Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in West Babylon, NY: $61.73

Avg. Paid

$61.73

Range

$10.41 – $163.87

Total Claims

135,260

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 West Babylon, NY

Provider	Avg. Paid	Claims	Patients
Peter Dominic Pirraglia 256 Cadman Ave	$30.79	38,616	36,149
Li Urgent Care Pc 403 Little East Neck Rd	$83.99	38,608	35,819
Jasmine Philip 580 Sunrise Hwy	$63.92	10,911	6,511
Ehab Ahmed Hassanain 393 Sunrise Hwy	$60.90	7,056	5,774
Constantinos Constantatos 170 Little East Neck Rd	$65.56	7,023	6,339
Aaron David 475 Sunrise Hwy	$51.49	4,934	4,074
Lauren Misuraca 900 Straight Path	$54.57	4,857	4,369
Shreya Gir 218 15Th St	$88.41	3,659	3,609
Michael H Polcino 141 Little East Neck Rd	$38.81	3,203	2,495
Pierre Collin 900 Straight Path	$56.33	1,698	1,560
Michael Anthony Guida 373 Sunrise Hwy	$82.43	1,533	1,487
Naheed Karim 900 Straight Path Ste 2	$64.87	1,408	1,350
Joseph Gigante 373 Sunrise Hwy	$54.82	1,078	1,043
Gina Mary Ruocchio 403 Little East Neck Rd	$163.87	1,061	1,044
Anthony A. Guida 373 Sunrise Hwy	$60.40	854	819
Michael Anthony Raio 555 Little East Neck Rd	$60.77	848	816
George Nicholas Vavilis 501A W Montauk Hwy	$98.87	770	765
Ani A Bodoutchian 120 Route 109	$94.71	730	543
Francesca Michelle Ramos 17 Fordham Rd	$139.70	685	609
Patricia Fogarty 17 Fordham Road	$88.74	651	571
Sadia Saad 580 Sunrise Hwy	$87.35	618	569
Adeel Malik 134 Great East Neck Rd	$38.39	618	611
Robert V Sica 373 Sunrise Hwy	$70.15	589	572
Anthony Cappellino 60 Fleets Point Dr Ste 1	$130.60	554	534
Craig Coleman 501A W Montauk Hwy	$56.65	505	487
Volodymyr Serediouk 21 Montgomery Ave	$137.11	383	374
Michael Henry Polcino 141 Little East Neck Rd	$48.54	277	267
Maura Casey 373 Sunrise Hwy	$65.05	235	203
Rowan Lindsay 17 Fordham Rd	$80.61	194	180
Sally Jane B. Ciron 986 Sunrise Hwy	$82.95	189	184
Mikhail Zusmanovich 60 Fleets Point Dr Ste 1	$155.62	167	163
Amy Eimer 141 Little East Neck Rd	$128.45	165	152
Roseann Milner 555 Little East Neck Rd N	$68.76	122	116
Matthew Thomas Gorman 625 Belmont Ave	$10.41	108	108
Mark Grudman 393 Sunrise Highway	$57.01	77	76
Laura A Rizzi 986 Sunrise Hwy	$76.23	73	70
Rebecca Leibowitz 580 Sunrise Hwy	$108.86	72	72
Hsin Dat Li 580 Sunrise Hwy	$43.99	67	65
Heart & Soul Community Counseling 17 Fordham Rd	$88.88	18	16
Robert Sparto 170 Little East Neck Rd	$45.26	18	15
Robert Fred Bello 760 Sunrise Hwy	$69.49	15	14
Eileen Hunt 373 Sunrise Hwy	$79.74	13	12

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 West Babylon, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Babylon, NY is $61.73 per claim, based on 135,260 claims from 42 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 West Babylon, NY?

There are 42 Medicaid providers offering Office Visit related services in West Babylon, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in West Babylon, NY ranges from $10.41 to $163.87 per claim, with an average of $61.73. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in West Babylon, NY: $61.73

Providers Offering Office Visit in West Babylon, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in West Babylon, NY

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Dental Cleaning & Exam

Psychiatric Evaluation

Blood Work & Lab Tests

Speech Therapy

Physical Therapy

Urinalysis & Urine Tests

Hearing Test (Audiometry)