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 |
|---|---|---|---|
|
Jenna Mohan
1175 Montauk Hwy |
$112.37 | 12 | 12 |
|
Louis K Teitelbaum
1 Pansmith Ln |
$31.91 | 12 | 12 |
|
Courtney Pendleton
380 Montauk Hwy |
$157.44 | 13 | 13 |
|
Matthew Heller
1000 Montauk Hwy |
$47.73 | 13 | 13 |
|
Michelle Ramos
Po Box 36 |
$60.85 | 13 | 12 |
|
Laura Ann Falkowski
1000 Montauk Hwy |
$84.03 | 13 | 13 |
|
Darius Sorbi
1175 Montauk Hwy |
$0.00 | 13 | 13 |
|
Brooke O'Connor
1000 Montauk Hwy |
$93.28 | 14 | 14 |
|
Uschi Chantal Auguste
540 Union Blvd |
$76.69 | 14 | 14 |
|
Denise E Lester
320 Montauk Highway |
$131.06 | 14 | 14 |
|
Sophia Lan-Ying Fu
111 Beach Dr |
$97.56 | 15 | 14 |
|
Taner A Aydin
500 Montauk Hwy Ste S |
$11.52 | 17 | 12 |
|
Pathology And Laboratory Consultants Of Long Island, Pllc
1000 Montauk Hwy |
$0.00 | 18 | 18 |
|
Michael L Aaron
540 Union Blvd |
$12.53 | 23 | 12 |
|
John Bello
540 Union Blvd |
$32.13 | 25 | 24 |
|
Wilbur Jeremiah Asheld
540 Union Blvd |
$53.75 | 27 | 26 |
|
Anthony J Garafalo
540 Union Blvd |
$36.36 | 27 | 15 |
|
Bennett Hong
360 Montauk Hwy |
$20.93 | 27 | 25 |
|
Matthew Peter Liakos
540 Union Blvd |
$59.75 | 27 | 27 |
|
Brian Jeffrey Mchugh
380 Montauk Hwy |
$44.81 | 28 | 24 |
|
Hitender Jain
540 Union Blvd |
$32.62 | 29 | 28 |
|
Brittany Morgan Weissman
1000 Montauk Hwy |
$100.77 | 30 | 30 |
|
Harmandeep Dhillon
1000 Montauk Hwy |
$54.10 | 30 | 30 |
|
Michelle Gebhard
1000 Montauk Hwy |
$103.04 | 37 | 37 |
|
Susannah Aboff Gemberling
1000 Montauk Hwy |
$100.65 | 37 | 37 |
|
Ashley Perez
125 Sunrise Hwy |
$80.25 | 39 | 39 |
|
Rajkumar G Mariwalla
1175 Montauk Hwy |
$45.20 | 40 | 40 |
|
Steven Sheng
1000 Montauk Hwy |
$88.13 | 42 | 39 |
|
Mary Elizabeth Bonafede
239 Higbie Ln |
$100.97 | 43 | 42 |
|
William David Disanti
1175 Montauk Hwy |
$43.45 | 43 | 43 |
|
Adam Joseph Drucker
125 Sunrise Hwy |
$86.53 | 52 | 52 |
|
Matthew Leon Woolley
500 Montauk Hwy |
$33.35 | 52 | 49 |
|
Bruce J Mclaughlin
1111 Montauk Hwy |
$57.65 | 57 | 54 |
|
Paul J Lee
540 Union Blvd |
$40.93 | 66 | 39 |
|
Nancy Uythoven
1111 Montauk Hwy |
$66.18 | 83 | 79 |
|
Ganesh S Kamath
540 Union Blvd |
$33.89 | 87 | 60 |
|
Victor Politi
1000 Montauk Hwy |
$137.95 | 87 | 84 |
|
Athanasios Antoniadis
750 Montauk Hwy |
$120.44 | 105 | 90 |
|
Alexander Rabinovich
360 Montauk Hwy |
$45.40 | 106 | 106 |
|
Erik Kockenmeister
111 Beach Dr Fl 2 |
$102.68 | 136 | 131 |
|
Ashish Sangal
111 Beach Dr |
$84.51 | 148 | 147 |
|
Angela Singer
340 Montauk Hwy |
$85.27 | 156 | 151 |
|
David Z Reich
540 Union Blvd |
$26.03 | 164 | 95 |
|
Charles Vollmoeller
1111 Montauk Hwy Ste 3 |
$102.21 | 165 | 162 |
|
Mary Vilela
1000 Montauk Hwy |
$55.89 | 174 | 174 |
|
John Joseph Wilbur Asheld
540 Union Blvd |
$69.48 | 181 | 180 |
|
Robert Cesare D'Avino
540 Union Blvd |
$82.75 | 206 | 202 |
|
Kristen Donna Mailand
1000 Montauk Hwy |
$73.93 | 227 | 211 |
|
Sadaf Karimzada
1000 Montauk Hwy |
$134.27 | 243 | 242 |
|
Michael Chu
754 Montauk Hwy |
$33.15 | 248 | 173 |
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