Average Medicaid Office Visit Payments in Asbury Park, NJ: $37.20
Avg. Paid
$37.20
Range
$0.03 – $70.92
Total Claims
40,076
Providers
20
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 Asbury Park, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sudhakar J Kharod
507 4Th Ave |
$17.66 | 6,207 | 5,858 |
|
Kathleen M Stefek
1301 Main St |
$14.17 | 4,360 | 4,223 |
|
Melissa Wallach
516 Bangs Ave |
$68.91 | 4,119 | 3,939 |
|
Amy E Peardon
516 Bangs Ave |
$66.58 | 3,486 | 3,220 |
|
Erin Elizabeth Curcio
514 Bangs Ave |
$70.58 | 3,097 | 2,867 |
|
Patricia R Garduno
1301 Main St |
$24.81 | 2,860 | 2,571 |
|
Garland E Herron
607 8Th Ave |
$63.15 | 2,515 | 2,282 |
|
Nilay Manojkumar Baxi
507 4Th Ave |
$11.28 | 2,244 | 2,134 |
|
Kristen Nicole Lore
607 8Th Ave |
$64.75 | 2,150 | 1,960 |
|
Patricia A Dempsey
1301 Main St |
$13.06 | 2,116 | 1,934 |
|
Anju Mattoo
1301 Main St |
$46.48 | 1,694 | 1,508 |
|
Laura Kelly
572 Cookman Ave |
$31.17 | 1,570 | 1,256 |
|
Visiting Nurse Association Of Central Jersey Community Health Center I
1301 Main St |
$0.03 | 1,438 | 1,349 |
|
Jamie Elizabeth Higgins
1301 Main St |
$14.18 | 1,062 | 984 |
|
Eileen Janora
1301 Main St |
$22.51 | 463 | 459 |
|
Helen Ferlazzo
1301 Main St |
$18.39 | 314 | 282 |
|
Lorraine Tosiello
1301 Main St |
$8.63 | 260 | 237 |
|
Sandra A Moharsky-Cahn
1301 Main St |
$7.81 | 57 | 56 |
|
Mercedes Echevarria
700 Cookman Ave |
$4.66 | 50 | 50 |
|
Sudhakar J. Kharod, M.D., P.A.
507 4Th Ave |
$70.92 | 14 | 14 |
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 Asbury Park, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Asbury Park, NJ is $37.20 per claim, based on 40,076 claims from 20 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 Asbury Park, NJ?
There are 20 Medicaid providers offering Office Visit related services in Asbury Park, NJ according to public payment data.
What is the price range for Office Visit in Asbury Park, NJ?
Medicaid reimbursement for Office Visit in Asbury Park, NJ ranges from $0.03 to $70.92 per claim, with an average of $37.20. 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 Asbury Park, NJ
Home Health Visit
Avg $137.06
87,754 claims
Vaccines & Immunizations
Avg $12.96
27,406 claims
Ambulance Transport
Avg $28.47
26,880 claims
Psychiatric Evaluation
Avg $53.39
17,076 claims
Dental Cleaning & Exam
Avg $18.01
2,856 claims
Behavioral & Mental Health Therapy
Avg $171.42
2,839 claims
Blood Work & Lab Tests
Avg $2.37
1,863 claims
Emergency Room Visit
Avg $66.47
1,650 claims