Average Medicaid Office Visit Payments in Woodmere, NY: $61.24
Avg. Paid
$61.24
Range
$1.78 – $133.20
Total Claims
176,692
Providers
36
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 Woodmere, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Krinsky
1039 Magnolia Pl |
$11.65 | 52,830 | 21,005 |
|
David Elazar Simai
553 Woodmere Blvd |
$90.78 | 44,872 | 33,606 |
|
Abraham I Green
115 Franklin Pl |
$80.18 | 17,847 | 16,093 |
|
David G. Steiner
923 Broadway |
$89.97 | 12,505 | 12,111 |
|
Moshe Schlusselberg
115 Franklin Pl |
$51.55 | 8,820 | 7,829 |
|
Steven Natow
949 Central Ave |
$95.78 | 4,621 | 4,363 |
|
Suzanne Janice Sirota Rozenberg
11 Irving Pl |
$50.95 | 4,241 | 4,043 |
|
Miriam S Libkind
949 Central Ave |
$98.51 | 4,038 | 3,861 |
|
Joseph Michael Macaluso
124 Franklin Pl |
$69.18 | 2,991 | 2,902 |
|
Ira A Pion
949 Central Ave |
$93.05 | 2,851 | 2,527 |
|
Max Halpern
145 Franklin Pl |
$96.40 | 2,596 | 2,483 |
|
Judith Green
145 Franklin Pl |
$94.58 | 2,090 | 2,011 |
|
Five Towns Neurology, Pc
923 Broadway |
$43.31 | 1,802 | 1,714 |
|
Diane Aranda
145 Franklin Place |
$93.81 | 1,670 | 1,476 |
|
Debra Lynn Skopicki
949 Central Ave |
$98.72 | 1,635 | 1,558 |
|
Irene Elaine Rosenberg
949 Central Ave |
$85.67 | 1,352 | 1,275 |
|
Allen Jay Natow
949 Central Ave |
$83.47 | 1,336 | 1,236 |
|
Abraham I Abittan
1122 Broadway |
$26.60 | 1,232 | 1,056 |
|
Ingrid Tomanova-Soltys
145 Franklin Place |
$65.48 | 1,179 | 1,137 |
|
Marilyn Kattuputhusseril
145 Franklin Pl |
$92.68 | 997 | 975 |
|
Georges Jean-Pierre
1061 Fordham Ln |
$75.75 | 959 | 528 |
|
David J Hersh
949 Central Ave Ste 207 |
$49.51 | 639 | 570 |
|
Ellen Joy Braunstein
949 Central Ave |
$88.81 | 599 | 578 |
|
Mark Robert Leiter
107 Ocean Ave |
$33.12 | 471 | 470 |
|
Jamie Lanzillotta
145 Franklin Place |
$112.57 | 428 | 397 |
|
Ilana Siskind
656 Zola St |
$99.91 | 422 | 383 |
|
Upstate Urgent Care Pllc
1000 Railroad Ave Apt 1 |
$6.96 | 396 | 384 |
|
Selena Levine
1043 Fordham Ln |
$17.71 | 276 | 87 |
|
Julia Ben-Jacob
127 Wyckoff Pl |
$48.19 | 275 | 216 |
|
Michael Mann
1012 Westwood Rd |
$81.18 | 250 | 236 |
|
Sarah Segall
1122 Broadway |
$4.55 | 207 | 175 |
|
Endovascular Associates Of Florida Inc
12 Franklin Pl |
$1.78 | 108 | 94 |
|
United Medical Diagnostic Services P.C.
1021 Fordham Ln |
$71.16 | 81 | 57 |
|
Janine Nathan
115 Franklin Pl |
$133.20 | 50 | 50 |
|
Heart Health Of The South Shore Pc
949 Central Ave |
$58.14 | 14 | 13 |
|
Shoni Jaye Rozenberg
11 Irving Pl |
$17.44 | 12 | 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 Woodmere, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Woodmere, NY is $61.24 per claim, based on 176,692 claims from 36 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 Woodmere, NY?
There are 36 Medicaid providers offering Office Visit related services in Woodmere, NY according to public payment data.
What is the price range for Office Visit in Woodmere, NY?
Medicaid reimbursement for Office Visit in Woodmere, NY ranges from $1.78 to $133.20 per claim, with an average of $61.24. 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 Woodmere, NY
Behavioral & Mental Health Therapy
Avg $95.80
49,065 claims
Vaccines & Immunizations
Avg $15.20
40,628 claims
Psychiatric Evaluation
Avg $41.51
32,623 claims
Physical Therapy
Avg $42.32
20,010 claims
Blood Work & Lab Tests
Avg $2.53
19,778 claims
Speech Therapy
Avg $33.07
19,132 claims
Dental Cleaning & Exam
Avg $33.33
19,050 claims
Case Management Services
Avg $33.23
14,620 claims