Based on public Medicaid payment data.

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
Nancy Balkon 267 E Main St Bldg C	$10.10	12	12
Sarah Arzt 519 W Jericho Tpke	$89.99	12	12
Neena Chaudhari 267 E Main St	$96.50	12	12
Peter M Rumore 315 Middle Country Rd	$56.58	12	12
Kanwar Iqbal Singh Gill 300 E Main St Ste 6	$29.23	12	12
Carina Perrotta 327 Middle Country Rd	$81.18	12	12
Allen M. Williams 415 W Main St	$0.00	13	13
Maged Mofied Ghaly 989 Jericho Tpk	$27.05	13	13
Jacqueline Solo 9 Brooksite Dr	$38.40	13	13
Diana M. Murillo 373 Route 111 Ste 7	$71.52	14	14
Diane Grassi 285 E Main St	$124.98	14	13
Morisa J Marin 48 Route 25A Ste 207	$39.52	15	12
Evana Maria Lodato 7 Hofstra Dr	$5.52	15	12
Cecilia Capuano King 61 Route 111	$53.24	15	12
Rachele D'Ambrosio 267 E Main St Bldg C	$61.57	16	14
Katrina Adele Romeo 329 E Main St Ste 9	$164.71	17	17
Lisa Nelly Amorin 48 Route 25A Ste 207	$47.76	17	12
Maria F Benetos 2 Brooksite Dr	$5.61	18	15
Anthony Spadaro 373 Route 111 Ste 5	$2.41	24	24
Mukesh Kumar 260 E Middle Country Rd Ste 201	$58.99	27	26
Kevin G Vesey 48 Route 25A	$71.73	27	24
Tahmina Chowdhury 50 Route 111 Ste 208	$119.34	27	26
Brian Stewart Geller 496 Smithtown Byp	$15.80	27	27
Howard S Lynn 373 Route 111	$49.72	27	25
Alisa J Graf 1077 W Jericho Tpke	$89.18	28	28
Sandra Joan Iannotti 309 E Main St Ste 102	$108.82	29	25
Kay Azzara 327 E Main St	$56.39	30	29
Robert W Einhorn 355 Route 111 Unit 41	$55.91	31	29
Benjamin Tannenbaum 496 Smithtown Byp Ste 200	$19.82	33	32
Brian Slepian 989 W Jericho Tpke	$41.68	33	33
Kristen Behrens 166 Evergreen Ave	$93.41	34	34
Christopher Amen 994 W Jericho Tpke Ste 104	$0.00	35	32
Linda P Ekert 48 Route 25	$48.48	38	37
Danielle Nicole Aarons 70 Maple Ave	$65.62	44	13
Jennifer Slagus 48 Route 25A Ste 207	$91.27	45	41
Jesse Damm 5 Branch Dr	$24.24	47	43
Alexander Epelbaum 373 Route 111	$11.71	51	49
Parviz Kazemi 278 E Main St	$28.87	54	52
Ravi S Ainapudi 317 Middle Country Rd	$87.16	54	54
Lisa Schirripa 260 Middle Country Rd	$14.47	56	49
Joshua Skiseng 11 Route 111	$152.12	62	26
Deborah Blenner 323 Middle Country Rd	$76.75	65	61
Jana Lori Deitch 48 Route 25A Ste 301	$86.91	66	66
Berett Paige Shaps 300 E Main St	$83.65	68	65
Michael C. Happes 260 Middle Country Rd.	$106.04	70	70
Richard Halpert 148 Terry Rd	$84.54	72	55
Christina Fereshta Nawabi 2 Brooksite Dr Ste 230	$110.79	74	60
Robert Donald Branch 290 E Main St Ste 700	$18.03	77	72
Samuel Baharestani 260 E Middle Country Rd	$54.39	80	72
Dara Gail Brener 267 E Main St Bldg C	$76.19	82	75

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.

Average Medicaid Office Visit Payments in Smithtown, NY: $102.70

Providers Offering Office Visit in Smithtown, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Smithtown, NY

Home Health Visit

Blood Work & Lab Tests

EKG / ECG (Electrocardiogram)

Urinalysis & Urine Tests

Dental Cleaning & Exam

Psychiatric Evaluation

Pathology & Lab Services

Nursing Facility Care