Average Medicaid Office Visit Payments in Valley Stream, NY: $75.26
Avg. Paid
$75.26
Range
$0.00 – $206.97
Total Claims
232,741
Providers
130
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 Valley Stream, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samina Raghid
300 Stuart Ave |
$82.26 | 14,758 | 12,667 |
|
Craig Louise Sheflin
15 Munro Blvd |
$12.14 | 10,230 | 8,844 |
|
Javid Nassiri
70 E Sunrise Hwy Ste 411 |
$83.17 | 9,333 | 8,995 |
|
Robert Lee Terrelonge
33 Clarendon Dr |
$138.61 | 8,569 | 6,654 |
|
Marc Lashley
167 E Merrick Rd |
$99.84 | 7,707 | 7,372 |
|
Zeeshan Sultana Hasan
2 Arkansas Dr |
$56.88 | 7,370 | 6,490 |
|
Marc S Schumann
260 W Sunrise Hwy |
$124.38 | 6,850 | 3,354 |
|
July Gaysynsky
145 E Merrick Rd |
$46.21 | 6,754 | 5,869 |
|
Eric Bret Farron
201-5 E Merrick Rd |
$61.65 | 6,545 | 5,753 |
|
Lori S Berman
167 E Merrick Rd |
$105.64 | 6,178 | 5,918 |
|
Myrlene Mathieu
1073 March Dr |
$99.27 | 6,155 | 5,982 |
|
Jason Aaron Waterman
260 W Sunrise Hwy Ste 200 |
$61.43 | 5,333 | 3,808 |
|
Lisa Diep
13 Cleveland St |
$78.95 | 5,312 | 4,920 |
|
Maria Chattha
1130 Linden St |
$76.87 | 4,909 | 3,390 |
|
Jaswinderjit Singh
70 E Sunrise Hwy Ste 500 |
$58.94 | 4,493 | 2,238 |
|
Nabil Farakh
125 Franklin Ave |
$72.89 | 4,447 | 4,302 |
|
Carl L Barberis
260 W Sunrise Hwy |
$59.84 | 4,349 | 4,188 |
|
Ian Ausubel
509 Merrick Road |
$33.40 | 4,095 | 3,244 |
|
Seth Barrington Dressekie
21 Harvard St |
$63.44 | 3,960 | 3,223 |
|
Iman Ibrahim
70 E Sunrise Hwy |
$73.44 | 3,941 | 3,587 |
|
Mohammad S Husain
1129 Linden St |
$71.52 | 3,913 | 3,723 |
|
Louis Jared Siegel
70 E Sunrise Hwy |
$119.32 | 3,794 | 3,659 |
|
Rhonda Singh-James
120 Pilgrim Pl |
$56.29 | 3,782 | 3,717 |
|
Michael David Barkin
66 W Merrick Rd |
$63.94 | 3,719 | 3,080 |
|
Charmaine S Johnson
260 W Sunrise Hwy Ste 200 |
$56.26 | 3,203 | 3,159 |
|
Michael Francis Trepeta
133 E Merrick Rd |
$65.70 | 2,823 | 2,697 |
|
Sharon Terrelonge
33 Clarendon Dr |
$143.80 | 2,668 | 2,011 |
|
Jogesh Syalee
260 W. Sunrise Hwy |
$102.96 | 2,567 | 2,007 |
|
Neal Evan Feit
300 Franklin Ave |
$79.31 | 2,504 | 2,478 |
|
Ali Moazen
260 W Sunrise Hwy Ste 200 |
$62.03 | 2,361 | 2,337 |
|
Eric Scott Lippman
214 East Sunrise Highway |
$8.35 | 2,142 | 1,889 |
|
Sophia Bichotte-Ligonde
260 W Sunrise Hwy |
$55.43 | 2,070 | 1,979 |
|
Avishai T Neuman
811 Wilson St |
$63.59 | 2,032 | 1,922 |
|
Jessica Chamorro
167 E Merrick Rd |
$72.03 | 2,024 | 776 |
|
Long Island Jewish Medical Center
900 Franklin Ave |
$110.91 | 1,935 | 1,771 |
|
Anca Ioana Popa
900 Franklin Ave |
$46.60 | 1,918 | 1,600 |
|
Health Care For Women, Pllc
300 Stuart Ave |
$94.49 | 1,873 | 1,500 |
|
Jodi A Kirschbaum
260 W Sunrise Hwy |
$101.43 | 1,853 | 1,847 |
|
Alfonso Manuel Azucar
260 W Sunrise Hwy Ste 200 |
$52.95 | 1,778 | 1,744 |
|
Wendy Tonia Longo
20 Addison Pl |
$132.60 | 1,763 | 1,572 |
|
Marina Abeleva
260 W. Sunrise Hwy, Ste. 200 |
$71.03 | 1,730 | 1,690 |
|
Madiha Majid
260 W Sunrise Hwy Ste 200 |
$64.98 | 1,666 | 1,638 |
|
Rosemarie Whyte
27 Catalpa Ln |
$52.57 | 1,661 | 1,650 |
|
Irina Kolotinskaya
260 W Sunrise Hwy |
$68.58 | 1,646 | 1,624 |
|
Vikrum Malhotra
260 W Sunrise Hwy |
$65.51 | 1,625 | 1,595 |
|
Sajni Shah
66 W Merrick Rd Ste 101 |
$64.27 | 1,521 | 1,320 |
|
Behnam Kohanim
260 W Sunrise Hwy |
$82.04 | 1,498 | 1,323 |
|
Abimbola Jaiyesimi
260 W Sunrise Hwy Ste 200 |
$53.57 | 1,491 | 1,451 |
|
Mikhail Plotnitskiy
85 E Merrick Rd |
$72.24 | 1,486 | 1,125 |
|
Andrew Shapiro
66 W Merrick Rd |
$58.04 | 1,442 | 1,229 |
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 Valley Stream, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Valley Stream, NY is $75.26 per claim, based on 232,741 claims from 130 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 Valley Stream, NY?
There are 130 Medicaid providers offering Office Visit related services in Valley Stream, NY according to public payment data.
What is the price range for Office Visit in Valley Stream, NY?
Medicaid reimbursement for Office Visit in Valley Stream, NY ranges from $0.00 to $206.97 per claim, with an average of $75.26. 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 Valley Stream, NY
Home Health Visit
Avg $177.00
2,355,828 claims
Physical Therapy
Avg $30.43
129,223 claims
Blood Work & Lab Tests
Avg $7.74
112,591 claims
Emergency Room Visit
Avg $126.89
98,022 claims
Dental Cleaning & Exam
Avg $28.12
85,541 claims
Psychiatric Evaluation
Avg $79.06
58,585 claims
Vaccines & Immunizations
Avg $17.17
50,308 claims
Eye Exam
Avg $45.98
44,036 claims