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
Kammy Mcloughlin Stony Brook University Medical Center	$77.91	12	12
Goldieann D Mcbride Stony Brook University Med Ctr Dept Obs/Gyn	$74.10	12	12
Vasileios Kostaras 101 Nicolls Road	$52.39	12	12
Lauren Marie Spring Stony Brook Child And Adolescent Psychiatry	$107.62	12	12
Philip Pecoraro Stony Brook University Hospital	$107.93	12	12
Shehryar Ahmed Malik 100 Nicolls Rd # T16-030	$112.87	12	12
Andrew Tyler Bates Stony Brook Medical Ctr	$180.75	12	12
Susan Liang Stony Brook University Hospital Hsc Level 9, Room 090	$35.03	12	12
Aruna Parekh Hsc 11	$79.90	12	12
Lukasz Czerwonka Hsc T19 020	$70.63	12	12
Theodore G Gabig University Hospital. L5	$118.92	12	12
James Joseph Briley 1320 Stony Brook Rd Bldg F2Nd	$96.59	12	12
Erin Mauricia Dainer 101 Nicolls Rd	$68.08	13	12
Tahsin Nafis Hasan Putnam Hall South Campus	$44.99	13	13
Hyon Jin Bae 101 Nicolls Rd	$70.72	13	13
Susan Nicole Manganaro Neurology Associates Of Stony Brook Ufpc	$170.67	13	13
Perpetue Emile 101 Nicolls Rd	$87.61	13	12
Thomas Jandl 101 Nicolls Rd	$19.21	14	12
Philip Yeung Dept Of Internal Medicine Hsc Level 16-020	$72.79	14	14
Michael Goyfman Hsc T16 080	$13.98	14	13
Lea N Baer Hsc T15 040	$164.72	14	13
Julie Anne Lynne Gemmill Lauterbur Drive	$42.99	14	12
Yana Krutoshinskaya 100 Nicolls Rd # Hsc-T12	$130.78	14	14
Shenhong Wu University Hospital L5 Suite 1	$34.61	14	12
Achuta Kumar Guddati 100 Nicolls Rd # T15053	$44.94	14	12
Amy Lynne Rosenbluth 101 Nicolls Rd	$193.44	14	14
Andre Plair Stony Brook University Medical Ctr	$143.90	15	14
Michele L Degraw Hsc T15-040	$158.81	16	12
Donald Scott Macron New York Spine And Brain Surgery	$208.68	16	16
Julia Sungeun Ahn 101 Nicolls Rd Rm 50	$113.98	16	16
Richard James Salway Stony Brook Medicine Em 100 Nicolls Rd	$75.12	17	17
Natalia Cristina Flores 2500 Route 347 Bldg 10A	$48.66	17	12
Nicholas Sikalas Stony Brook University Hospital	$108.33	17	17
Nidhi Gupta Suny @ Stony Brook, Dept Of Neurology	$88.71	17	17
Huda Salman Hsc T15 040	$118.05	18	14
Nicole Andrea Sagalla Hsc T16 020	$61.08	18	12
Bridget Walsh 101 Nicolls Rd	$86.15	19	13
Judith Crowell Suny Putnam Hall Rm 103	$85.23	20	14
Laura Montgomery 101 Nicolls Rd	$42.38	21	21
Beth Sarah Seltzer Stony Brook University Hospital	$47.74	23	21
Joseph Cafone Stony Brook University Dept Of Pediatrics	$34.67	24	24
William Mak Suny At Stony Brook Department Of Pediatrics	$52.58	24	24
Seth Korbin Department Of Orthopaedics Hsc T 18	$68.71	25	25
Sherif Raafat Zikry Abdel-Misih Hsc Level 18 Room 065	$15.31	25	24
Stephen J. Kuperberg 101 Nicolls Rd	$31.30	26	26
Joyce Lorraine Quick Stony Brook Univerity Medical Center, Suny @ Sb	$143.01	26	26
Sara Ka Rham Kim 101 Nicolls Rd	$107.27	27	26
Kaveh Sadigh Hsc T16 080	$45.76	27	27
Vaibhavi Umesh 101 Nicolls Rd	$73.42	27	27
Diane Hoffman Cymerman 2500 Nesconset Hwy	$112.91	27	25

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.

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

Providers Offering Office Visit in Stony Brook, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Stony Brook, NY

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Emergency Room Visit

X-Ray

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Speech Therapy

CT Scan (Computed Tomography)

Psychiatric Evaluation

Urinalysis & Urine Tests