Average Medicaid Office Visit Payments in Bloomfield, NJ: $42.46
Avg. Paid
$42.46
Range
$0.00 – $223.07
Total Claims
249,044
Providers
76
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 Bloomfield, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pranay J Bhatt
350 Bloomfield Ave Ste 1 |
$36.14 | 31,051 | 26,190 |
|
Hilal Abboushi
194 Broad St |
$32.76 | 21,873 | 20,013 |
|
Ruchi Mehta
106 Broad Street |
$45.59 | 18,391 | 16,851 |
|
Citywide Urgent Care Nj Llc
322 Glenwood Ave |
$63.40 | 14,467 | 12,673 |
|
Monica A Rendon
329 Belleville Ave |
$39.38 | 13,819 | 13,326 |
|
John Kelly
382 W Passaic Ave |
$36.58 | 11,485 | 9,973 |
|
Maria Turizo
1255 Broad St |
$40.20 | 9,592 | 8,660 |
|
Sean A Flynn
299 Glenwood Ave |
$44.26 | 8,447 | 7,689 |
|
Decca Mohammed
135 Bloomfield Ave Suite C |
$54.31 | 7,766 | 6,598 |
|
Catalino Lozano Delacruz
135 Bloomfield Ave |
$33.98 | 7,684 | 6,943 |
|
Charles Lee
350 Bloomfield Ave Ste 5 |
$73.02 | 7,453 | 6,228 |
|
David F Franzoni
256 Broad St |
$46.50 | 6,101 | 5,556 |
|
Kuang-Yiao Yiao Hsieh
256 Broad St |
$30.66 | 6,021 | 5,675 |
|
Ayman M Ibrahim
194 Broad St |
$41.73 | 5,997 | 5,693 |
|
David S Wu
256 Broad St |
$45.56 | 5,773 | 5,265 |
|
Iris Violet Peppers
322 Glenwood Ave |
$71.53 | 5,255 | 4,944 |
|
Salvatore A Lombardo
256 Broad Street |
$35.81 | 4,672 | 4,305 |
|
Joseph Gardiner
135 Bloomfield Ave |
$17.59 | 4,249 | 3,912 |
|
Parul S. Amin
557 Broad St |
$16.48 | 3,329 | 3,091 |
|
Muntasir Khaled
417 Memorial Pkwy |
$50.78 | 3,072 | 2,408 |
|
Garry Shtofmakher
350 Bloomfield Ave Ste 5 |
$30.13 | 3,030 | 2,781 |
|
Robert P Caruso
256 Broad St |
$46.97 | 3,011 | 2,759 |
|
Joanne Webb-Williams
12 Prospect St |
$42.71 | 2,926 | 2,538 |
|
Vishal Khatri
1455 Broad St Ste 250 |
$83.68 | 2,672 | 2,477 |
|
Naresh G Rana
733 Bloomfield Ave |
$42.77 | 2,589 | 2,351 |
|
Shalin Patel
1455 Broad St Ste 250 |
$57.75 | 2,525 | 2,251 |
|
Shrenik G Shah
55 W Passaic Ave |
$27.57 | 2,455 | 2,280 |
|
Kumar Bharatbhai Patel
55 W Passaic Ave |
$24.24 | 2,385 | 2,027 |
|
Charles F Rilli
256 Broad St |
$31.39 | 2,217 | 1,985 |
|
Garen Michael Ream
1455 Broad St Ste 250 |
$62.24 | 2,159 | 1,967 |
|
Maria M Yerovi
399 Hoover Ave |
$36.54 | 1,849 | 1,641 |
|
Calvin C Matthews
323 Belleville Ave |
$25.92 | 1,822 | 1,554 |
|
Edna Retiracion Lopez-Maslak
206 Belleville Ave Ste 202 |
$47.82 | 1,618 | 1,456 |
|
Heather K Livezey
1515 Broad St |
$20.41 | 1,600 | 1,434 |
|
June Mayer
255 Broad St |
$29.20 | 1,550 | 1,283 |
|
Elan Diamond
1515 Broad St Ste B120 |
$28.10 | 1,509 | 1,332 |
|
Gloria O Odoemena
135 Bloomfield Ave |
$29.45 | 1,422 | 1,241 |
|
Mounzer Yacoub
399 Hoover Ave |
$25.23 | 1,352 | 651 |
|
Judith I Barley
117 Orchard St |
$55.43 | 1,266 | 955 |
|
Hemlata Bhatia
332 Bloomfield Ave |
$55.46 | 1,118 | 1,050 |
|
Leandro Lencina
85 E Passaic Ave |
$56.10 | 1,041 | 995 |
|
Lauren Angioletti
1255 Broad St |
$95.52 | 1,004 | 973 |
|
Christine Hyuna Chung
590 Bloomfield Ave |
$1.14 | 888 | 888 |
|
Francesca A Lubrano
1255 Broad St |
$38.61 | 791 | 743 |
|
Lori Ann Colyer-Aversa
399 Hoover Ave |
$54.49 | 746 | 642 |
|
Matthew J Deluca
265 Broad St |
$17.15 | 732 | 697 |
|
Nirmala Ratnam Baskar
194 Broad St |
$23.35 | 655 | 581 |
|
Ferdinand Iannaccone
1455 Broad St Ste 250 |
$129.11 | 641 | 633 |
|
Sandra Marcela Boyle
382 W Passaic Ave |
$14.37 | 597 | 574 |
|
Ibrahima T Diallo
135 Bloomfield Ave Ste F |
$9.14 | 564 | 253 |
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 Bloomfield, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bloomfield, NJ is $42.46 per claim, based on 249,044 claims from 76 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 Bloomfield, NJ?
There are 76 Medicaid providers offering Office Visit related services in Bloomfield, NJ according to public payment data.
What is the price range for Office Visit in Bloomfield, NJ?
Medicaid reimbursement for Office Visit in Bloomfield, NJ ranges from $0.00 to $223.07 per claim, with an average of $42.46. 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 Bloomfield, NJ
Home Health Visit
Avg $71.99
757,872 claims
Eye Exam
Avg $34.97
123,399 claims
Case Management Services
Avg $885.98
91,629 claims
Dental Cleaning & Exam
Avg $18.45
62,578 claims
Physical Therapy
Avg $9.29
48,276 claims
Vaccines & Immunizations
Avg $14.98
47,829 claims
EKG / ECG (Electrocardiogram)
Avg $6.53
31,528 claims
Nursing Facility Care
Avg $10.44
30,073 claims