Average Medicaid Office Visit Payments in Ronkonkoma, NY: $67.02
Avg. Paid
$67.02
Range
$3.20 – $146.43
Total Claims
59,836
Providers
27
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 Ronkonkoma, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Silverstein
Suffolk Dermatology - 500 Portion Rd Ste 11 |
$59.31 | 14,550 | 14,284 |
|
Turkan Ozcan
122 Portion Rd |
$77.72 | 9,854 | 7,864 |
|
Ian M Winkler
640 Hawkins Ave |
$58.93 | 5,870 | 5,561 |
|
Steven Salvatore
600 Portion Rd |
$81.08 | 5,224 | 3,612 |
|
Wei K Kao
3505 Veterans Memorial Hwy |
$73.61 | 4,991 | 4,626 |
|
Rosemary P Luke
939 Johnson Ave |
$44.01 | 2,767 | 2,551 |
|
Todd Joseph Maltese
650 Hawkins Ave |
$28.52 | 2,663 | 2,477 |
|
Taras Vysotskyy
45 Richmond Blvd |
$58.05 | 2,407 | 2,001 |
|
Andrea E Nomberg
709 Hawkins Ave |
$47.80 | 2,006 | 1,828 |
|
Robin S Dacosta
217 Portion Rd |
$83.98 | 1,616 | 1,492 |
|
Lauren A Lopera
122 Portion Rd |
$80.54 | 1,564 | 1,179 |
|
Michele Ann Kelly
153 Lake Shore Rd |
$101.47 | 1,403 | 250 |
|
Sarah Pagliarulo
600 Portion Rd |
$114.74 | 1,241 | 1,229 |
|
Evan Thomas Latourrette
382 Rosevale Ave |
$59.95 | 753 | 695 |
|
City Medical Of Upper East Side, Pllc
600 Portion Rd |
$109.81 | 567 | 531 |
|
Jeffrey Muroff
500 Portion Rd |
$46.17 | 389 | 331 |
|
Suganthi Ravindran
709 Hawkins Ave |
$64.20 | 385 | 363 |
|
Dhannie Vorbe
600 Portion Rd |
$116.13 | 346 | 340 |
|
Guylaine Saintilien
3505 Veterans Memorial Hwy |
$3.50 | 218 | 216 |
|
Ashley Nicole Goba
45 University Dr |
$113.40 | 214 | 209 |
|
Suzanne Margaret Kontak
939 Johnson Ave |
$85.34 | 205 | 156 |
|
Frank S Segreto
3385 Veterans Memorial Hwy |
$31.30 | 181 | 147 |
|
Peter F Taormino
201 Portion Rd |
$3.20 | 176 | 168 |
|
Center For Addiction Recovery & Empowerment
2805 Veterans Highway |
$130.39 | 115 | 86 |
|
Karen M Pace
217 Portion Rd |
$79.62 | 62 | 58 |
|
Carinne Nicole Cardona
650 Hawkins Ave Ste 7 |
$62.37 | 55 | 53 |
|
Amanda Marie Meyerricks
650 Hawkins Ave Ste 7 |
$146.43 | 14 | 14 |
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 Ronkonkoma, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ronkonkoma, NY is $67.02 per claim, based on 59,836 claims from 27 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 Ronkonkoma, NY?
There are 27 Medicaid providers offering Office Visit related services in Ronkonkoma, NY according to public payment data.
What is the price range for Office Visit in Ronkonkoma, NY?
Medicaid reimbursement for Office Visit in Ronkonkoma, NY ranges from $3.20 to $146.43 per claim, with an average of $67.02. 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 Ronkonkoma, NY
Home Health Visit
Avg $179.97
3,076,101 claims
Non-Emergency Medical Transportation
Avg $41.41
212,183 claims
Speech Therapy
Avg $49.97
164,124 claims
Dental Cleaning & Exam
Avg $36.68
85,989 claims
Psychiatric Evaluation
Avg $84.15
39,776 claims
Physical Therapy
Avg $25.92
30,550 claims
Nursing Facility Care
Avg $23.46
19,441 claims
Dental Filling
Avg $102.62
13,194 claims