 | 218 | 196 |
|
Rachna Bangdiwala
888 Old Country Rd |
$69.35 | 229 | 164 |
|
Jay Scott Youngerman
875 Old Country Rd |
$119.75 | 235 | 226 |
|
Lena Edelstein
100 Manetto Hill Rd Ste 302 |
$116.22 | 251 | 236 |
|
Brandon Petrone
888 Old Country Rd |
$154.64 | 262 | 258 |
|
John George
377 S Oyster Bay Rd |
$205.70 | 282 | 276 |
|
Mitchell Alan Greenbaum
525 Woodbury Rd |
$62.51 | 309 | 291 |
|
Paul Muscarello
556 Old Country Rd |
$74.34 | 335 | 286 |
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 Plainview, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plainview, NY is $75.59 per claim, based on 108,239 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 Plainview, NY?
There are 100 Medicaid providers offering Office Visit related services in Plainview, NY according to public payment data.
What is the price range for Office Visit in Plainview, NY?
Medicaid reimbursement for Office Visit in Plainview, NY ranges from $2.29 to $205.70 per claim, with an average of $75.59. 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 Plainview, NY
Pathology & Lab Services
Avg $46.43
240,163 claims
Case Management Services
Avg $29.08
209,545 claims
Durable Medical Equipment (DME)
Avg $41.79
163,053 claims
Speech Therapy
Avg $71.13
99,693 claims
Hearing Test (Audiometry)
Avg $28.98
93,266 claims
Physical Therapy
Avg $78.23
78,583 claims
Blood Work & Lab Tests
Avg $8.15
62,239 claims
X-Ray
Avg $6.75
49,392 claims