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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Stony Brook, NY: $104.51

Avg. Paid

$104.51

Range

$0.00 – $239.35

Total Claims

339,422

Providers

278

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 Stony Brook, NY

Provider Avg. Paid Claims Patients
University Hospital At Stony Brook

Nicolls Rd

$137.20 112,361 104,070
Stony Brook Psychiatric Associates, University Faculty Practice Corpor

Suny @ Stony Brook

$105.91 21,308 17,724
Fangqin Li

2500 Nesconset Hwy Bldg 12C

$71.29 14,289 11,683
Shafi Wani

2500 Nesconset Hwy

$36.63 7,783 6,554
Lan Na Lee

Stonybrook University Medical Ctr

$7.51 7,450 7,247
Mindy P Griffith

Hsc Level 16, 020

$57.63 6,581 6,128
Robert S Levy

Stony Brook Medical Ctr

$101.29 5,449 5,126
Crystal Tina Sachdeva

Stony Brook University Hospital

$77.39 5,107 4,896
Kimberly Joyner

101 Nicolls Rd

$100.79 4,882 4,759
Barbara Digiuseppe

Suny Putnam Hall Rm 103

$179.83 4,296 1,792
Mahmut Yasar Celiker

University Hospital, L5

$98.34 4,022 3,263
Tova Chein

Stony Brook Medicine Department Of

$146.03 3,971 2,624
Deepak Kumar Kadayakkara Kana

101 Nicolls Rd

$44.86 3,605 3,355
Lucas James Mcarthur

Stony Brook University Hospital

$9.85 3,507 983
Rosa Cataldo

Stony Brook University Hospital

$84.55 3,426 3,343
Alexander Peguero-Medrano

169 Putnam Hall

$63.41 3,334 3,158
Amy Kathryn Curran

Department Of Ob Gyn

$46.96 3,324 3,211
Yekaterina Ryzova-Vaysman

2500 Nesconset Hwy Bldg 14

$73.57 3,284 2,979
Muhammad Raza

Stony Brook Ufpc, 100 Nicolls Rd

$52.94 3,168 2,256
Eduardo Constantino

2500 Nesconset Hwy

$81.07 2,788 2,590
Mark Lerman

Putnam Hall South Campus

$79.02 2,655 2,333
Alicia Jean Doughty

2500 Nesconset Hwy Bldg 14

$72.04 2,638 2,383
Benjamin Charles Delucia

Stony Brook University Medical Center

$83.81 2,494 2,278
Robert M. Trepel

101 Nicolls Rd

$133.24 2,443 2,416
Rina Meyer

Stony Brook Childrens

$137.37 2,438 2,064
Saika Sharmeen

101 Nicolls Rd

$154.53 2,175 2,118
Lesley Small-Harary

Stony Brook Childrens Hospital

$108.97 2,137 2,121
Kimberly Sue Tafuri

100 Nicolls Rd

$113.73 2,129 2,122
Lourdes Alicia Bello Espinosa

Stony Brook University Hsc T12 020

$128.57 2,026 2,022
Christopher David Passidomo

213 Hallock Rd

$66.19 1,971 1,271
Devina Prakash

Hsc 2 T 11 Rm 020

$143.89 1,943 1,724
Katarina Supe-Markovina

Stony Brook Childrens Hospital

$87.75 1,891 1,799
Michael Z Guo

2500 Nesconset Hwy Bldg 5B

$104.06 1,863 1,773
Ebrahim Rashid Oomerjee

Stony Brook University Medical Center

$7.38 1,841 1,775
Dhaval Chinubhai Patel

Hsc T16-080

$134.65 1,820 1,790
Albert N Kim

2500 Nesconset Hwy Bldg 21A

$78.48 1,757 1,624
Mathew D Ednick

100 Nicolls Rd # Level11

$131.15 1,703 1,700
Meital Barzideh

101 Nicolls Rd

$72.72 1,696 1,651
Jeffrey Morganstern

Stony Brook University Medical Ctr

$147.15 1,653 1,639
Anupama Chawla

University Hospital, L5

$115.15 1,637 1,616
Stony Brook Anaesthesiology, University Faculty Practice Corporation

Suny @ Stony Brook

$120.80 1,601 1,529
Matthew Jason Sherman

Stony Brook University Medical Ctr

$86.37 1,573 1,474
Mireya Garcia

University Hospital, L5

$69.07 1,414 1,409
Sabina Ahmed Mir

Stony Brook University Hospital

$100.84 1,340 1,248
Taemin Hwang

Stony Brook University Hospital

$97.38 1,297 1,257
Brian Christopher Lynch

Stony Brook University Hospital

$166.64 1,287 1,256
Keaira C Dupuy

101 Nicolls Rd

$61.21 1,273 1,009
Kerriann Latten

2500 Nesconset Hwy Bldg 14

$79.97 1,214 1,139
Jason Halegoua

207 Hallock Rd Ste 106

$90.43 1,197 1,148
Lawrence William Kelly

Stony Brook University Hospital

$119.57 1,149 1,133

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 Stony Brook, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Stony Brook, NY is $104.51 per claim, based on 339,422 claims from 278 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 Stony Brook, NY?

There are 278 Medicaid providers offering Office Visit related services in Stony Brook, NY according to public payment data.

What is the price range for Office Visit in Stony Brook, NY?

Medicaid reimbursement for Office Visit in Stony Brook, NY ranges from $0.00 to $239.35 per claim, with an average of $104.51. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Stony Brook, NY