Average Medicaid Office Visit Payments in Riverhead, NY: $70.92
Avg. Paid
$70.92
Range
$0.00 – $182.25
Total Claims
267,624
Providers
129
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 Riverhead, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Suffolk Primary Health, Llc
170 Old Country Rd |
$53.54 | 82,449 | 52,804 |
|
Anne Marie Ondricek
300 Center Dr |
$60.44 | 18,622 | 11,179 |
|
Stella Kristina Pohanis
300 Center Drive |
$67.74 | 13,661 | 8,058 |
|
Kamal K Singh
712 Roanoke Ave |
$61.33 | 8,892 | 8,098 |
|
Jeffrey Slaney Williams
887 Old Country Rd |
$56.76 | 7,476 | 6,855 |
|
Roy Ho Hsin Chen
750 Old Country Road Building 2 |
$68.04 | 7,306 | 6,892 |
|
Mildred Scharf
448 Griffing Ave |
$65.72 | 7,254 | 4,945 |
|
Joan Becht
185 Old Country Rd |
$62.18 | 6,862 | 3,831 |
|
Fatema Meah
34 Commerce Ave |
$99.16 | 5,981 | 5,615 |
|
Jennifer Rich
34 Commerce Ave |
$98.93 | 5,370 | 5,105 |
|
Jeffrey Tiu
31 Main Rd |
$78.67 | 5,172 | 5,019 |
|
Lisa Visentin
34 Commerce Ave |
$93.72 | 4,931 | 4,768 |
|
Kerri E Roesch
34 Commerce Ave Ste 2 |
$92.50 | 4,695 | 4,552 |
|
Deepali Sharma
750 Old Country Road Building 2 |
$67.93 | 4,628 | 4,421 |
|
Alexander I Zuhoski
750 Old Country Road Building 2 |
$71.70 | 4,476 | 4,064 |
|
Jeremiah Carrol Edington
1228 E Main St Ste C |
$63.87 | 4,174 | 4,100 |
|
Yelda Nouri
750 Old Country Road Building 2 |
$67.85 | 3,701 | 3,487 |
|
Wendy J Mclaughlin
550 E Main St |
$180.54 | 3,499 | 1,217 |
|
Vishnudat Seodat
31 Main Rd |
$78.04 | 3,094 | 2,930 |
|
Kara Elizabeth Crawford
34 Commerce Ave Ste 2 |
$101.18 | 2,753 | 2,668 |
|
Eric Thomas Scarbrough
400 Old Country Road |
$46.98 | 2,585 | 2,546 |
|
Jennifer Shaer
34 Commerce Ave |
$99.24 | 2,565 | 2,475 |
|
Darren Hirsch
400 Old Country Road |
$128.54 | 2,350 | 2,346 |
|
Sound Vision Care, Inc.
1224 Ostrander Avenue |
$58.96 | 2,258 | 2,195 |
|
Frederick Charles Albano
189 Main Rd |
$65.14 | 2,029 | 2,011 |
|
Paul Joseph Davey
400 Old Country Road |
$106.10 | 1,911 | 1,847 |
|
Bellamy Brook
300 Old Country Rd Ste 2 |
$86.22 | 1,820 | 1,650 |
|
Susan Brown Melnick
883 E Main St |
$161.35 | 1,672 | 1,279 |
|
Charmian Darryl Cohen
632 Roanoke Ave |
$60.17 | 1,655 | 1,598 |
|
John Veliath
1228 E Main St Ste C |
$44.31 | 1,580 | 1,422 |
|
Kevin Braat
400 Old Country Road |
$118.87 | 1,516 | 1,483 |
|
Christine Kadien
1228 E Main St Ste C |
$70.54 | 1,418 | 1,294 |
|
Alan Goldenberg
189 Main Rd |
$73.12 | 1,416 | 1,397 |
|
Jaclin M Labarbera
889 E Main St Ste 308 |
$54.68 | 1,369 | 1,194 |
|
William J Kornrich
887 Old Country Rd |
$65.29 | 1,346 | 1,260 |
|
Frank Roy Albano
189 Main Rd |
$43.05 | 1,341 | 1,328 |
|
Joseph L. Pasquale
1300 Roanoke Ave |
$79.95 | 1,302 | 1,281 |
|
Victor Adeola Olujimi
64 Commerce Drive |
$99.69 | 1,289 | 1,203 |
|
Martha Marie Seymour
300 Center Drive 2Nd Floor Wing |
$64.20 | 1,210 | 1,117 |
|
Camile Gooden
715 Roanoke Ave |
$63.41 | 1,082 | 996 |
|
Central Suffolk Hospital
1300 Roanoke Ave |
$112.80 | 1,020 | 1,013 |
|
Stephanie Lynn Kelly
1300 Roanoke Ave |
$173.42 | 987 | 972 |
|
County Of Suffolk
300 Center Dr |
$110.44 | 981 | 670 |
|
Lynn D Mitchell
629 W Main St |
$100.16 | 949 | 415 |
|
Neal Murphy
750 Old Country Rd Bldg 2 |
$96.93 | 929 | 848 |
|
Kimberley Nazario
1300 Roanoke Ave |
$46.94 | 915 | 878 |
|
Paayal P Mehta
715 Roanoke Ave |
$70.25 | 910 | 827 |
|
Lyndsie A Watkins
1300 Roanoke Avenue |
$182.25 | 903 | 891 |
|
Andrea Sanclemente
74 Commerce Ave Ste 1 |
$107.04 | 840 | 812 |
|
Sean P Thomas
400 W Main St |
$133.98 | 806 | 722 |
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 Riverhead, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Riverhead, NY is $70.92 per claim, based on 267,624 claims from 129 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 Riverhead, NY?
There are 129 Medicaid providers offering Office Visit related services in Riverhead, NY according to public payment data.
What is the price range for Office Visit in Riverhead, NY?
Medicaid reimbursement for Office Visit in Riverhead, NY ranges from $0.00 to $182.25 per claim, with an average of $70.92. 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 Riverhead, NY
Blood Work & Lab Tests
Avg $7.42
180,859 claims
Emergency Room Visit
Avg $133.61
72,459 claims
Psychiatric Evaluation
Avg $79.17
71,864 claims
Vaccines & Immunizations
Avg $12.05
62,611 claims
X-Ray
Avg $17.04
60,511 claims
Eye Exam
Avg $28.21
59,878 claims
Substance Abuse Treatment
Avg $29.80
42,653 claims
EKG / ECG (Electrocardiogram)
Avg $5.37
32,998 claims