Average Medicaid Office Visit Payments in Shirley, NY: $67.97
Avg. Paid
$67.97
Range
$26.09 – $170.29
Total Claims
91,587
Providers
25
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 Shirley, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anjumon A Amin
550 Montauk Highway |
$60.17 | 18,630 | 11,127 |
|
Shu H Wang
550 Montauk Hwy |
$64.09 | 16,113 | 9,570 |
|
Debbie-Ann Katheen Ellington-Tulloch
550 Montauk Hwy |
$79.61 | 12,015 | 7,202 |
|
Fatim Barry
550 Montauk Hwy |
$75.58 | 8,668 | 4,873 |
|
Blessan Thomas
800 Montauk Hwy Ste 18 |
$78.22 | 8,143 | 7,634 |
|
Atul Navnitlal Shah
2 Coraci Blvd |
$61.20 | 6,797 | 6,048 |
|
Sarala Radhakrishnan
640 Montauk Hwy |
$60.16 | 5,532 | 4,725 |
|
Michelle Darling Maurina
800 Montauk Hwy Ste 8 |
$55.27 | 2,978 | 2,850 |
|
Kumar S Mandal
2 Coraci Blvd |
$37.68 | 2,164 | 1,935 |
|
Satpal Singh Rathour
1250 William Floyd Pkwy Ste 1A |
$26.09 | 2,043 | 1,583 |
|
Aniello Scotti
484 William Floyd Pkwy |
$38.10 | 1,839 | 1,719 |
|
Sun River Health Inc
550 Montauk Hwy |
$145.44 | 1,512 | 1,395 |
|
Lauren Patricia Berman
800 Montauk Hwy Ste 18 |
$64.43 | 1,224 | 1,146 |
|
Cs Medical Associates, P.C.
2 Coraci Blvd Ste 15 |
$170.29 | 916 | 686 |
|
Lalaine T Que
550 Montauk Hwy |
$74.57 | 778 | 485 |
|
Daniela-Marie Del Gaudio
895 Montauk Hwy |
$81.68 | 690 | 688 |
|
Kimberly Duffy
855 Montauk Hwy |
$87.81 | 656 | 625 |
|
Amar Vyas
855 Montauk Hwy Ste A |
$116.76 | 355 | 332 |
|
Cecelia M Valentin
550 Montauk Hwy |
$84.54 | 226 | 212 |
|
Sobia Rizvi
550 Montauk Hwy |
$41.00 | 101 | 94 |
|
Annamaria Pepitone
2 Coraci Blvd Ste 10 |
$74.81 | 94 | 94 |
|
Hebbalmath M Thippeswamy
2 Coraci Blvd |
$31.85 | 69 | 66 |
|
Roland Johnathan Ramkissoon
855 Montauk Hwy Ste A |
$93.63 | 20 | 20 |
|
Karina Francesca Appel
855 Montauk Hwy |
$115.81 | 12 | 12 |
|
Colleen Ann Rosalia
895 Montauk Hwy |
$89.73 | 12 | 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 Shirley, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shirley, NY is $67.97 per claim, based on 91,587 claims from 25 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 Shirley, NY?
There are 25 Medicaid providers offering Office Visit related services in Shirley, NY according to public payment data.
What is the price range for Office Visit in Shirley, NY?
Medicaid reimbursement for Office Visit in Shirley, NY ranges from $26.09 to $170.29 per claim, with an average of $67.97. 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 Shirley, NY
Dental Cleaning & Exam
Avg $31.74
43,849 claims
Psychiatric Evaluation
Avg $85.73
19,549 claims
Vaccines & Immunizations
Avg $4.39
18,770 claims
Blood Work & Lab Tests
Avg $2.61
18,241 claims
Behavioral & Mental Health Therapy
Avg $315.67
11,152 claims
Prescription Medications
Avg $41.49
4,411 claims
Hearing Test (Audiometry)
Avg $5.45
3,587 claims
Urinalysis & Urine Tests
Avg $1.96
3,294 claims