Average Medicaid Office Visit Payments in Basking Ridge, NJ: $51.46
Avg. Paid
$51.46
Range
$1.83 – $239.35
Total Claims
35,369
Providers
21
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 Basking Ridge, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Peter B Blank
150 N Finley Ave |
$40.39 | 14 | 13 |
|
Nisha Varadarajan
136 Mountainview Blvd |
$239.35 | 26 | 25 |
|
Anna Maria Nieves
131 Morristown Road |
$22.28 | 29 | 25 |
|
Mary Catherine Lare
18 Lyons Rd |
$25.11 | 41 | 37 |
|
Abelardo Javier Lobo
131 Morristown Rd |
$1.83 | 73 | 50 |
|
Victoria Tewfik Elias Rizk
136 Mountainview Blvd |
$58.57 | 83 | 69 |
|
Omid Rashidbaigi
18 Lyons Rd |
$42.99 | 283 | 227 |
|
Kayla Epple
22 Liberty Ridge Rd |
$68.15 | 498 | 463 |
|
William J Chu
233 Mount Airy Rd Ste 100 |
$58.71 | 525 | 427 |
|
Tomeka Rochelle Mapp
233 Mount Airy Rd Ste 100 |
$51.56 | 553 | 485 |
|
Memorial Hospital For Cancer & Allied Diseases
136 Mountain View Blvd |
$12.07 | 691 | 424 |
|
Caitlin Mcguire Kotz
1163 Washington Valley Rd |
$17.98 | 909 | 839 |
|
Jacqueline Blank
150 N Finley Ave |
$39.42 | 962 | 936 |
|
Huma Ansari
233 Mount Airy Rd Ste 100 |
$54.01 | 1,131 | 848 |
|
Rolinda Cervantes Nwokonko
47 Watchung Dr |
$18.41 | 1,164 | 982 |
|
Paul Woroch
8000 Fellowship Rd |
$74.14 | 2,520 | 2,360 |
|
Marc C Meulener
12 Ridge St |
$44.71 | 3,062 | 2,873 |
|
Faruk A Ali
131 Morristown Rd |
$60.43 | 3,137 | 2,742 |
|
Gregory Frederick Dimesa
18 Lyons Rd. |
$48.79 | 3,181 | 2,931 |
|
Meera Pradeep
465 Penns Way |
$52.94 | 4,258 | 4,015 |
|
Lenny Ramirez
413 King George Rd Ste 205 |
$54.15 | 12,229 | 10,504 |
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 Basking Ridge, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Basking Ridge, NJ is $51.46 per claim, based on 35,369 claims from 21 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 Basking Ridge, NJ?
There are 21 Medicaid providers offering Office Visit related services in Basking Ridge, NJ according to public payment data.
What is the price range for Office Visit in Basking Ridge, NJ?
Medicaid reimbursement for Office Visit in Basking Ridge, NJ ranges from $1.83 to $239.35 per claim, with an average of $51.46. 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 Basking Ridge, NJ
Nursing Facility Care
Avg $10.24
25,200 claims
Dental Cleaning & Exam
Avg $19.47
19,326 claims
X-Ray
Avg $17.74
8,917 claims
Psychiatric Evaluation
Avg $131.59
7,206 claims
Home Health Visit
Avg $66.99
6,710 claims
Blood Work & Lab Tests
Avg $16.46
4,565 claims
Behavioral & Mental Health Therapy
Avg $252.89
3,844 claims
Dental Filling
Avg $52.07
3,197 claims