Average Medicaid Office Visit Payments in Sayville, NY: $100.08
Avg. Paid
$100.08
Range
$39.88 – $167.13
Total Claims
11,666
Providers
16
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 Sayville, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Howard Hinestroza
285 W Main St Ste 104 |
$123.57 | 5,581 | 5,320 |
|
Sophia Boulukos
160 Middle Rd |
$56.87 | 1,391 | 929 |
|
Miguel Angel Delgado
29 Lowell Rd |
$42.07 | 896 | 868 |
|
City Medical Of Upper East Side, Pllc
5600 Sunrise Hwy |
$109.85 | 739 | 690 |
|
Andrew Jacobs
5600 Sunrise Hwy |
$108.82 | 570 | 519 |
|
James Thomas Bopp
5600 Sunrise Hwy |
$112.25 | 548 | 542 |
|
Justina M Eckley
285 W Main St Ste 104 |
$65.00 | 516 | 493 |
|
Nicole Ladd
285 W Main St |
$71.05 | 386 | 372 |
|
Ioanis C Siderias
5600 Sunrise Hwy |
$117.87 | 294 | 293 |
|
Anthony Nicholas Donatelli
43 Broadway Ave |
$39.88 | 209 | 186 |
|
Doreen Lobato Frank
5600 Sunrise Highway |
$101.12 | 158 | 156 |
|
Christina Ann Izzo
5600 Sunrise Hwy |
$102.68 | 128 | 127 |
|
Susan Napoli
5600 Sunrise Hwy |
$108.51 | 99 | 99 |
|
Viruppamattam M Augustine
160 Middle Road |
$47.84 | 75 | 65 |
|
Delia Montalto
153 Main St |
$81.44 | 43 | 41 |
|
Lauren Alexandria Adamo
46 John St |
$167.13 | 33 | 25 |
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 Sayville, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sayville, NY is $100.08 per claim, based on 11,666 claims from 16 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 Sayville, NY?
There are 16 Medicaid providers offering Office Visit related services in Sayville, NY according to public payment data.
What is the price range for Office Visit in Sayville, NY?
Medicaid reimbursement for Office Visit in Sayville, NY ranges from $39.88 to $167.13 per claim, with an average of $100.08. 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 Sayville, NY
Behavioral & Mental Health Therapy
Avg $97.27
17,191 claims
Ambulance Transport
Avg $91.89
5,820 claims
Substance Abuse Treatment
Avg $125.51
5,760 claims
Vaccines & Immunizations
Avg $8.29
5,024 claims
Psychiatric Evaluation
Avg $85.01
2,876 claims
Physical Therapy
Avg $60.30
2,839 claims
Speech Therapy
Avg $28.45
2,829 claims
Hearing Test (Audiometry)
Avg $8.88
2,010 claims