Average Medicaid Office Visit Payments in Rosedale, NY: $57.25
Avg. Paid
$57.25
Range
$0.00 – $169.83
Total Claims
44,949
Providers
21
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 Rosedale, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alex Gabriel
24108 140Th Ave |
$75.78 | 14,704 | 12,052 |
|
Udele V. Taylor-Randall
13176 Laurelton Pkwy |
$74.70 | 8,849 | 8,564 |
|
Habib Nazarian
23520 147Th Ave |
$11.12 | 5,937 | 5,458 |
|
Michele Claudette Reed
241-08 140Th Avenue |
$11.06 | 3,676 | 3,489 |
|
Dwayne Eric Rollins
25302 147Th Ave |
$62.09 | 3,308 | 3,201 |
|
Jessica Mordi
25715 148Th Dr |
$65.66 | 3,209 | 2,860 |
|
Godwin Onyeike
24111 147Th Ave |
$50.62 | 1,129 | 998 |
|
Springfield Pediatric P. C.
23520 147Th Ave Ste 4 |
$0.00 | 1,110 | 1,014 |
|
Olufunmilola Yetunde Ademola
13747 234Th St |
$71.68 | 811 | 713 |
|
Manoj Sadhnani
23520 147Th Ave |
$44.68 | 504 | 446 |
|
Lucy Abosi
25704A Craft Ave |
$169.83 | 367 | 367 |
|
Chukwuka S Mordi, Np Psychiatry Pc
24101 Newhall Ave |
$85.54 | 304 | 202 |
|
Wesner Thenor-Louis
13175 234Th St |
$49.90 | 273 | 225 |
|
Farah Divers
25953 148Th Rd |
$23.47 | 224 | 220 |
|
Madhukar Wadhera
24305 Newhall Ave |
$58.84 | 196 | 196 |
|
Terri-Ann Reid
14427 Weller Ln |
$53.09 | 172 | 148 |
|
Patricia Irabor-Adeku
13918 249Th St |
$110.75 | 52 | 45 |
|
North Valley Medical, Pc
234-32 Merrick Blvd |
$41.36 | 50 | 40 |
|
Paul Anthony Corley
One Cross Island Plaza |
$46.51 | 33 | 26 |
|
Suzanne Walker
24108 140Th Ave |
$14.56 | 26 | 25 |
|
Ms Family Medicine Health Care, Pc
241-08 140Th Ave |
$0.00 | 15 | 12 |
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 Rosedale, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rosedale, NY is $57.25 per claim, based on 44,949 claims from 21 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 Rosedale, NY?
There are 21 Medicaid providers offering Office Visit related services in Rosedale, NY according to public payment data.
What is the price range for Office Visit in Rosedale, NY?
Medicaid reimbursement for Office Visit in Rosedale, NY ranges from $0.00 to $169.83 per claim, with an average of $57.25. 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 Rosedale, NY
Substance Abuse Treatment
Avg $10.93
182,407 claims
Physical Therapy
Avg $57.09
15,550 claims
Dental Cleaning & Exam
Avg $29.21
8,901 claims
Vaccines & Immunizations
Avg $8.81
8,588 claims
Hearing Test (Audiometry)
Avg $12.08
8,236 claims
Blood Work & Lab Tests
Avg $0.70
5,343 claims
Psychiatric Evaluation
Avg $105.01
5,035 claims
Urinalysis & Urine Tests
Avg $1.83
5,004 claims