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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Pomona, NY: $109.40

Avg. Paid

$109.40

Range

$6.94 – $186.42

Total Claims

104,802

Providers

47

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 Pomona, NY

Provider Avg. Paid Claims Patients
Tov Health Medical Center Llc

1540 Route 202 Ste 7

$123.72 28,839 24,197
Don Zwickler

5B Medical Park Dr

$102.91 15,902 15,633
Carla Iudica-Souza

5B Medical Park Dr

$96.59 11,720 11,491
Deborah Raice

5B Medical Park Dr

$107.94 9,826 9,573
Andrew L. Satran

358 Route 202, Suite 2

$74.94 8,120 7,031
Gerald Vogel

4 Medical Park Dr

$105.64 4,385 4,051
Joseph Berkovic

978 Route 45 Ste 108

$81.61 4,038 2,289
Nargis Kasam Ali Savani

50 Sanatorium Rd

$186.42 3,993 1,960
Ronald A Stern

18 Thiells Mt Ivy Road

$107.46 3,019 2,808
Raelene Rubillos Ladaga

978 Route 45 Ste 100

$177.68 2,684 1,325
Jesse Hackell

4 Medical Park Dr

$96.35 2,026 1,903
Phyllis Weingarten

4 Medical Park Dr

$158.18 1,500 1,490
Rajveer Sachdev

6 Medical Park Dr

$70.71 1,337 1,305
Barry M Lifschitz

5B Medical Park Dr

$98.50 1,202 1,159
Maurice Haberman

50 Sanitorium Rd

$78.21 843 789
Samuel Jay Rosenberg

26 Firemens Memorial Dr Ste 120

$85.72 659 592
Brijender Pal Singh Batra

7C Medical Park Dr

$54.45 599 562
Endocrine Associates Of Rockland, Llp

5B Medical Park Dr

$144.00 571 566
Advanced Pediatrics Of Rockland, P.C.

358 Route 202, Suite 2

$74.23 465 402
Frank Peter Cricchio

971 Route 45

$48.88 370 357
Shari Joy Rake

974 Route 45 Ste 1000

$45.39 333 295
Vivian Zacch

2 Ossman Dr

$96.61 307 283
Rachel Zisman

50 Sanatorium Rd

$53.88 231 212
Elliot Fagelman

11 Medical Park Dr

$6.94 211 209
Simeon A. Lauer

978 Route 45

$107.87 201 197
Jyotika Agochiya

974 Route 45 Suite 1000

$70.42 173 163
Marykatelyn Albin

4 Medical Park Dr Ste C

$117.46 168 165
Lee Paul Root

972 Route 45

$48.12 160 159
Carrie Frances Panoff

974 Rt 45

$87.87 154 141
County Of Rockland

50 Sanitorium Rd

$104.15 128 118
Sri Ranga Bonam

1 Medical Park Drive

$51.24 107 103
Sean Patrick Wengerter

5A Medical Park Dr

$14.98 89 81
Michele J Batista

974 Rt 45

$75.32 76 70
Satish G Reddy

1 Medical Park Dr

$105.08 71 67
Maya Gluck-Shats

26 Firemens Memorial Dr

$54.18 55 54
Mohammad Karimi -Pashaki

50 Sanitorium Rd

$99.67 43 40
Arthur Landau

7 Medical Park Dr

$64.38 27 24
Yong Chen

26 Firemans Meml Dr

$48.13 27 25
Brian Lee Fitzpatrick

26 Firemens Memorial Dr

$74.05 25 25
Rebecca Pothen

5A Medical Park Dr

$7.61 24 24
Lara Gates

50 Sanitorium Rd

$97.88 16 16
Tony T Choi

26 Firemens Memorial Dr Ste 111

$19.27 15 14
Michael Lawrence Schwartz

5A Medical Park Dr

$15.32 13 12
Elizabeth Benoy

26 Firemens Memorial Dr Ste 215

$22.11 13 13
Patrick Mcmahon

26 Firemans Memorial Dr

$120.01 13 13
Yaron Dov Langman

974 Route 45

$103.90 12 12
Debra Kaufman Strauss

11 Medical Park Dr

$116.70 12 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 Pomona, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pomona, NY is $109.40 per claim, based on 104,802 claims from 47 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 Pomona, NY?

There are 47 Medicaid providers offering Office Visit related services in Pomona, NY according to public payment data.

What is the price range for Office Visit in Pomona, NY?

Medicaid reimbursement for Office Visit in Pomona, NY ranges from $6.94 to $186.42 per claim, with an average of $109.40. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Pomona, NY