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
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 Stony Brook, NY
Blood Work & Lab Tests
Avg $7.44
393,524 claims
Emergency Room Visit
Avg $128.56
342,201 claims
X-Ray
Avg $10.47
294,313 claims
Dental Cleaning & Exam
Avg $32.83
239,529 claims
Speech Therapy
Avg $40.56
137,885 claims
CT Scan (Computed Tomography)
Avg $76.06
115,518 claims
Psychiatric Evaluation
Avg $272.00
71,862 claims
Urinalysis & Urine Tests
Avg $1.67
70,193 claims