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
42
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 |
|---|---|---|---|
|
Eileen Hunt
373 Sunrise Hwy |
$79.74 | 13 | 12 |
|
Robert Fred Bello
760 Sunrise Hwy |
$69.49 | 15 | 14 |
|
Heart & Soul Community Counseling
17 Fordham Rd |
$88.88 | 18 | 16 |
|
Robert Sparto
170 Little East Neck Rd |
$45.26 | 18 | 15 |
|
Hsin Dat Li
580 Sunrise Hwy |
$43.99 | 67 | 65 |
|
Rebecca Leibowitz
580 Sunrise Hwy |
$108.86 | 72 | 72 |
|
Laura A Rizzi
986 Sunrise Hwy |
$76.23 | 73 | 70 |
|
Mark Grudman
393 Sunrise Highway |
$57.01 | 77 | 76 |
|
Matthew Thomas Gorman
625 Belmont Ave |
$10.41 | 108 | 108 |
|
Roseann Milner
555 Little East Neck Rd N |
$68.76 | 122 | 116 |
|
Amy Eimer
141 Little East Neck Rd |
$128.45 | 165 | 152 |
|
Mikhail Zusmanovich
60 Fleets Point Dr Ste 1 |
$155.62 | 167 | 163 |
|
Sally Jane B. Ciron
986 Sunrise Hwy |
$82.95 | 189 | 184 |
|
Rowan Lindsay
17 Fordham Rd |
$80.61 | 194 | 180 |
|
Maura Casey
373 Sunrise Hwy |
$65.05 | 235 | 203 |
|
Michael Henry Polcino
141 Little East Neck Rd |
$48.54 | 277 | 267 |
|
Volodymyr Serediouk
21 Montgomery Ave |
$137.11 | 383 | 374 |
|
Craig Coleman
501A W Montauk Hwy |
$56.65 | 505 | 487 |
|
Anthony Cappellino
60 Fleets Point Dr Ste 1 |
$130.60 | 554 | 534 |
|
Robert V Sica
373 Sunrise Hwy |
$70.15 | 589 | 572 |
|
Sadia Saad
580 Sunrise Hwy |
$87.35 | 618 | 569 |
|
Adeel Malik
134 Great East Neck Rd |
$38.39 | 618 | 611 |
|
Patricia Fogarty
17 Fordham Road |
$88.74 | 651 | 571 |
|
Francesca Michelle Ramos
17 Fordham Rd |
$139.70 | 685 | 609 |
|
Ani A Bodoutchian
120 Route 109 |
$94.71 | 730 | 543 |
|
George Nicholas Vavilis
501A W Montauk Hwy |
$98.87 | 770 | 765 |
|
Michael Anthony Raio
555 Little East Neck Rd |
$60.77 | 848 | 816 |
|
Anthony A. Guida
373 Sunrise Hwy |
$60.40 | 854 | 819 |
|
Gina Mary Ruocchio
403 Little East Neck Rd |
$163.87 | 1,061 | 1,044 |
|
Joseph Gigante
373 Sunrise Hwy |
$54.82 | 1,078 | 1,043 |
|
Naheed Karim
900 Straight Path Ste 2 |
$64.87 | 1,408 | 1,350 |
|
Michael Anthony Guida
373 Sunrise Hwy |
$82.43 | 1,533 | 1,487 |
|
Pierre Collin
900 Straight Path |
$56.33 | 1,698 | 1,560 |
|
Michael H Polcino
141 Little East Neck Rd |
$38.81 | 3,203 | 2,495 |
|
Shreya Gir
218 15Th St |
$88.41 | 3,659 | 3,609 |
|
Lauren Misuraca
900 Straight Path |
$54.57 | 4,857 | 4,369 |
|
Aaron David
475 Sunrise Hwy |
$51.49 | 4,934 | 4,074 |
|
Constantinos Constantatos
170 Little East Neck Rd |
$65.56 | 7,023 | 6,339 |
|
Ehab Ahmed Hassanain
393 Sunrise Hwy |
$60.90 | 7,056 | 5,774 |
|
Jasmine Philip
580 Sunrise Hwy |
$63.92 | 10,911 | 6,511 |
|
Li Urgent Care Pc
403 Little East Neck Rd |
$83.99 | 38,608 | 35,819 |
|
Peter Dominic Pirraglia
256 Cadman Ave |
$30.79 | 38,616 | 36,149 |
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.
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 West Babylon, NY
Vaccines & Immunizations
Avg $4.68
55,318 claims
Dental Cleaning & Exam
Avg $25.12
24,214 claims
Psychiatric Evaluation
Avg $80.15
21,741 claims
Blood Work & Lab Tests
Avg $2.94
12,984 claims
Speech Therapy
Avg $101.74
9,301 claims
Physical Therapy
Avg $32.30
8,024 claims
Urinalysis & Urine Tests
Avg $1.27
7,955 claims
Hearing Test (Audiometry)
Avg $9.84
7,004 claims