Average Medicaid Office Visit Payments in Clark, NJ: $67.67
Avg. Paid
$67.67
Range
$3.93 – $126.92
Total Claims
86,793
Providers
43
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 Clark, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rubaba Hussain
100 Commerce Pl |
$90.92 | 19,092 | 17,054 |
|
Tracey Coleman
152 Central Ave |
$73.02 | 11,303 | 10,719 |
|
Sheila Sahni
53-59 Westfield Ave |
$59.98 | 8,698 | 6,772 |
|
Surabhi Sachan-Prasad
181 Westfield Ave |
$50.49 | 7,813 | 7,654 |
|
Rakesh Sahni
53 Westfield Ave # 59 |
$51.84 | 6,571 | 5,269 |
|
Richard Howard Blum
1457 Raritan Rd |
$87.58 | 5,546 | 5,422 |
|
Jody Skariah
100 Commerce Pl |
$68.11 | 3,420 | 3,071 |
|
Derrick Heydinger
140 Central Ave Ste 700 |
$60.56 | 3,155 | 2,834 |
|
Yerelyn Gutierrez
241 Westfield Ave |
$72.38 | 2,357 | 2,249 |
|
Julee Choi
100 Commerce Pl |
$46.10 | 2,087 | 1,942 |
|
Adonis Cheng
100 Commerce Pl |
$59.67 | 2,046 | 1,809 |
|
Irene K Labib
1139 Raritan Rd Ste 202 |
$92.24 | 1,765 | 1,506 |
|
Dinah Essien
11 Lincoln Blvd |
$33.39 | 1,363 | 1,172 |
|
Brandt Mitchell Levin
100 Commerce Pl |
$55.99 | 1,294 | 954 |
|
Castro Bali
67 Walnut Ave |
$24.37 | 1,211 | 845 |
|
Thomas R. Nucatola
100 Commerce Pl |
$63.15 | 1,120 | 1,053 |
|
Allison Guttmann Lewis
140 Central Ave |
$60.48 | 1,056 | 934 |
|
Peter Franco Vitale
100 Commerce Pl |
$51.83 | 998 | 838 |
|
Irina Yelyanovna Zelikson
57 Brant Ave |
$39.68 | 901 | 802 |
|
Alexander Doctoroff
1075 Central Ave |
$55.54 | 778 | 750 |
|
Leslie Ann Echols
1213 Westfield Ave |
$42.90 | 579 | 523 |
|
Sudhanshu Prasad
181 Westfield Ave |
$28.40 | 549 | 442 |
|
Matthew Skoblar
999 Raritan Rd Fl 2 |
$61.30 | 478 | 469 |
|
Geronimo Banayat
29 Broadway |
$20.74 | 438 | 348 |
|
Lalji S Chudasama
1101 Raritan Rd |
$36.89 | 373 | 310 |
|
Michele De Lorenzo
31 Ross St |
$3.93 | 262 | 212 |
|
Michael Genereux
67 Walnut Ave |
$97.65 | 246 | 229 |
|
Rania Muhieddine
100 Commerce Pl |
$55.56 | 228 | 200 |
|
Sandra Mcgill
111 Gertrude St |
$63.87 | 188 | 176 |
|
Patricia Aponte
100 Commerce Pl |
$31.31 | 179 | 145 |
|
Nikita Varshneya
29 Broadway |
$28.49 | 113 | 107 |
|
Miriam Susan Anannab
1255 Raritan Rd |
$33.33 | 91 | 89 |
|
Mason Hui
100 Commerce Pl |
$52.11 | 87 | 77 |
|
Amish Thakor Patel
1101 Raritan Rd |
$40.90 | 82 | 78 |
|
Svetlana Jayson
152 Central Ave |
$73.70 | 78 | 77 |
|
Dora Luisa Flores-Ryan
14 King St |
$44.80 | 69 | 60 |
|
Xiao Ji Chen
1180 Raritan Rd |
$97.34 | 45 | 44 |
|
Valeria Kleshchelskaya
1180 Raritan Rd |
$14.88 | 29 | 27 |
|
Amy Michele Dietz
67 Walnut Ave |
$37.78 | 28 | 27 |
|
Brandon A Macy
1114 Raritan Rd |
$57.61 | 27 | 25 |
|
Paola Caeiro Raguseo
152 Central Ave |
$40.09 | 24 | 24 |
|
Asha M Vijayakumar
152 Central Ave |
$126.92 | 13 | 13 |
|
Grace De La Cruz
1255 Raritan Rd Ste F4B |
$21.12 | 13 | 12 |
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 Clark, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clark, NJ is $67.67 per claim, based on 86,793 claims from 43 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 Clark, NJ?
There are 43 Medicaid providers offering Office Visit related services in Clark, NJ according to public payment data.
What is the price range for Office Visit in Clark, NJ?
Medicaid reimbursement for Office Visit in Clark, NJ ranges from $3.93 to $126.92 per claim, with an average of $67.67. 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 Clark, NJ
Dental Cleaning & Exam
Avg $27.26
42,822 claims
Physical Therapy
Avg $12.88
27,806 claims
Ultrasound
Avg $58.99
20,706 claims
EKG / ECG (Electrocardiogram)
Avg $5.50
20,489 claims
Echocardiogram
Avg $79.31
16,815 claims
Urinalysis & Urine Tests
Avg $3.60
9,714 claims
Psychiatric Evaluation
Avg $95.94
8,731 claims
Blood Work & Lab Tests
Avg $3.15
4,182 claims