Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sunnyside, NY: $61.06

Avg. Paid

$61.06

Range

$0.00 – $151.93

Total Claims

137,717

Providers

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 Sunnyside, NY

Provider	Avg. Paid	Claims	Patients
Carla Adriana Lucacel 4224 Greenpoint Ave	$77.57	22,523	18,247
Greenpoint Pediatric Pc 4710 Greenpoint Ave	$0.12	16,439	14,207
Gheorghe Romeo Ganea 4701 Queens Blvd	$65.83	15,618	13,004
Azmat Iqbal 4543 43Rd St	$77.33	15,059	12,948
Camelia E Ganea 4701 Queens Blvd	$68.53	12,411	10,365
Our Neighborhood Medical Pc 4701 Queens Blvd	$83.51	10,625	8,709
Efficient Medical Care P.C 40-14 Green Point Avenue	$73.72	10,397	6,227
Luis Glodowski 4701 Queens Blvd	$64.31	6,888	5,875
Michael Ahdoot 4601 Queens Blvd	$54.44	6,684	6,583
Durga Maddineni 4543 43Rd St	$13.48	3,421	3,207
Erica O'Bryan 47-10 Greenpoint Avenue Greenpoint Pediatric Center	$7.41	3,251	2,884
Mihaela Balaescu 4701 Queens Blvd	$88.65	2,941	2,706
Vijay Chadderwala 4724 Greenpoint Ave	$120.09	2,478	2,455
Gabriel R. Sagles 4121 42Nd St	$82.32	2,049	1,915
Michael Ahdoot, Md, Pc 4601 Queens Blvd	$63.27	1,833	1,831
Flavia Fioretti Martins Ferreira 4312 43Rd St	$82.24	1,262	1,132
Sherman Pediatrics Care Pllc 4312 43Rd St	$0.00	1,164	1,035
43Rd St Family Practice Pllc 4543 43Rd St	$1.33	701	673
Jyoti Gur 4341 44Th St Apt 2F	$70.47	557	534
Sunnyside Pediatric Endocrinology, Pc 4701 Queens Blvd	$90.62	493	492
Angelina Mihu Md Pc 4701 Queens Blvd	$58.91	220	207
Greenpoint Medical Pc 4710 Greenpoint Ave Fl 2	$0.00	200	148
Astra Ardashes Garjarian 4330 48Th St	$54.12	105	94
Hazarian Medical Associates Pllc 4338 44Th St	$37.41	99	64
Shahla Gharsri-Zarghami-Sabet 43-12 43Rd St	$85.74	85	85
Darian Andreas 4701 Queens Blvd Ste 101	$151.93	85	84
Taehyun Park 4115 45Th St Apt 3J	$98.22	43	36
Prajoy Kadkade 4543 43Rd St	$88.45	40	40
Michael Robert Zuckman 4103 Queens Blvd	$116.24	30	26
Vb Medical Services Pc 4601 Greenpoint Ave	$0.00	16	16

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 Sunnyside, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sunnyside, NY is $61.06 per claim, based on 137,717 claims from 30 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 Sunnyside, NY?

There are 30 Medicaid providers offering Office Visit related services in Sunnyside, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Sunnyside, NY ranges from $0.00 to $151.93 per claim, with an average of $61.06. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sunnyside, NY: $61.06

Providers Offering Office Visit in Sunnyside, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Sunnyside, NY

Home Health Visit

Eye Exam

Dental Cleaning & Exam

Vaccines & Immunizations

Blood Work & Lab Tests

Hearing Test (Audiometry)

Psychiatric Evaluation

Speech Therapy