Average Medicaid Office Visit Payments in Smithtown, NY: $102.70
Avg. Paid
$102.70
Range
$0.00 – $187.93
Total Claims
256,273
Providers
183
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 Smithtown, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Planned Parenthood Hudson Peconic Inc.
70 Maple Ave |
$185.38 | 60,059 | 57,471 |
|
Stat Health Immediate Medical Care, Pc
519 W Jericho Tpke |
$105.92 | 16,568 | 15,757 |
|
Timothy D Groth
994 W Jericho Tpke |
$79.27 | 11,808 | 10,626 |
|
Barry A. Solomon
222 Middle Country Road |
$45.80 | 10,224 | 9,797 |
|
Barbara L Seifert
285 Middle Country Rd |
$85.56 | 8,280 | 8,234 |
|
Heather Ann Riddle
257 E Main St Ste B |
$35.82 | 8,048 | 5,004 |
|
Magery Nagaraja Satish
99 Hollywood Dr |
$14.40 | 6,897 | 6,826 |
|
Carlos C Marrero Prats
994 W Jericho Tpke Ste 104 |
$116.39 | 5,000 | 4,632 |
|
Thalia Gooden
70 Maple Ave |
$85.39 | 4,815 | 2,049 |
|
David Scott Gidseg
260 Middle Country Rd. |
$67.96 | 4,783 | 4,723 |
|
Snehal P Amin
327 Middle Country Rd |
$83.94 | 4,318 | 4,026 |
|
Robert Trasolini
222 E Middle Country Rd Ste 340 |
$103.67 | 3,936 | 3,842 |
|
Paolo Thomas Coppola
519 W Jericho Tpke |
$70.99 | 3,809 | 2,422 |
|
Jaclyn Sara Dimattei
75 Landing Meadow Rd |
$131.65 | 3,745 | 2,324 |
|
Employee Assistance Resource Services
278 E Main St |
$122.57 | 3,738 | 2,543 |
|
Victoria Lasala
222 E Main St Ste 228 |
$68.59 | 3,706 | 3,608 |
|
Eileen Rae Bishop
260 Middle Country Rd |
$63.02 | 3,440 | 3,376 |
|
Spiro Theoharakis
50 Karl Ave |
$80.89 | 3,376 | 1,458 |
|
Nicole Aljoe
70 Maple Street |
$49.77 | 3,007 | 758 |
|
Adalbert Pilip
732 Smithtown Byp |
$95.40 | 2,686 | 2,309 |
|
Nubia Stella Vargas-Chen
260 E Middle Country Rd |
$40.23 | 2,651 | 2,538 |
|
James Snyder
21 Redwood Ln Ofc 3 |
$156.09 | 2,489 | 2,078 |
|
David Jonathan Dagate
260 Middle Country Rd |
$63.28 | 2,433 | 2,390 |
|
Keith Breglio
260 E Middle Country Rd Ste 107 |
$128.42 | 2,157 | 2,127 |
|
Tara Elizabeth Cardillo
260 E Middle Country Rd |
$50.84 | 2,068 | 2,019 |
|
David B Kennedy
50 Route 25A |
$91.35 | 2,006 | 1,877 |
|
Stephen Littman
260 E Middle Country Rd |
$80.43 | 1,975 | 1,944 |
|
Munira Mufaddal Husainy
260 E Middle Country Rd |
$34.44 | 1,965 | 1,934 |
|
Lawrence Martin Lieblich
9 Brooksite Dr |
$93.96 | 1,884 | 1,874 |
|
Michelle Liebert
260 E Middle Country Rd |
$81.60 | 1,844 | 1,817 |
|
Robert S Castroll
222 Middle Country Rd |
$29.72 | 1,837 | 1,744 |
|
Natalie Hinchcliffe
70 Maple Ave |
$35.81 | 1,818 | 1,474 |
|
Tintu Chiramel
309 E Main St |
$72.24 | 1,797 | 1,614 |
|
Lori J Ellis
260 E Middle Country Rd |
$53.15 | 1,777 | 1,749 |
|
Katherine Bianca Morgera-Clores
260 E Middle Country Rd Ste 107 |
$81.94 | 1,701 | 1,646 |
|
John M Reyes
9 Brooksite Dr |
$81.66 | 1,674 | 1,603 |
|
Martha Tsarkalis
222 Middle Country Rd |
$62.67 | 1,648 | 1,089 |
|
Keith G Ancona
300 E Main St |
$85.27 | 1,532 | 1,424 |
|
Alex Rothfeld
222 E Middle Country Rd Ste 340 |
$139.87 | 1,479 | 1,375 |
|
Noshir A Dacosta
48 Route 25A Ste 209 |
$75.89 | 1,450 | 1,378 |
|
Donna April Serure
327 E Main St |
$43.60 | 1,398 | 1,340 |
|
Mary Ann Flynn Gameng
300 E Main St |
$91.65 | 1,370 | 1,314 |
|
Nancy J Fortin
75 Landing Meadow Rd |
$187.93 | 1,342 | 979 |
|
Dipen Patel
48 Route 25A Ste 209 |
$101.37 | 1,203 | 1,156 |
|
Allison Hotze
260 E Middle Country Rd Ste 107 |
$46.90 | 1,194 | 1,169 |
|
Vaishnavi Vaddigiri
11 Route 111 |
$65.06 | 1,194 | 1,068 |
|
Toniann Savage
300 East Main Street |
$90.52 | 1,137 | 1,074 |
|
Jamal Khan
994 W Jericho Tpke Ste 104 |
$91.77 | 1,094 | 992 |
|
Chun Chen
278 E Main St Ste A |
$23.34 | 1,059 | 979 |
|
Eva Dziergowska
363 Route 111 |
$72.19 | 1,042 | 381 |
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 Smithtown, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Smithtown, NY is $102.70 per claim, based on 256,273 claims from 183 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 Smithtown, NY?
There are 183 Medicaid providers offering Office Visit related services in Smithtown, NY according to public payment data.
What is the price range for Office Visit in Smithtown, NY?
Medicaid reimbursement for Office Visit in Smithtown, NY ranges from $0.00 to $187.93 per claim, with an average of $102.70. 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 Smithtown, NY
Home Health Visit
Avg $181.73
548,593 claims
Blood Work & Lab Tests
Avg $6.43
77,459 claims
EKG / ECG (Electrocardiogram)
Avg $9.94
61,147 claims
Urinalysis & Urine Tests
Avg $2.49
47,277 claims
Dental Cleaning & Exam
Avg $39.64
44,072 claims
Psychiatric Evaluation
Avg $59.79
42,632 claims
Pathology & Lab Services
Avg $14.98
41,667 claims
Nursing Facility Care
Avg $7.25
37,707 claims