Average Medicaid Office Visit Payments in Port Jefferson, NY: $94.30
Avg. Paid
$94.30
Range
$0.00 – $169.40
Total Claims
83,543
Providers
85
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 Port Jefferson, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John T. Mather Memorial Hospital
75 N Country Rd |
$107.17 | 10,724 | 9,916 |
|
St. Charles Hospital And Rehabilitation Center
200 Belle Terre Road |
$121.35 | 7,400 | 6,907 |
|
Syed K Hussaini
125 Oakland Ave |
$61.99 | 6,112 | 5,900 |
|
Henry J Best
640 Belle Terre Rd |
$57.13 | 4,199 | 4,052 |
|
Eric L Roberts
60 N Country Rd |
$169.40 | 3,767 | 3,756 |
|
Wesley Vanwye Carrion
200 Belle Terre Rd |
$108.60 | 2,807 | 2,721 |
|
Razvan Hurezeanu
75 N Country Rd |
$57.13 | 2,674 | 2,553 |
|
Maury A Marmor
60 N Country Rd |
$167.20 | 2,671 | 2,657 |
|
Lance Edwards
118 N Country Rd |
$92.93 | 2,540 | 2,426 |
|
Steven G. Selter
102 Prospect St |
$42.52 | 2,520 | 1,939 |
|
Sameh Wahba
60 N Country Rd |
$31.16 | 2,412 | 2,156 |
|
Michelle Levi
60 N Country Rd |
$134.71 | 2,336 | 2,307 |
|
Francis Richard Sicari
75 N Country Rd |
$90.43 | 2,288 | 2,247 |
|
Richard E Koty
60 N Country Rd |
$152.18 | 2,189 | 2,101 |
|
Mindy Lynn Shaffran
118 North Country Road |
$110.93 | 2,037 | 1,957 |
|
Carl L Pillitteri
200 Belle Terre Rd |
$104.59 | 1,616 | 812 |
|
Paul Louis Lograno
118 N Country Rd |
$114.72 | 1,372 | 1,293 |
|
Hesham Mahmoud Atwa
620 Belle Terre Rd |
$98.53 | 1,286 | 1,250 |
|
Dinesh Shukla
625 Belle Terre Rd |
$120.74 | 1,205 | 850 |
|
Jennifer Dale Marshak
118 N Country Rd |
$112.40 | 1,001 | 982 |
|
Kenneth Harmon Sorkin
60 N Country Rd |
$137.93 | 971 | 965 |
|
Michael Destefano
75 N Country Rd |
$82.29 | 969 | 848 |
|
John Gregg Petraco
118 N Country Rd |
$96.68 | 939 | 900 |
|
Sarah R Karalitzky
118 N Country Rd |
$99.07 | 874 | 850 |
|
Daniel Shapiro
75 N Country Rd |
$16.65 | 857 | 812 |
|
James P. Cavanagh
200 Belle Terre Rd |
$65.16 | 852 | 810 |
|
Jacob K Mathew
100 Oakland Ave |
$81.30 | 839 | 806 |
|
Rasel Rana
635 Belle Terre Rd |
$109.39 | 823 | 783 |
|
Anzhelika Vaccaro
125 Oakland Ave |
$28.97 | 795 | 773 |
|
Ajay V. Berdia
640 Belle Terre Road, Building H |
$8.90 | 722 | 706 |
|
Brian Durkin
635 Belle Terre Rd # 209 |
$54.17 | 718 | 678 |
|
Sarah Gaballah
200 Belle Terre Rd |
$86.75 | 689 | 667 |
|
Dennis Stephen Strittmatter
118 N Country Rd |
$117.14 | 648 | 617 |
|
Hamid Hussain
620 Belle Terre Rd |
$44.34 | 628 | 549 |
|
Michelle Marilyn Craddock
625 Belle Terre Rd |
$55.12 | 615 | 556 |
|
Rhonda S Burmeister
70 N Country Rd |
$51.27 | 605 | 578 |
|
John-Paul Blaber
75 N Country Rd |
$117.07 | 564 | 558 |
|
Paige Martinez
75 N Country Rd |
$76.68 | 497 | 440 |
|
Ashish Agarwala
625 Belle Terre Rd |
$38.32 | 492 | 455 |
|
James Thomas Kelly
70 N Country Rd |
$67.13 | 488 | 455 |
|
Marshel Marion Singleton
200 Belle Terre Rd |
$59.97 | 486 | 458 |
|
Juliet A Nicolescu-Nichols
125 Oakland Ave |
$22.23 | 479 | 465 |
|
Phillip Berges
200 Belle Terre Rd Ste 110 |
$36.16 | 406 | 400 |
|
Ryan Berry
75 N Country Rd |
$15.35 | 389 | 372 |
|
Arif Ahmad
625 Belle Terre Rd |
$86.39 | 370 | 357 |
|
Gerardo Alfredo Sanroman
118 N Country Rd |
$101.72 | 320 | 304 |
|
Jessica Lombardi
118 N Country Rd |
$106.26 | 297 | 285 |
|
Philip I. Hubel
200 Belle Terre Rd |
$118.47 | 275 | 275 |
|
Amy Renee Richter
118 N Country Rd |
$112.79 | 255 | 250 |
|
Matthew Delph
200 Belle Terre Rd |
$100.92 | 236 | 235 |
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 Port Jefferson, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Port Jefferson, NY is $94.30 per claim, based on 83,543 claims from 85 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 Port Jefferson, NY?
There are 85 Medicaid providers offering Office Visit related services in Port Jefferson, NY according to public payment data.
What is the price range for Office Visit in Port Jefferson, NY?
Medicaid reimbursement for Office Visit in Port Jefferson, NY ranges from $0.00 to $169.40 per claim, with an average of $94.30. 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 Port Jefferson, NY
Blood Work & Lab Tests
Avg $9.56
167,308 claims
Physical Therapy
Avg $43.90
158,793 claims
Emergency Room Visit
Avg $144.34
60,665 claims
Eye Exam
Avg $47.00
47,798 claims
Psychiatric Evaluation
Avg $131.93
44,944 claims
Urinalysis & Urine Tests
Avg $1.26
31,126 claims
EKG / ECG (Electrocardiogram)
Avg $3.46
22,860 claims
X-Ray
Avg $4.51
21,567 claims