Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Port Jefferson Station, NY: $82.34

Avg. Paid

$82.34

Range

$6.01 – $190.02

Total Claims

117,109

Providers

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 Station, NY

Provider	Avg. Paid	Claims	Patients
Linda Louise Spence 5225 Rte 347 Ste 70	$93.16	10,666	5,362
Warren Daniel Spinner 5 Medical Dr	$86.77	10,169	9,776
Gerardo Tolentino 5 Medical Dr	$173.38	8,313	3,156
Adriana Guigova 49 Nesconset Hwy	$83.89	6,921	5,657
North Shore Hematology Oncology Associates Pc 49 Nesconset Hwy	$53.87	6,207	5,787
Amishi Desai 1500 Route 112 Bldg 4	$79.64	5,169	4,883
Jerry Jacob George 49 Nesconset Hwy	$60.54	4,940	4,401
Antoun Saba Mitromaras 509 Route 112	$65.53	4,268	3,707
David Tin Chu 49 Nesconset Hwy	$68.36	3,781	3,586
Regina L Jablonski 49 Nesconset Hwy	$67.58	3,005	2,815
Joshua Harris 49 Nesconset Hwy	$64.54	2,815	2,657
Matthew Robert Wagner 1500 Route 112 Bldg 2C	$98.69	2,758	2,713
Linda Wynne 815 Hallock Ave	$56.96	2,461	2,443
Alfredo Enrique Torres Gonzalez 1500 Route 112 Ste 101	$94.42	2,402	2,234
George Cyriac 49 Nesconset Hwy	$81.25	2,374	2,195
Nonna Badalova 5145 Nesconset Hwy Ste 4	$55.55	2,338	1,534
Damian Forletti 815 Hallock Ave	$52.44	2,249	2,191
Kenneth Ryan Mataragas 1500 Ny-112 Building 6	$97.72	2,047	2,004
Adelaide Lu Masakayan 112 Terryville Rd	$84.03	1,997	1,654
Ramon Omar Rodriguez Hernandez 1500 Route 112 Ste C	$112.28	1,730	1,703
Jeanne Marie Morris-Foley 4655 Nesconset Hwy	$39.12	1,722	1,471
Meytal Shtayer Fabrikant 1500 Route 112 Bldg 4	$90.13	1,658	1,528
John T. Mather Memorial Hospital 75 N Country Rd	$37.74	1,647	1,585
Katherine G Roth 12 Medical Dr	$48.85	1,567	1,482
Ruby Ezra 163 Stuyvesant Dr	$11.71	1,528	861
Mehran Golpariani 59 Nesconset Hwy	$6.01	1,326	1,252
Maria Alba Mcmanus 815 Hallock Ave	$85.27	1,276	1,240
Kerry Brigid Moore 815 Hallock Ave	$102.44	1,215	1,164
William J Li Pera 49 Nesconset Hwy	$66.68	1,165	1,089
Joseph K Cavallo 1500 Route 112 Bldg 6	$80.55	1,090	1,077
Denise A Abselet 5225-15 Route 347	$59.69	1,020	984
Aziz Chaudry 2B Medical Park Drive	$50.78	1,009	959
Richard Steven Litman 1500 Route 112	$147.32	991	983
John Paul Delirio 6 Fairway Dr	$65.93	854	846
Robert Charles Hendler 1500 Route 112 Bldg 4	$87.48	715	691
Deepti Gupta 2 Medical Dr	$56.46	704	648
Benjamin Daesoon Acker 1500 Route 112 Bldg. 4 - 2Nd Floor	$63.66	656	634
Magdalena M Oleszak 815 Hallock Ave	$45.96	590	564
Jenna Edlin 5316 Nesconset Hwy	$67.51	573	553
City Medical Of Upper East Side, Pllc 4724 Nesconset Hwy	$109.91	559	534
Sanjay Sangwan 116 Terryville Rd	$77.10	550	511
Maryana Liedke 1010 Route 112 Ste 300	$52.54	511	480
Peter A Klein 6 Medical Dr	$48.45	477	463
Patricia Spector 4655 Nesconset Hwy	$67.58	410	350
Noami Morey 4724 Nesconset Hwy	$107.99	407	397
Shirley Johnson-Hall 931 Hallock Avenue	$88.88	397	386
Gustavo Sanroman 5225 Route 347	$100.67	392	374
Anthony Rosalia 4724 Nesconset Hwy	$105.38	322	320
Rupesh R Mehta 5225 Nesconset Hwy	$74.93	321	310
Tanvi Nandani Tarun 815 Hallock Ave	$29.78	304	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 Station, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Port Jefferson Station, NY is $82.34 per claim, based on 117,109 claims from 92 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 Station, NY?

There are 92 Medicaid providers offering Office Visit related services in Port Jefferson Station, NY according to public payment data.

What is the price range for Office Visit in Port Jefferson Station, NY?

Medicaid reimbursement for Office Visit in Port Jefferson Station, NY ranges from $6.01 to $190.02 per claim, with an average of $82.34. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Port Jefferson Station, NY: $82.34

Providers Offering Office Visit in Port Jefferson Station, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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