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
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 Pomona, NY
Physical Therapy
Avg $21.82
232,896 claims
Dental Cleaning & Exam
Avg $31.61
179,669 claims
Blood Work & Lab Tests
Avg $8.18
154,163 claims
Eye Exam
Avg $73.77
55,998 claims
Dental Filling
Avg $83.75
23,013 claims
Psychiatric Evaluation
Avg $95.17
18,454 claims
Nursing Facility Care
Avg $11.50
14,599 claims
Vaccines & Immunizations
Avg $15.73
10,393 claims