Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Clifton, NJ: $56.80

Avg. Paid

$56.80

Range

$0.00 – $253.08

Total Claims

1,620,787

Providers

287

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 Clifton, NJ

Provider	Avg. Paid	Claims	Patients
Hisham H Gadalla 1135 Main Ave Fl 2	$74.16	120,448	98,610
Fares Diarbakerli 716 Broad St	$70.11	60,669	46,468
Richards Afonja 476 Colfax Ave	$32.26	59,200	43,311
Melih Sarigul 296 Clifton Ave	$62.61	58,384	47,613
Ifeoma Iwelumo 266 Lakeview Ave	$62.80	53,754	42,664
Mental Health Clinic Of Passaic Inc 1451 Van Houten Ave	$65.03	50,393	47,848
Gamil Lamey Makar 1700 Route 3 West	$64.20	44,157	34,164
Charles George Haddad 1033 Us Highway 46	$68.31	42,732	34,758
Waleed S Lashin 1414 Main Ave	$47.35	39,536	33,964
Rodulfo Moises 1040 Clifton Ave	$60.90	37,913	33,231
Faisal Nagarwala 1005 Clifton Ave	$35.59	36,198	20,710
Ms Integrated Psychotherapy And Counseling Llc 1157 Main Ave	$57.85	34,107	31,925
Malgorzata Modrzejewska Kortowska 266 Lakeview Ave	$65.77	33,961	26,943
Ednan Sheikh 1037 Us Highway 46 Ste 103A	$47.20	28,810	21,710
Ariolis Carmelina Grullon Okumus 1300 Main Ave Ste 2C	$83.97	28,331	23,488
Angel Ramon De La Cruz 1137 Main Ave	$43.27	27,633	23,964
Bassam Hajjar 1300 Main Ave	$53.88	26,656	24,497
Ricardo Rey 960 Paulison Ave	$57.42	25,247	23,175
Saleh Khaddash 969 Paulison Ave	$53.68	23,076	22,295
Muhammad Tahir Selevany 1003 Main Ave	$52.36	22,676	18,555
Vikram Gupta 246 Clifton Ave Ste 4	$69.30	22,207	17,989
Hussein Abdo Shaqra 539 Clifton Ave	$50.77	21,297	19,552
Magdy Basta 1035 Us Highway 46	$50.09	20,534	17,258
Loren Jesse Schneider 341 South Parkway	$72.22	18,101	12,132
Edith J. Jackson 1414 Main Ave	$60.35	17,347	15,001
Rafath Khatoon Humera 535 Getty Ave	$54.40	17,137	14,804
Florence Kramer 1300 Main Ave Ste 2C	$10.44	16,985	16,108
Ibrahim Saleh Khaddash 969 Paulison Ave	$52.92	16,832	16,056
Beatrice Onyeador 304 Lakeview Ave	$41.42	16,295	13,385
Tadeusz Jedlinski 50 Mount Prospect Ave	$46.11	15,808	13,648
Liss Speziale 1137 Main Ave	$48.72	15,543	13,486
Ikbal Tokat 384 Valley Rd	$58.49	15,506	13,728
John Joseph Mcevoy 152 Lakeview Ave	$37.70	13,022	8,754
Nyota Afi Peace 1033 Us Highway 46	$67.20	11,782	9,488
Ibrahim Haro 1005 Clifton Ave	$44.96	11,158	10,581
Urszula Bednarska 1033 Clifton Ave	$41.37	10,658	7,369
Mayra Joselyn Rodriguez 7 Martindale Rd # 1	$55.74	10,607	8,729
Daniel Hakimi 721 Clifton Ave	$97.62	10,531	6,260
Adriana Oksana Ros 1100 Clifton Ave	$42.21	10,226	9,310
Anna Pudinak 1135 Clifton Ave	$64.92	9,939	8,548
Fadwa Sumrein 2 Brighton Rd Ste 400	$38.02	9,912	9,282
Atul Prakash 905 Allwood Rd Ste 103	$38.03	9,835	9,006
Omar Nassim Khatib 1300 Main Ave Ste 3A	$80.19	9,557	8,571
Krystyna Szewczyk-Szczech 1033 Clifton Ave	$32.73	9,189	7,389
Tareef Abbasi 1300 Main Ave Apt 2D	$48.37	9,159	7,385
Maged T Boutros 1033 Route 46 Ste G1	$47.92	9,132	8,341
Anil Agarwal 905 Allwood Rd	$46.80	8,916	8,508
Julio H Urena 40 Union Ave	$58.36	8,819	8,271
Parthiv V Raval 1100 Clifton Ave	$62.12	8,732	8,333
Jossie Marie Murray 930 Clifton Ave	$62.57	8,623	7,961

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 Clifton, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clifton, NJ is $56.80 per claim, based on 1,620,787 claims from 287 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 Clifton, NJ?

There are 287 Medicaid providers offering Office Visit related services in Clifton, NJ according to public payment data.

What is the price range for Office Visit in Clifton, NJ?

Medicaid reimbursement for Office Visit in Clifton, NJ ranges from $0.00 to $253.08 per claim, with an average of $56.80. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Clifton, NJ: $56.80

Providers Offering Office Visit in Clifton, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Clifton, NJ

Blood Work & Lab Tests

Urinalysis & Urine Tests

Culture & Microbiology Tests

Home Health Visit

Non-Emergency Medical Transportation

Pathology & Lab Services

Physical Therapy

Psychiatric Evaluation