Average Medicaid Office Visit Payments in Bergenfield, NJ: $79.80
Avg. Paid
$79.80
Range
$1.79 – $95.07
Total Claims
140,531
Providers
28
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 Bergenfield, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Am Pm Walk In Urgent Care Clinic
19 S Washington Ave |
$95.07 | 102,304 | 92,910 |
|
Omana Reji Mathew
167 S Washington Ave |
$31.06 | 8,998 | 7,774 |
|
Wesley Thek
19 S Washington Ave |
$25.46 | 8,915 | 7,949 |
|
Dimitri Laddis
481 S Washington Ave |
$68.54 | 4,273 | 3,933 |
|
Ming-Kong Liu
155 N Washington Ave |
$19.42 | 2,646 | 2,000 |
|
Zsamae C Lopez
375 S Washington Ave |
$32.72 | 2,230 | 1,964 |
|
Beryl Elizabeth Pereira
161A N Washington Ave |
$33.12 | 2,019 | 1,825 |
|
Jennifer Valdez
1 N Washington Ave |
$31.15 | 1,529 | 1,402 |
|
Nextgenuc Llc
481 S Washington Ave |
$61.38 | 1,368 | 1,266 |
|
Luis Negron
136 N Washington Ave Ste 201 |
$45.43 | 1,174 | 1,020 |
|
Ernestina M. Amoah
30 Carlisle St |
$84.17 | 907 | 360 |
|
Albert Siu
10 Palisade Ave |
$41.06 | 867 | 732 |
|
Gregory Law
375 S Washington Ave |
$22.44 | 589 | 562 |
|
Juliette Quintero Solivan
95 N Washington Ave |
$80.95 | 555 | 521 |
|
Christine Elizabeth Costa
95 N Washington Ave |
$83.24 | 381 | 357 |
|
Dina Westrich
95 N Washington Ave |
$83.43 | 336 | 321 |
|
Nina Epstein
95 N Washington Ave |
$80.99 | 305 | 291 |
|
Shira Kaye
95 N Washington Ave |
$81.18 | 191 | 180 |
|
Marc Strulowitz
166 Baker Ave |
$9.75 | 177 | 146 |
|
Bergenfield Women'S Health Llc
35 S Washington Ave |
$73.53 | 154 | 141 |
|
Umar Salimi
481 S Washington Ave |
$46.12 | 138 | 130 |
|
Fanny Wong
253 S Washington Ave Ste 1A |
$1.79 | 122 | 86 |
|
Noah Joseph Elkins
95 N Washington Ave |
$76.18 | 120 | 112 |
|
Ronny Meier
35 S Washington Ave |
$46.06 | 86 | 78 |
|
Shana M Kaye
95 N Washington Ave |
$78.51 | 74 | 68 |
|
Ravneet Kaur
375 S Washington Ave |
$41.93 | 31 | 30 |
|
Steven J. Seidel
42 Campeau Pl |
$30.51 | 26 | 26 |
|
Advocare Llc
95 N Washington Ave |
$79.45 | 16 | 16 |
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 Bergenfield, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bergenfield, NJ is $79.80 per claim, based on 140,531 claims from 28 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 Bergenfield, NJ?
There are 28 Medicaid providers offering Office Visit related services in Bergenfield, NJ according to public payment data.
What is the price range for Office Visit in Bergenfield, NJ?
Medicaid reimbursement for Office Visit in Bergenfield, NJ ranges from $1.79 to $95.07 per claim, with an average of $79.80. 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 Bergenfield, NJ
Eye Exam
Avg $18.30
42,317 claims
Non-Emergency Medical Transportation
Avg $33.31
33,123 claims
Ambulance Transport
Avg $27.50
16,920 claims
Physical Therapy
Avg $49.65
16,807 claims
Vaccines & Immunizations
Avg $16.97
7,171 claims
Dental Cleaning & Exam
Avg $35.18
4,516 claims
Blood Work & Lab Tests
Avg $1.19
2,037 claims
Psychiatric Evaluation
Avg $10.02
1,639 claims