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 |
|---|---|---|---|
|
Jisha Merin Mathew
1835 Oliver Ave |
$38.63 | 12 | 12 |
|
Alan Siedlecki
779 Golf Dr |
$159.21 | 12 | 12 |
|
Lenke Mizrachi-Florentziu
260 W Sunrise Hwy Ste 200 |
$90.39 | 13 | 13 |
|
Ira Klonsky
210 E Sunrise Hwy |
$18.66 | 14 | 13 |
|
Devendra Brahmbhatt
210 E Sunrise Hwy Ste 303 |
$9.79 | 14 | 13 |
|
Yuliya Angelova
10 E Merrick Rd |
$26.95 | 16 | 16 |
|
Gerard D'Aversa
70 E Sunrise Hwy Ste 400 |
$77.26 | 17 | 16 |
|
Haram Gondal
15 Blossom Row |
$35.79 | 18 | 17 |
|
Morris Charytan
20 Addison Pl |
$85.49 | 25 | 25 |
|
Hsu-Tsai Chi
1 S Central Ave |
$91.23 | 26 | 25 |
|
David L Foster
10 E Merrick Rd |
$73.79 | 29 | 29 |
|
Peggy Marie Hardy
73 Broadway |
$37.50 | 32 | 25 |
|
Levana Feldstein
13 Cleveland St |
$69.84 | 34 | 32 |
|
Ogechukwu Ifeoma Okezie
119 Salem Rd |
$3.77 | 37 | 37 |
|
David Shabtian
900 Franklin Ave |
$48.23 | 50 | 43 |
|
Bernard D. Bienstock
509 W. Merrick Road |
$69.71 | 57 | 53 |
|
Alexandra Anselmo
167 E Merrick Rd |
$71.46 | 65 | 62 |
|
Roman Peter Urbanczyk
15 Fletcher Ave |
$112.60 | 69 | 63 |
|
Shashi S Shah
525 N Central Ave |
$75.66 | 70 | 64 |
|
Nadine C Brissett-Williams
64 Cloverfield Rd S |
$46.11 | 78 | 66 |
|
Richard L Parker
64 S Central Ave |
$43.36 | 79 | 70 |
|
Ann Buhl
One South Central Ave |
$49.34 | 123 | 121 |
|
Priya Kakkar
70 E Sunrise Hwy |
$66.43 | 132 | 123 |
|
Tony W Cheung
260 W Sunrise Hwy |
$52.66 | 142 | 110 |
|
Mubasir Mundia
1 S Central Ave |
$27.91 | 148 | 143 |
|
Fred Fefer
300 Franklin Ave |
$99.88 | 151 | 147 |
|
Shahid Sheikh
260 West Sunrise Highway |
$47.40 | 161 | 159 |
|
Bonnie Lynn Gildea
50 W Hawthorne Ave |
$69.43 | 162 | 119 |
|
Raza Medical, P.C
1221 Dutch Broadway |
$0.00 | 163 | 140 |
|
Tamar Klein
612 Diane Pl |
$206.97 | 163 | 124 |
|
Tovia Aaron Lent
900 Franklin Ave |
$45.00 | 166 | 161 |
|
Mary Ann Bilotti
375 N Central Ave |
$58.19 | 176 | 168 |
|
Island Musculoskeletal Care, M.D., P.C.
125 Franklin Ave |
$0.00 | 253 | 233 |
|
Elana Kastner
70 E Sunrise Hwy Ste 515E |
$85.26 | 254 | 238 |
|
Svetlana S Matayev
300 Franklin Ave |
$93.38 | 254 | 251 |
|
William James Mcshane
66 W Merrick Rd |
$1.11 | 259 | 254 |
|
Regina Neuman
260 W Sunrise Hwy |
$64.23 | 281 | 189 |
|
Mariella R Scrudato
65 Roosevelt Ave |
$117.88 | 282 | 280 |
|
Aaron Westreich
70 E Sunrise Hwy Ste 411 |
$152.53 | 297 | 297 |
|
Joy Nagelberg
167 E Merrick Rd |
$74.32 | 334 | 326 |
|
Joseph Pierrot
228 Locust St |
$37.25 | 339 | 265 |
|
Tameka Tulloch
167 E Merrick Rd |
$93.56 | 370 | 364 |
|
Gautam M. Reddy
210 E Sunrise Hwy |
$85.35 | 391 | 388 |
|
Arpan Desai
30 E Sunrise Hwy |
$79.65 | 410 | 408 |
|
Naeem Abbas
260 W Sunrise Hwy Ste 200 |
$96.84 | 419 | 418 |
|
Hildy A Saperstein
260 W Sunrise Hwy |
$71.03 | 433 | 427 |
|
Chinelo E. Nduka
260 W. Sunrise Hwy, Ste. 200 |
$74.60 | 453 | 409 |
|
Uzma Iqbal
1221 Dutch Broadway |
$32.32 | 461 | 396 |
|
Michael Swerdin
70 E Sunrise Hwy Ste 400 |
$54.55 | 507 | 496 |
|
Angelica Matwiejczuk
167 E Merrick Rd |
$92.09 | 516 | 507 |
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