Average Medicaid Office Visit Payments in Berkeley Heights, NJ: $55.48
Avg. Paid
$55.48
Range
$0.00 – $167.89
Total Claims
25,632
Providers
52
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 Berkeley Heights, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stavan Patel
1 Diamond Hill Rd |
$0.00 | 12 | 12 |
|
Casey Leigh Miller
1 Diamond Hill Rd |
$87.74 | 12 | 12 |
|
Estelle Williams
1 Diamond Hill Rd |
$0.00 | 12 | 12 |
|
Anita Khanna Mehta
1 Diamond Hill Rd |
$155.57 | 13 | 13 |
|
Michael Lipsky
1 Diamond Hill Rd |
$69.84 | 14 | 14 |
|
Gregory Chang
1 Diamond Hill Rd |
$28.19 | 15 | 15 |
|
Nkechi E Mbadugha
1 Diamond Hill Rd |
$111.91 | 21 | 21 |
|
Anthony U Lockhart
1 Diamond Hill Rd |
$20.41 | 24 | 24 |
|
Barrington Andre Williams
1 Diamond Hill Rd |
$65.68 | 25 | 25 |
|
Yosleisy Valdes Hernandez
1 Diamond Hill Rd |
$20.27 | 30 | 30 |
|
Diana Chan
1 Diamond Hill Rd |
$47.84 | 42 | 41 |
|
Palak S Patel
1 Diamond Hill Rd |
$37.07 | 45 | 41 |
|
Ki Won Kim
1 Diamond Hill Rd |
$71.00 | 63 | 63 |
|
Summit Medical Group Pa
1 Diamond Hill Rd |
$74.60 | 66 | 63 |
|
Kaashif Eazazuddin
1 Diamond Hill Rd |
$69.26 | 79 | 74 |
|
Miguel Giron
1 Diamond Hill Rd |
$23.73 | 79 | 70 |
|
Anas N. Najib
1 Diamond Hill Rd |
$11.12 | 86 | 83 |
|
Costas A Kaiafas
1 Diamond Hill Rd |
$52.53 | 89 | 84 |
|
Rajesh Geria
1 Diamond Hill Rd |
$18.38 | 89 | 87 |
|
Ambka Sabiki
1 Diamond Hill Rd |
$70.99 | 95 | 94 |
|
Edward Herbert Scheid
1 Diamond Hill Rd |
$57.81 | 122 | 114 |
|
Matthew Hoeppner
1 Diamond Hill Rd |
$31.72 | 162 | 149 |
|
Sharath Bellary
1 Diamond Hill Rd |
$9.60 | 169 | 97 |
|
Louis Arthur Noce
1 Diamond Hill Rd |
$46.82 | 193 | 181 |
|
Julia Yoon
1 Diamond Hill Rd |
$6.60 | 194 | 185 |
|
Donna Davis Templeton
40 Watchung Way |
$32.67 | 214 | 196 |
|
Jenifer C Harding
1 Diamond Hill Rd |
$40.06 | 239 | 227 |
|
John S. Koliopoulos
1 Diamond Hill Rd |
$118.92 | 258 | 257 |
|
Jheanell Charles
1 Diamond Hill Rd |
$35.41 | 269 | 258 |
|
Gloria Lan
1 Diamond Hill Rd |
$76.26 | 277 | 276 |
|
Jessica Ma
1 Diamond Hill Rd |
$100.71 | 297 | 296 |
|
Summit Medical Group Pa
1 Diamond Hill Rd |
$14.81 | 302 | 247 |
|
Caroline A Fruge
369 Springfield Ave |
$20.40 | 310 | 230 |
|
Michael A Volpe
1 Diamond Hill Rd |
$148.42 | 321 | 321 |
|
Philip Walden
1 Diamond Hill Rd |
$28.81 | 323 | 186 |
|
Benjamin Nguyen Dang
1 Diamond Hill Rd |
$113.65 | 348 | 293 |
|
Omolayo Darlene
1 Diamond Hill Rd |
$167.89 | 353 | 352 |
|
Dmitry Volfson
1 Diamond Hill Rd Fl 1 |
$119.15 | 368 | 368 |
|
Kristin Mary Schwab
1 Diamond Hill Rd |
$118.28 | 405 | 402 |
|
Marc M Levine
1 Diamond Hill Rd |
$35.91 | 425 | 414 |
|
Jenny Woo
1 Diamond Hill Rd |
$80.48 | 462 | 459 |
|
John Joseph De Trolio
1 Diamond Hill Rd |
$114.59 | 562 | 559 |
|
Faraz Syed
1 Diamond Hill Rd |
$12.57 | 697 | 537 |
|
Stacey Tavel
1 Diamond Hill Rd |
$34.44 | 755 | 692 |
|
Hifza R Din
1 Diamond Hill Rd |
$113.30 | 769 | 764 |
|
Krishna Patel
1 Diamond Hill Rd |
$78.15 | 925 | 864 |
|
Adam Avitabile
1 Diamond Hill Rd |
$102.08 | 1,091 | 1,089 |
|
Pamela Suzanne Donetz
1 Diamond Hill Rd |
$78.76 | 1,312 | 1,265 |
|
Elisabete M.F. Da Silva
1 Diamond Hill Rd |
$1.39 | 1,553 | 834 |
|
Janaki Pinakin Patel
1 Diamond Hill Rd |
$66.74 | 1,573 | 1,491 |
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 Berkeley Heights, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Berkeley Heights, NJ is $55.48 per claim, based on 25,632 claims from 52 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 Berkeley Heights, NJ?
There are 52 Medicaid providers offering Office Visit related services in Berkeley Heights, NJ according to public payment data.
What is the price range for Office Visit in Berkeley Heights, NJ?
Medicaid reimbursement for Office Visit in Berkeley Heights, NJ ranges from $0.00 to $167.89 per claim, with an average of $55.48. 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 Berkeley Heights, NJ
Emergency Room Visit
Avg $70.90
44,111 claims
Culture & Microbiology Tests
Avg $3.06
22,058 claims
Blood Work & Lab Tests
Avg $1.26
20,398 claims
Urinalysis & Urine Tests
Avg $2.97
19,189 claims
Physical Therapy
Avg $0.47
17,048 claims
Pathology & Lab Services
Avg $93.47
16,964 claims
X-Ray
Avg $4.16
14,366 claims
EKG / ECG (Electrocardiogram)
Avg $3.00
9,868 claims