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
Casey Lynn Ward 5 Medical Dr	$38.56	12	12
Mauricio Szuchmacher 1110 Hallock Ave	$120.30	12	12
Jeffrey L Vacirca 1500 Route 112	$79.86	14	13
Darren Scott Kaufman 5225 Nesconset Hwy	$91.68	21	12
Anil Sangwan 116 Terryville Rd	$103.33	26	25
Jacqueline Pandolfi 12 Medical Dr	$54.07	26	25
Kerry A Cronin 4724 Nesconset Hwy	$107.58	29	29
Kinjal Amit Gosalia 5316 Nesconset Hwy	$111.93	29	27
Victoria Kim 1660 Route 112 Unit C-1	$9.26	31	24
Anthony C Theodoris 1500 Route 112 Ste B	$157.09	31	30
Anish Desai 1500 Route 112 Ste B	$94.45	39	37
Craig Michael Litman 1500 Route 112	$110.06	40	39
Sarah Boujida 1174 Route 112	$72.78	40	40
Gino A Consigliere 7 Medical Dr Ste A	$29.22	41	38
Thomas E. Arnold 1110 Hallock Avenue	$70.86	45	42
Deborah Carney 410 Hallock Ave	$144.40	46	38
Keith Webb Harris 1500 Route 112 Ste B	$106.02	49	49
Joey Labso Pascasio 22 Wilson St	$189.42	52	52
Dreux Patton 12 Medical Dr	$54.41	53	51
William Hy Sher 1500 Route 112	$115.91	53	53
Lauren Sari Zaretsky 1500 Route 112	$106.33	54	53
Robert Mormando 410 Hallock Ave	$136.39	57	53
Jennifer Marie Diaz 1500 Route 112	$190.02	65	65
Elliott B Dreznick 1174 Route 112	$93.24	72	72
Dana L Brenner 5225 Rte 347 Ste 70	$95.36	83	79
Volodymyr Labinskyy 1110 Hallock Ave	$35.06	101	101
Varvara Boryushkina 1500 Route 112 Ste A	$110.45	103	101
Rebecca Allenbrand 815 Hallock Ave Ste A	$118.79	118	116
Zarlasht Khan 1500 Route 112	$95.83	119	110
Peter Ottavio 1500 Route 112 Ste B	$114.70	158	153
Victoria Shklar 49 Nesconset Hwy	$91.84	170	164
Vincent Sperandeo 1174 Route 112	$53.14	171	146
Francis T. D'Orazi 1500 Route 112 Ste B	$145.57	220	215
Uma Narayana 931 Hallock Ave	$79.89	220	213
Farzana Mohamed Garcia 118 N Country Rd	$43.67	229	193
Gerard Steven Guzman 4724 Nesconset Hwy	$106.14	237	237
Crystal Vann 118 N Country Rd	$94.06	258	245
Jin Guo 1500 Route 112 Ste 101	$87.85	264	259
Perry Shapiro 4724 Nesconset Hwy	$112.25	286	285
Mario Solomita 1500 Route 112 Ste B	$146.34	288	267
Jaclyn Roseann Cuccinello 5225 Rte 347 Ste 70	$99.26	288	269
Lindsay M Como 815 Hallock Ave	$128.16	293	292
Tanvi Nandani Tarun 815 Hallock Ave	$29.78	304	235
Rupesh R Mehta 5225 Nesconset Hwy	$74.93	321	310
Anthony Rosalia 4724 Nesconset Hwy	$105.38	322	320
Gustavo Sanroman 5225 Route 347	$100.67	392	374
Shirley Johnson-Hall 931 Hallock Avenue	$88.88	397	386
Noami Morey 4724 Nesconset Hwy	$107.99	407	397
Patricia Spector 4655 Nesconset Hwy	$67.58	410	350
Peter A Klein 6 Medical Dr	$48.45	477	463

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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