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 |
|---|---|---|---|
|
Natalia Levinskaya
54 Sunnyside Blvd Ste E |
$65.03 | 9,304 | 8,174 |
|
Eugene N. Gerardi
1171 Old Country Rd |
$60.99 | 8,104 | 2,296 |
|
Bijan Setareh-Shenas
700 Old Country Rd |
$72.27 | 7,899 | 7,397 |
|
Greg Rosenn
185 Express St Ste 400 |
$48.72 | 5,584 | 5,513 |
|
Tehmina Naveed
70 Floral Dr W |
$77.21 | 5,134 | 4,484 |
|
Brad E. Fell
1171 Old Country Rd |
$97.42 | 4,778 | 4,633 |
|
Farhad H Shirazi
700 Old Country Rd |
$35.11 | 4,610 | 3,558 |
|
Kristin Rivera
888 Old Country Rd |
$38.43 | 3,987 | 3,355 |
|
Vanessa Ambereen Ali-Pennock
54 Sunnyside Blvd |
$77.72 | 3,620 | 2,275 |
|
Plainview Hospital
888 Old Country Rd |
$129.25 | 2,953 | 2,534 |
|
Jaclyn Danielle Mcquade
1171 Old Country Rd |
$98.55 | 2,919 | 2,822 |
|
Gregory Puglisi
1171 Old Country Rd |
$77.18 | 2,564 | 2,251 |
|
Prem C Chatpar
524 Old Country Road |
$48.14 | 2,488 | 2,312 |
|
Mohsen Pahlavan
1097 Old Country Rd Ste 101 |
$57.02 | 2,348 | 2,066 |
|
Ali Ahmadizadeh
875 Old Country Rd |
$118.68 | 2,096 | 2,053 |
|
Joseph Anthony Grillo
1171 Old Country Rd Ste 5 |
$72.45 | 2,080 | 1,888 |
|
Lawrence Katz
700 Old Country Rd |
$87.56 | 2,043 | 1,907 |
|
Alan T Slepian
146A Manetto Hill Rd Ste 102 |
$39.72 | 2,005 | 1,252 |
|
Gary M Snyder
146A Manetto Hill Rd |
$92.53 | 1,773 | 1,701 |
|
Wei Li
888 Old Country Rd |
$55.57 | 1,758 | 1,613 |
|
Eric Michael Ascher
888 Old Country Rd |
$113.73 | 1,490 | 1,426 |
|
Seema Virmani Nambiar
651 Old Country Rd |
$86.04 | 1,426 | 1,073 |
|
Thomas Capilupi
1171 Old Country Rd |
$92.91 | 1,392 | 1,326 |
|
Daniel Lee Seidman
651 Old Country Rd Ste 200 |
$106.92 | 1,269 | 1,245 |
|
Luis Francisco Labrador
150 Sunnyside Blvd |
$31.76 | 1,183 | 1,166 |
|
Naomi Levine Zilkha
1021 Old Country Rd |
$89.43 | 1,033 | 1,009 |
|
Carlos Rios
1117 Old Country Rd |
$111.78 | 1,008 | 998 |
|
Stuart L Kanterman
700 Old Country Rd |
$98.46 | 1,004 | 959 |
|
Charles S Swersky
1021 Old Country Rd |
$116.95 | 986 | 875 |
|
Niki Leigh Caggiano
888 Old Country Rd |
$95.49 | 979 | 943 |
|
Timothy Hogan
1171 Old Country Rd |
$91.87 | 951 | 855 |
|
Jeffrey T Layne
1181 Old Country Rd |
$9.50 | 943 | 935 |
|
Charles Bruzzone
556 Old Country Rd |
$82.57 | 839 | 730 |
|
Mariam Nik
516 Old Country Rd |
$113.71 | 819 | 806 |
|
Vlassi Baktidy
100 Manetto Hill Rd |
$88.02 | 807 | 792 |
|
Peter M Brennen
732 Old Country Rd |
$49.85 | 798 | 785 |
|
Mariann Melicharek
888 Old Country Rd |
$117.23 | 745 | 733 |
|
Parth Vinit Shah
875 Old Country Rd Fl 2 |
$123.73 | 708 | 699 |
|
Alfred D Kohan
700 Old Country Rd |
$39.30 | 658 | 643 |
|
Rachelle Derosena
131 E Ames Ct |
$34.06 | 636 | 502 |
|
Deborah J. Millington-Capilupi
1171 Old Country Rd |
$97.99 | 635 | 605 |
|
Phyllis Anne Hampton
202 Terminal Dr Ste 2 |
$113.22 | 621 | 582 |
|
Roxanne George
1171 Old Country Rd |
$39.39 | 584 | 523 |
|
Joel L. Kahan
1171 Old Country Rd |
$97.57 | 567 | 548 |
|
Eric H. Schultheis
146 Manetto Hill Rd |
$127.85 | 518 | 476 |
|
Kimi Patel
1074 Old Country Rd |
$107.45 | 463 | 460 |
|
Gloria K Park
888 Old Country Rd |
$123.88 | 455 | 454 |
|
Peter Holden
700 Old Country Rd |
$65.00 | 448 | 396 |
|
Rosemarie Read
100 Manetto Hill Rd |
$104.51 | 420 | 409 |
|
Shaheer Bhatt
377 S Oyster Bay Rd |
$113.93 | 402 | 391 |
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