Average Medicaid Office Visit Payments in Avenel, NJ: $44.34
Avg. Paid
$44.34
Range
$1.00 – $98.51
Total Claims
136,554
Providers
19
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 Avenel, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Muhammad Siddique
415 Avenel St |
$43.30 | 32,652 | 29,320 |
|
Alexander M Swan
1030 Saint Georges Ave Ste Ll-1 |
$38.44 | 31,130 | 17,829 |
|
Gaurang Ramanbhai Patel
1500 Saint Georges Ave |
$49.92 | 22,248 | 19,966 |
|
Saira Ahmad
415 Avenel St |
$44.27 | 17,409 | 15,596 |
|
Andras Peter
1030 Saint Georges Ave |
$26.98 | 7,467 | 5,662 |
|
Ramarao Gajula
1500 Saint Georges Ave Ste G |
$58.90 | 7,423 | 6,747 |
|
Samina Altaf Syed-Naqvi
415 Avenel St # B |
$44.38 | 6,917 | 5,863 |
|
Jozsef Samuel Duhl
1030 St Georges Avenue |
$48.16 | 5,231 | 4,905 |
|
Melvina Patel
1348 Saint Georges Ave |
$98.51 | 1,286 | 1,227 |
|
Michael T Lu
1050 Us Highway 1 |
$78.33 | 857 | 844 |
|
Roma Chokshi
1500 Saint Georges Ave Ste G |
$44.19 | 851 | 808 |
|
Cristobal Andres Beiro
1050 Us Highway 1 |
$58.64 | 760 | 741 |
|
Gregory Joseph Shypula
1030 St Georges Ave |
$30.14 | 653 | 487 |
|
Stuart Michael Homer
1030 Saint Georges Ave |
$27.69 | 647 | 563 |
|
Total Family Solutions, Llc
1500 Saint Georges Ave Ste 2 |
$80.09 | 409 | 377 |
|
Jaini Patel
1500 Saint Georges Ave Ste G |
$51.08 | 274 | 251 |
|
Tony K George
1050 Us Highway 1 |
$1.00 | 209 | 180 |
|
Bernard James Kulper
1030 Saint Georges Ave |
$14.68 | 84 | 78 |
|
Firmin Langyin
200 Station Dr Apt 207 |
$71.07 | 47 | 40 |
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 Avenel, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Avenel, NJ is $44.34 per claim, based on 136,554 claims from 19 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 Avenel, NJ?
There are 19 Medicaid providers offering Office Visit related services in Avenel, NJ according to public payment data.
What is the price range for Office Visit in Avenel, NJ?
Medicaid reimbursement for Office Visit in Avenel, NJ ranges from $1.00 to $98.51 per claim, with an average of $44.34. 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 Avenel, NJ
Dental Cleaning & Exam
Avg $24.26
85,606 claims
X-Ray
Avg $5.19
48,908 claims
Vaccines & Immunizations
Avg $18.29
44,568 claims
Psychiatric Evaluation
Avg $91.34
26,388 claims
Non-Emergency Medical Transportation
Avg $17.85
17,699 claims
Behavioral & Mental Health Therapy
Avg $184.68
17,104 claims
CT Scan (Computed Tomography)
Avg $27.71
14,234 claims
Dental Filling
Avg $37.96
8,703 claims