Average Medicaid Office Visit Payments in West Islip, NY: $89.95
Avg. Paid
$89.95
Range
$0.00 – $175.53
Total Claims
195,100
Providers
129
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 Islip, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Good Samaritan Hospital Medical Center
1000 Montauk Hwy |
$123.18 | 69,787 | 63,728 |
|
Inderjeet Singh Nagpal
1175 Montauk Hwy |
$62.25 | 8,255 | 7,083 |
|
Christine Cerniello
1175 Montauk Hwy |
$54.39 | 7,079 | 6,308 |
|
Ciro Thomas Grello
390 Montauk Highway |
$46.20 | 5,532 | 4,830 |
|
Abu Muhammad M Haque
1249 Montauk Hwy |
$63.12 | 5,402 | 4,983 |
|
Bradley Howard Kessler
1000 Montauk Hwy |
$92.23 | 4,155 | 4,080 |
|
James Marzec
340 Montauk Hwy |
$70.40 | 4,136 | 3,896 |
|
John Draugel Kannengieser
1111 Montauk Hwy |
$82.48 | 4,094 | 2,784 |
|
Robert J Landy
400 Montauk Hwy |
$49.34 | 3,879 | 3,646 |
|
Wendy Zapata
340 Montauk Hwy |
$71.17 | 3,722 | 3,375 |
|
Krishnaiyer Subramani
500 Montauk Hwy |
$37.78 | 3,715 | 3,649 |
|
Rajesh Mariwalla
1175 Montauk Hwy |
$54.07 | 3,670 | 3,420 |
|
Domenico Zanolin
1111 Montauk Hwy |
$70.56 | 3,321 | 3,048 |
|
Gonzalo M Saravi
540 Union Blvd |
$26.54 | 3,190 | 1,935 |
|
Elizabeth Burch Schimmer
180 Sunrise Hwy |
$59.99 | 3,174 | 913 |
|
Lada Osipova
747 Montauk Hwy |
$35.45 | 2,853 | 2,697 |
|
Dilys Whyte
1000 Montauk Hwy |
$57.21 | 2,702 | 2,637 |
|
Brianna Lyn Scott
1000 Montauk Hwy |
$29.42 | 2,303 | 1,881 |
|
Alla Chernenko
1000 Montauk Hwy |
$59.35 | 2,006 | 1,705 |
|
Sumeet K Anand
1111 Montauk Hwy Ste 2-4 |
$69.50 | 1,965 | 1,772 |
|
Firas Bridges
786 Montauk Hwy |
$68.39 | 1,931 | 1,898 |
|
Laura J Sheridan-Kelchner
556 Montauk Hwy |
$101.98 | 1,690 | 911 |
|
Edward Hugo Cussatti
786 Montauk Highway |
$87.72 | 1,560 | 1,546 |
|
Anthony F Sampino
556 Montauk Hwy |
$104.42 | 1,547 | 857 |
|
Margaret Fiumano
720 Montauk Hwy |
$107.63 | 1,472 | 1,384 |
|
Elizabeth V George
1000 Montauk Hwy |
$91.81 | 1,373 | 880 |
|
Anthony J Ferraro
1111 Montauk Hwy |
$65.47 | 1,371 | 1,176 |
|
Richard J Klein
747 Montauk Hwy |
$45.94 | 1,364 | 1,114 |
|
Sarah Schwartz
500 Montauk Hwy |
$66.52 | 1,361 | 1,316 |
|
Eldose Cherian George
720 Montauk Hwy |
$61.87 | 1,341 | 1,186 |
|
Angelica M Hernandez
320 Montauk Hwy |
$114.73 | 1,281 | 1,261 |
|
Joseph Livoti
400 Montauk Hwy |
$97.32 | 1,234 | 1,031 |
|
John J Vullo
556 Montauk Hwy |
$107.98 | 1,206 | 642 |
|
Thomas Mcnally
340 Montauk Hwy Ste 2 |
$112.59 | 1,172 | 1,116 |
|
Lukas John Martincik
1000 Montauk Hwy |
$2.09 | 1,153 | 1,119 |
|
Philip D Degaetano
1000 Montauk Hwy |
$108.65 | 1,150 | 1,136 |
|
Saumil Hardev Trivedi
239 Higbie Ln |
$112.26 | 1,101 | 1,058 |
|
Lauren Cardenas
500 Montauk Hwy |
$145.86 | 1,047 | 1,041 |
|
Barry Edward Goldberg
1111 Montauk Hwy |
$163.09 | 1,043 | 1,015 |
|
Emmanuel C Sygaco
435 Montauk Hwy |
$78.11 | 961 | 916 |
|
Timothy George
239 Higbie Ln |
$103.75 | 895 | 850 |
|
Elvis W Rema
380 Montauk Hwy |
$63.65 | 877 | 572 |
|
Rachael Vancura
239 Higbie Ln |
$110.02 | 870 | 833 |
|
Christopher David Alleva
148 Sunrise Hwy |
$100.89 | 753 | 739 |
|
Raymond Michael Baule
500 Montauk Hwy Ste K |
$20.03 | 740 | 530 |
|
Ashok Navit Kukadia
500 Montauk Hwy |
$47.25 | 732 | 715 |
|
Genevieve Lambert
1111 Montauk Hwy |
$109.13 | 710 | 675 |
|
Andrea Cordova
390 Montauk Hwy |
$91.52 | 697 | 672 |
|
Margarita Jurak
320 Montauk Hwy |
$119.61 | 663 | 643 |
|
Maria Cifone
1111 Montauk Hwy |
$65.96 | 662 | 571 |
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 Islip, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Islip, NY is $89.95 per claim, based on 195,100 claims from 129 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 Islip, NY?
There are 129 Medicaid providers offering Office Visit related services in West Islip, NY according to public payment data.
What is the price range for Office Visit in West Islip, NY?
Medicaid reimbursement for Office Visit in West Islip, NY ranges from $0.00 to $175.53 per claim, with an average of $89.95. 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 Islip, NY
Blood Work & Lab Tests
Avg $7.59
395,555 claims
Emergency Room Visit
Avg $117.74
216,767 claims
X-Ray
Avg $4.32
111,519 claims
Urinalysis & Urine Tests
Avg $1.51
98,067 claims
EKG / ECG (Electrocardiogram)
Avg $5.12
74,113 claims
CT Scan (Computed Tomography)
Avg $124.65
40,527 claims
Ultrasound
Avg $113.52
37,464 claims
Physical Therapy
Avg $47.89
36,616 claims