Average Medicaid Office Visit Payments in Suffern, NY: $75.83
Avg. Paid
$75.83
Range
$0.00 – $202.09
Total Claims
301,758
Providers
98
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 Suffern, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adam Polinger
222 Route 59 |
$65.45 | 130,331 | 67,457 |
|
Joel H Selter
222 Route 59 |
$97.78 | 20,969 | 19,194 |
|
Sara Burnbaum
99 Washington Ave |
$47.15 | 13,257 | 8,169 |
|
Yaffa Klar
222 Route 59 Ste 306 |
$105.67 | 13,136 | 12,436 |
|
Teresa Ann Sullivan
255 Lafayette Ave |
$77.32 | 11,477 | 11,345 |
|
Ramon E. Rivera
156 Route 59 Ste A2 |
$81.69 | 10,078 | 9,181 |
|
Patricia Margaret Kivlehan
255 Lafayette Ave |
$78.49 | 8,067 | 8,011 |
|
Barry Sussner
222 Route 59 Ste 203 |
$76.81 | 7,344 | 7,086 |
|
Mohammad Hafeez
163 Route 59 |
$50.69 | 6,904 | 5,976 |
|
Justin H Sussner
222 Route 59 Ste 203 |
$87.43 | 6,453 | 6,324 |
|
James Benjamin Israel
222 Route 59 |
$52.12 | 6,371 | 4,077 |
|
Rishi Bajaj
79 Route 59 |
$116.68 | 5,238 | 3,867 |
|
Joseph D Sutton
222 Route 59 |
$65.90 | 4,292 | 4,169 |
|
Lori Lambert
222 Route 59 |
$101.24 | 4,267 | 4,188 |
|
Frederick Weck
222 Route 59 |
$72.35 | 3,980 | 3,745 |
|
Fatima Odetalla
65 E Maltbie Ave |
$109.03 | 3,333 | 2,841 |
|
Mahomed S Bhana
255 Lafayette Ave |
$55.05 | 3,299 | 3,005 |
|
Donna Lynn Loketch
222 Route 59 |
$98.17 | 3,105 | 1,949 |
|
Michael J Muschel
222 Route 59 |
$98.52 | 2,703 | 2,680 |
|
Sherrita Bhagan-Bruno
222 Route 59 |
$113.21 | 2,342 | 2,208 |
|
Good Samaritan Hospital Of Suffern
255 Lafayette Ave |
$166.78 | 2,299 | 2,068 |
|
Gabriel Tenembaum
233 Lafayette Ave Ste M4 |
$115.78 | 1,913 | 1,818 |
|
Seymour Larry Kushnir
255 Lafayette St |
$64.64 | 1,829 | 1,045 |
|
Nirmala Nanjappa
40 Park Ave |
$77.34 | 1,748 | 1,599 |
|
Richard Sirop
100 Route 59 |
$78.23 | 1,729 | 1,620 |
|
Howard Evan Friedman
29 North Airmont Rd |
$62.23 | 1,714 | 1,664 |
|
Henry Zvi Bareket
134 Route 59 |
$76.41 | 1,660 | 1,573 |
|
Moshe Apfel
222 Route 59 Ste 303 |
$119.57 | 1,656 | 1,599 |
|
Eileen Riman
222 Route 59 |
$75.64 | 1,437 | 1,380 |
|
Steven Fred Weisen
26 Indian Rock |
$141.15 | 1,409 | 1,348 |
|
Mark F Peralta
255 Lafayette Ave |
$57.18 | 1,300 | 918 |
|
Walter Leo Nieves
11 N Airmont Rd |
$12.27 | 1,066 | 981 |
|
Dipika Eila Rana
222 Route 59 |
$117.66 | 1,039 | 1,011 |
|
Peter T Simonson
257 Lafayette Avenue |
$96.45 | 957 | 942 |
|
Yoram Amsalem
257 Lafayette Ave Ste 300 |
$45.50 | 893 | 876 |
|
Priya N Desai
222 Route 59 Ste 306 |
$89.01 | 752 | 739 |
|
Amala Phani Chirumamilla
257 Lafayette Ave |
$82.81 | 721 | 705 |
|
Tshaka Muchiteni
222 Route 59 |
$112.94 | 708 | 693 |
|
Andrew Joseph Najovits
257 Lafayette Ave |
$95.89 | 657 | 654 |
|
Daniel E Vinick
134 Route 59 |
$64.89 | 648 | 586 |
|
Laura Mcguire
222 Route 59 |
$122.06 | 588 | 541 |
|
Alice Azzalin
26 Indian Rock |
$135.37 | 561 | 552 |
|
Sandra Heller
134 Route 59 |
$74.63 | 487 | 407 |
|
Cherie A Passano
134 Route 59 |
$70.06 | 458 | 404 |
|
Shital Ramesh Parikh
26 Indian Rock |
$72.59 | 406 | 401 |
|
Anna Chernov
222 Route 59 |
$132.50 | 366 | 364 |
|
Elizabeth Regina Chan
26 Indian Rock |
$104.59 | 353 | 338 |
|
Patricia C Pollio
134 Route 59 |
$55.37 | 352 | 308 |
|
Giuseppina Benincasa-Feingold
27 Indian Rock |
$33.02 | 347 | 330 |
|
Seth Eric Hurwitz
257 Lafayette Ave |
$67.99 | 334 | 331 |
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 Suffern, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Suffern, NY is $75.83 per claim, based on 301,758 claims from 98 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 Suffern, NY?
There are 98 Medicaid providers offering Office Visit related services in Suffern, NY according to public payment data.
What is the price range for Office Visit in Suffern, NY?
Medicaid reimbursement for Office Visit in Suffern, NY ranges from $0.00 to $202.09 per claim, with an average of $75.83. 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 Suffern, NY
Psychiatric Evaluation
Avg $49.42
265,066 claims
Blood Work & Lab Tests
Avg $8.34
127,661 claims
Pathology & Lab Services
Avg $48.31
109,510 claims
Dental Cleaning & Exam
Avg $26.06
97,563 claims
Physical Therapy
Avg $93.04
81,283 claims
Vaccines & Immunizations
Avg $6.13
59,135 claims
Emergency Room Visit
Avg $172.69
47,238 claims
Urinalysis & Urine Tests
Avg $1.69
46,841 claims