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 |
|---|---|---|---|
|
Renee L. Xikis
75 N Country Rd |
$89.73 | 12 | 12 |
|
John J Yu
635 Belle Terre Rd |
$102.53 | 12 | 12 |
|
Marta Maczaj
200 Belle Terre Rd |
$0.00 | 12 | 12 |
|
Joshua Adam Sherman
660 Main St |
$0.00 | 12 | 12 |
|
Ross Eliott Lipton
635 Belle Terre Rd Ste 209 |
$112.00 | 12 | 12 |
|
Ella Rosenbloom
625 Belle Terre Rd |
$55.31 | 12 | 12 |
|
Michael Joseph Fracchia
635 Belle Terre Rd |
$6.92 | 15 | 15 |
|
Diana Matari
75 N Country Rd |
$27.30 | 15 | 15 |
|
Eugene Matthew Daniel Arena
635 Belle Terre Rd |
$49.37 | 17 | 13 |
|
Eric D Ludwig
30 Jefferson Landing Cir |
$33.69 | 19 | 19 |
|
Paul Dana Willms
635 Belle Terre Rd |
$89.93 | 26 | 26 |
|
Halyna Chykyda
75 N Country Rd |
$65.60 | 27 | 26 |
|
Morton L Glaser
60 N Country Rd |
$33.36 | 28 | 28 |
|
Jenna L Taglienti
125 Oakland Ave |
$120.04 | 28 | 26 |
|
William Joseph Sellers
70 N Country Rd Ste 203 |
$116.06 | 32 | 32 |
|
John T Mather Memorial Hospital
75 N Country Rd |
$31.71 | 36 | 35 |
|
Firooz Rezvani
640 Belle Terre Rd |
$87.63 | 40 | 40 |
|
Mohit Sharma
75 N Country Rd |
$38.26 | 44 | 41 |
|
Nick N Patel
70 N Country Rd Ste 101 |
$145.83 | 51 | 51 |
|
Wayne Reizner
635 Belle Terre Rd Ste 204 |
$159.70 | 52 | 51 |
|
Jessica Lynn Blydenburgh
125 Oakland Ave |
$36.14 | 54 | 53 |
|
Theresa Aiello
70 N Country Rd |
$72.64 | 56 | 54 |
|
Matthew Ryan Boylan
635 Belle Terre Rd Ste 204 |
$129.44 | 61 | 60 |
|
Kaitlin Macdowell
70 N Country Rd Ste 105 |
$69.84 | 66 | 65 |
|
Wardah Zia Khan
75 N Country Rd |
$86.76 | 72 | 66 |
|
Mark Lowenheim
200 Belle Terre Rd |
$61.55 | 72 | 70 |
|
Mark J. Kropf
200 Belle Terre Road |
$24.78 | 81 | 78 |
|
Jack M Greenwood
120 N Country Rd |
$63.14 | 94 | 94 |
|
Darabeth Kraniak
118 N Country Rd |
$89.74 | 104 | 92 |
|
Priscilla Persaud
125 Oakland Ave Ste 204 |
$46.65 | 112 | 107 |
|
Anna Leskiv
70 N Country Rd |
$53.25 | 164 | 159 |
|
Jeena Elizabeth John
75 N Country Rd |
$78.37 | 193 | 189 |
|
Caryn J. Gluick
170 Windward Ct S |
$6.97 | 210 | 77 |
|
Georgia Kulina
125 Oakland Ave Ste 203 |
$85.85 | 218 | 212 |
|
Jay M Barbakoff
60 North Country Rd |
$43.72 | 230 | 224 |
|
Matthew Delph
200 Belle Terre Rd |
$100.92 | 236 | 235 |
|
Amy Renee Richter
118 N Country Rd |
$112.79 | 255 | 250 |
|
Philip I. Hubel
200 Belle Terre Rd |
$118.47 | 275 | 275 |
|
Jessica Lombardi
118 N Country Rd |
$106.26 | 297 | 285 |
|
Gerardo Alfredo Sanroman
118 N Country Rd |
$101.72 | 320 | 304 |
|
Arif Ahmad
625 Belle Terre Rd |
$86.39 | 370 | 357 |
|
Ryan Berry
75 N Country Rd |
$15.35 | 389 | 372 |
|
Phillip Berges
200 Belle Terre Rd Ste 110 |
$36.16 | 406 | 400 |
|
Juliet A Nicolescu-Nichols
125 Oakland Ave |
$22.23 | 479 | 465 |
|
Marshel Marion Singleton
200 Belle Terre Rd |
$59.97 | 486 | 458 |
|
James Thomas Kelly
70 N Country Rd |
$67.13 | 488 | 455 |
|
Ashish Agarwala
625 Belle Terre Rd |
$38.32 | 492 | 455 |
|
Paige Martinez
75 N Country Rd |
$76.68 | 497 | 440 |
|
John-Paul Blaber
75 N Country Rd |
$117.07 | 564 | 558 |
|
Rhonda S Burmeister
70 N Country Rd |
$51.27 | 605 | 578 |
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