Average Medicaid Pregnancy & Prenatal Care Payments in Lake Success, NY: $2,629
Avg. Paid
$2,629
Range
$378.62 – $2,746
Total Claims
304
Providers
2
Typical Payment Range
Typical Medicaid Pregnancy & Prenatal Care payments fall between $70.83 and $584.62 per claim (median: $133.32). The top 10% of payments exceed $983.55.
Based on per-provider averages across all Medicaid claims in this category.
Prenatal care services monitor the health of the mother and developing baby throughout pregnancy, including routine exams, ultrasounds, and lab work.
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 Pregnancy & Prenatal Care in Lake Success, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jonathan Herman
2500 Marcus Ave |
$2,746 | 289 | 289 |
|
Robert Wulwick
2500 Marcus Ave |
$378.62 | 15 | 15 |
What to Expect: Pregnancy & Prenatal Care
Prenatal visits occur monthly in the first two trimesters, then more frequently. Early visits include a full health history, blood work, and dating ultrasound. Subsequent visits check blood pressure, weight, urine, and fetal heartbeat. Anatomy ultrasound is done around 20 weeks. Glucose screening occurs at 24-28 weeks. Visits become weekly in the final month.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 59425 | Antepartum care 4-6 visits | $61.80 | 3,944,438 | 4,039 |
| 59426 | Antepartum care 7+ visits | $128.57 | 1,377,597 | 2,059 |
| 59430 | Postpartum care only | $83.88 | 974,460 | 3,800 |
| 59409 | Vaginal delivery only | $603.80 | 683,557 | 3,289 |
| 59514 | Cesarean delivery only | $402.77 | 268,540 | 1,509 |
| 59400 | Routine obstetric care vaginal | $1,660 | 177,823 | 996 |
| 59410 | Vaginal delivery w/postpartum | $808.16 | 68,014 | 583 |
| 59515 | Cesarean delivery w/postpartum | $663.35 | 28,695 | 217 |
| 59510 | Routine obstetric care cesarean | $1,678 | 25,421 | 152 |
| 59612 | VBAC delivery only | $878.81 | 56 | 3 |
| 59620 | Repeat cesarean delivery only | $314.45 | 26 | 1 |
| 59610 | Routine OB care VBAC | — | — | — |
| 59614 | VBAC delivery w/postpartum | — | — | — |
| 59618 | Routine OB care repeat cesarean | — | — | — |
| 59622 | Repeat cesarean w/postpartum | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Pregnancy & Prenatal Care cost in Lake Success, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Lake Success, NY is $2,629 per claim, based on 304 claims from 2 providers. Typical payments fall between $70.83 and $584.62. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Pregnancy & Prenatal Care in Lake Success, NY?
There are 2 Medicaid providers offering Pregnancy & Prenatal Care related services in Lake Success, NY according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Lake Success, NY?
Medicaid reimbursement for Pregnancy & Prenatal Care in Lake Success, NY ranges from $378.62 to $2,746 per claim, with an average of $2,629. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pregnancy & Prenatal Care in Other Cities
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Avg $91.13
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Bakersfield, CA
Avg $112.46
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Fresno, CA
Avg $14.81
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New York, NY
Avg $147.67
132,979 claims · 61 providers
Sacramento, CA
Avg $28.38
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Riverside, CA
Avg $77.93
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Fort Wayne, IN
Avg $74.47
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San Bernardino, CA
Avg $92.56
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Other Procedures in Lake Success, NY
Hearing Test (Audiometry)
Avg $37.37
41,991 claims
Office Visit
Avg $104.59
41,411 claims
Physical Therapy
Avg $36.11
41,281 claims
Behavioral & Mental Health Therapy
Avg $101.68
13,020 claims
Speech Therapy
Avg $75.15
11,884 claims
Blood Work & Lab Tests
Avg $4.30
9,749 claims
X-Ray
Avg $11.17
9,454 claims
EKG / ECG (Electrocardiogram)
Avg $20.83
8,292 claims