Average Medicaid Office Visit Payments in Wading River, NY: $103.05
Avg. Paid
$103.05
Range
$25.27 – $167.07
Total Claims
8,810
Providers
8
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 Wading River, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Joseph Sheppard
42 Deane St |
$25.27 | 13 | 13 |
|
Teresa Aimee Habacker
5954 Route 25A |
$115.88 | 129 | 122 |
|
Guy-Philippe Beauzile
6144 Route 25A Ste C |
$80.95 | 130 | 117 |
|
Josephine Gramarosso
2042 N Country Rd |
$113.17 | 428 | 377 |
|
Robert Bernard
5972 Route 25A |
$53.87 | 466 | 362 |
|
Corinne Brooke Vidulich
271 Route 25A Ste 2 |
$87.50 | 2,037 | 955 |
|
Sanjay Godhwani
6144 Route 25A Ste 13 |
$50.44 | 2,628 | 2,519 |
|
Little Flower Children & Family Services
2450 N Wading River Rd |
$167.07 | 2,979 | 2,286 |
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 Wading River, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wading River, NY is $103.05 per claim, based on 8,810 claims from 8 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 Wading River, NY?
There are 8 Medicaid providers offering Office Visit related services in Wading River, NY according to public payment data.
What is the price range for Office Visit in Wading River, NY?
Medicaid reimbursement for Office Visit in Wading River, NY ranges from $25.27 to $167.07 per claim, with an average of $103.05. 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
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Wading River, NY
Substance Abuse Treatment
Avg $141.03
60,178 claims
Behavioral & Mental Health Therapy
Avg $104.19
16,466 claims
Nursing Facility Care
Avg $4.30
12,877 claims
Speech Therapy
Avg $72.37
9,340 claims
Psychiatric Evaluation
Avg $225.25
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Physical Therapy
Avg $47.11
2,461 claims
Ambulance Transport
Avg $98.47
560 claims
Urinalysis & Urine Tests
Avg $3.53
528 claims