Average Medicaid Office Visit Payments in Cedar Grove, NJ: $28.88
Avg. Paid
$28.88
Range
$1.41 – $76.09
Total Claims
15,642
Providers
16
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 Cedar Grove, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maria T. Montes-Tayag
204 Grove Ave |
$41.14 | 3,459 | 3,295 |
|
Michelle C Troope
387 Pompton Ave |
$28.25 | 3,234 | 2,531 |
|
Kalender Dorshell Evins
25 E Lindsley Rd |
$1.41 | 1,750 | 1,654 |
|
Shakeerah Monique Lockhart
387 Pompton Ave |
$10.98 | 1,356 | 1,257 |
|
Santo Vincent Grasso
1027 Pompton Ave |
$17.66 | 1,354 | 1,012 |
|
Patricia Konstantaros
110 Grove Ave |
$13.58 | 1,114 | 1,064 |
|
Tiara Perkins
387 Pompton Ave |
$60.80 | 981 | 941 |
|
Yahya Mete Dikengil
388 Pompton Ave |
$59.57 | 783 | 748 |
|
Mitalben P. Thaliath
387 Pompton Ave |
$12.23 | 735 | 691 |
|
Daniella Montemurro
1027 Pompton Ave # 2 |
$55.39 | 583 | 344 |
|
Robert Montemurro
1027 Pompton Ave # 2 |
$76.09 | 134 | 125 |
|
Zina B. Cappiello
886 Pompton Avenue |
$14.17 | 56 | 46 |
|
Julie Ann Jaarsma
387 Pompton Ave |
$31.43 | 47 | 47 |
|
Jolynne Sannicandro
#617 |
$21.57 | 27 | 25 |
|
Cristina Andrea Mathew
387 Pompton Ave |
$15.68 | 16 | 16 |
|
Masood A. Rizvi
900 Pompton Ave |
$65.91 | 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 Cedar Grove, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cedar Grove, NJ is $28.88 per claim, based on 15,642 claims from 16 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 Cedar Grove, NJ?
There are 16 Medicaid providers offering Office Visit related services in Cedar Grove, NJ according to public payment data.
What is the price range for Office Visit in Cedar Grove, NJ?
Medicaid reimbursement for Office Visit in Cedar Grove, NJ ranges from $1.41 to $76.09 per claim, with an average of $28.88. 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 Cedar Grove, NJ
Psychiatric Evaluation
Avg $37.08
11,760 claims
Physical Therapy
Avg $0.86
8,475 claims
Nursing Facility Care
Avg $5.31
5,217 claims
Sleep Study (Polysomnography)
Avg $314.20
1,089 claims
Urinalysis & Urine Tests
Avg $0.34
843 claims
Vaccines & Immunizations
Avg $5.09
274 claims
Emergency Room Visit
Avg $57.50
84 claims
Prescription Medications
Avg $0.10
45 claims