Average Medicaid Office Visit Payments in Rockville Centre, NY: $150.93
Avg. Paid
$150.93
Range
$0.00 – $339.63
Total Claims
671,822
Providers
147
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 Rockville Centre, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Martin A Bolic
2 Lincoln Ave |
$131.66 | 12 | 12 |
|
Scott A Shapiro
2 Lincoln Ave |
$135.04 | 12 | 12 |
|
Lauren B Shikowitz-Behr
143 N Long Beach Rd Ste 4 |
$162.82 | 12 | 12 |
|
Ronald E. Spillane, Md, Pc
45 Roxen Rd |
$87.41 | 12 | 12 |
|
Doron Weiner
242 Merrick Rd |
$7.85 | 13 | 13 |
|
Craig Lawrence Levitz
36 Lincoln Ave |
$0.00 | 13 | 13 |
|
Christopher James Venutolo
310 Merrick Rd |
$139.30 | 13 | 12 |
|
Robert Iadevaio
77 N Centre Ave |
$52.67 | 14 | 13 |
|
Albert Stewart Katz
200 N Village Ave |
$13.38 | 14 | 13 |
|
Daniel John Moscato
1000 N Village Ave |
$10.71 | 14 | 14 |
|
David E Karpe
200 N Village Ave |
$0.00 | 14 | 14 |
|
Naveed Hassan Akhtar
30 Hempstead Ave Ste 144 |
$98.33 | 16 | 14 |
|
Russell G Fumuso
2000 N Village Ave |
$85.61 | 18 | 18 |
|
Jean-Jeffrey Marcellus
265 Sunrise Hwy Ste 1-726 |
$48.31 | 18 | 13 |
|
Jerome R Caiati
165 N Village Ave Ste 134 |
$44.66 | 21 | 13 |
|
Micky Chun
242 Merrick Rd |
$69.58 | 24 | 24 |
|
Shiby Abraham
1000 N Village Ave |
$0.00 | 25 | 25 |
|
Qamar Zaman
2000 N Village Ave |
$83.20 | 25 | 25 |
|
Juhi Chang
1000 N Village Ave |
$54.75 | 26 | 26 |
|
Erik Alvis Niedritis
35 Seaman Ave |
$0.57 | 26 | 24 |
|
Alexander P Hatsis
2 Lincoln Ave |
$50.89 | 27 | 27 |
|
Mercy Medical Center
1000 N. Village Avenue |
$57.42 | 28 | 25 |
|
Manish B Undavia
242 Merrick Rd |
$35.73 | 30 | 28 |
|
Annette Baggott
371 Merrick Rd |
$103.41 | 30 | 26 |
|
Alec Ettlinger
1000 N Village Ave |
$95.32 | 31 | 31 |
|
Jackie J Mcdevitt
1000 N Village Ave |
$269.59 | 32 | 32 |
|
Jerome Edward Bagner
30 Hempstead Ave |
$30.82 | 32 | 28 |
|
Mary Katherine Furlong
427 Morris Ave |
$48.78 | 33 | 29 |
|
Stephen Covey
242 Merrick Rd |
$55.56 | 38 | 37 |
|
Vincent D'Amore
22 N Forest Ave |
$121.53 | 39 | 39 |
|
Joshua Adam Falk
265 Sunrise Hwy |
$37.37 | 48 | 47 |
|
Douglas Lax
242 Merrick Rd |
$28.95 | 53 | 52 |
|
Neil Barry Kirschen
77 North Centre Ave |
$12.41 | 54 | 52 |
|
Maulik Mafatlal Patel
30 Hempstead Ave Ste 144 |
$71.04 | 59 | 54 |
|
Charles Allen Mitgang
371 Merrick Rd |
$34.64 | 59 | 41 |
|
Gaurav Verma
1000 North Village Ave |
$125.79 | 66 | 66 |
|
Jerome B Zisfein
242 Merrick Rd |
$54.61 | 72 | 69 |
|
Elzbieta Mechel
2000 N Village Ave Ste 402 |
$90.77 | 79 | 76 |
|
Maureen Imelda Reese
242 Merrick Rd |
$89.80 | 79 | 67 |
|
Khyati Zala
265 Sunrise Hwy Ste 20 |
$155.32 | 82 | 82 |
|
Alexander Mangas
243 Merrick Rd |
$339.63 | 83 | 82 |
|
Christian Stefan Muller
36 Lincoln Ave |
$124.32 | 95 | 94 |
|
Physicians Imaging Of Rockville Centre, Pllc
1000 N Village Ave |
$0.00 | 97 | 92 |
|
Chrisoula Politis
1000 N Village Ave |
$59.67 | 104 | 104 |
|
Michael Joseph Scotto Di Clemente
373 Lakeview Ave |
$67.00 | 104 | 87 |
|
Guilly Ricafort Rebagay
242 Merrick Rd |
$68.34 | 114 | 111 |
|
Psychiatric Np Services Of New York Pllc
165 N Village Ave Ste 132 |
$90.09 | 121 | 112 |
|
Ellen Epstein
165 North Village Ave |
$81.35 | 128 | 117 |
|
Ann Marie Murphy
61 Maine Ave |
$86.29 | 132 | 123 |
|
Rivki Fixler
1000 N. Village Avenue |
$72.74 | 135 | 87 |
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 Rockville Centre, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rockville Centre, NY is $150.93 per claim, based on 671,822 claims from 147 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 Rockville Centre, NY?
There are 147 Medicaid providers offering Office Visit related services in Rockville Centre, NY according to public payment data.
What is the price range for Office Visit in Rockville Centre, NY?
Medicaid reimbursement for Office Visit in Rockville Centre, NY ranges from $0.00 to $339.63 per claim, with an average of $150.93. 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 Rockville Centre, NY
Blood Work & Lab Tests
Avg $6.64
216,453 claims
Physical Therapy
Avg $32.65
191,245 claims
X-Ray
Avg $6.26
161,508 claims
Home Health Visit
Avg $211.55
105,635 claims
Ultrasound
Avg $50.77
93,868 claims
CT Scan (Computed Tomography)
Avg $54.12
85,330 claims
Eye Exam
Avg $29.41
80,287 claims
Urinalysis & Urine Tests
Avg $1.52
78,772 claims