Average Medicaid Office Visit Payments in Berlin, NJ: $64.87
Avg. Paid
$64.87
Range
$1.48 – $119.27
Total Claims
69,611
Providers
25
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 Berlin, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David R Hassman
175 Cross Keys Rd # 300 A |
$67.35 | 16,149 | 14,223 |
|
Michael A Hassman
175 Cross Keys Rd |
$69.16 | 15,412 | 13,878 |
|
Julius Mingroni
175 Cross Keys Rd Ste 300A |
$60.27 | 13,471 | 12,761 |
|
Richard C Costa
339 N Route 73 |
$73.38 | 8,347 | 7,544 |
|
Oaks Integrated Care, Inc
128 Cross Keys Rd |
$54.73 | 3,605 | 3,310 |
|
Pratima D Parikh
15 E Taunton Ave |
$49.63 | 2,837 | 2,707 |
|
Ocean Healthcare Pcp-Camden Llc
147 Jackson Rd |
$55.86 | 2,526 | 2,298 |
|
Legacy Treatment Serivces, Inc.
100 Townsend Ave |
$100.61 | 1,821 | 1,740 |
|
Molly Anne Powell
175 Cross Keys Rd Ste 300A |
$29.23 | 1,271 | 1,093 |
|
Stacy A Smith-Elfant
175 Cross Keys Rd Ste 300A |
$81.17 | 1,266 | 1,199 |
|
David T Gigliotti
181 W White Horse Pike Ste 100 |
$60.99 | 853 | 800 |
|
Russell Little
175 Cross Keys Rd |
$2.63 | 475 | 462 |
|
Richard M Mauriello
175 Cross Keys Rd # 300A |
$66.91 | 374 | 344 |
|
Chinyere Evangeline Ubah
100 Townsend Ave |
$11.40 | 279 | 266 |
|
Joseph M Hassman
175 Cross Keys Rd # 300 A |
$48.96 | 174 | 158 |
|
Karen Gudrun Barton
181 W White Horse Pike Ste 100 |
$30.79 | 152 | 148 |
|
Heather Elizabeth Fean
181 W White Horse Pike |
$52.16 | 149 | 125 |
|
Marlee Frankel
175 Cross Keys Rd |
$64.84 | 128 | 122 |
|
Chelsey A Mahon
175 Cross Keys Rd |
$119.27 | 124 | 123 |
|
Douglas J. Mayer
100 Townsend Ave |
$97.47 | 57 | 55 |
|
Julian Mark Maressa
181 W White Horse Pike |
$61.13 | 54 | 53 |
|
Chase A Williams
6 Chillemi Ct |
$21.74 | 28 | 28 |
|
Gina M. Ortiz
175 Cross Keys Rd Ste 300A |
$1.48 | 27 | 25 |
|
Jennifer Lynn Burrows
339 N Route 73 Ste 1 |
$17.63 | 19 | 19 |
|
Michael Robert Reutter
175 Cross Keys Rd Ste 300A |
$7.23 | 13 | 13 |
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 Berlin, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Berlin, NJ is $64.87 per claim, based on 69,611 claims from 25 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 Berlin, NJ?
There are 25 Medicaid providers offering Office Visit related services in Berlin, NJ according to public payment data.
What is the price range for Office Visit in Berlin, NJ?
Medicaid reimbursement for Office Visit in Berlin, NJ ranges from $1.48 to $119.27 per claim, with an average of $64.87. 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 Berlin, NJ
Non-Emergency Medical Transportation
Avg $19.22
193,720 claims
Behavioral & Mental Health Therapy
Avg $87.35
136,154 claims
Ambulance Transport
Avg $7.13
96,300 claims
Blood Work & Lab Tests
Avg $1.56
18,658 claims
Psychiatric Evaluation
Avg $103.94
13,908 claims
Emergency Room Visit
Avg $52.47
13,824 claims
Dental Cleaning & Exam
Avg $18.82
5,765 claims
EKG / ECG (Electrocardiogram)
Avg $4.46
5,640 claims