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
Edward Julie 1030 Clifton Avenue	$0.00	12	12
Jose D Ibarbia 6 Brighton Rd Fl 2	$0.00	12	12
Jennifer Desch 1414 Main Ave # B	$20.74	12	12
Jeffrey C Conforti 925 Clifton Ave	$68.46	13	13
Nj Sleep Care Llc 6 Brighton Rd	$31.31	14	14
Jenny Chien 4 Brighton Rd Ste 208	$0.00	15	15
Mental Health Association In Passaic County 404 Clifton Ave.	$80.78	15	14
S&Rsabapc 1300 Main Ave	$26.89	15	14
Shenelle K Gooden 1 Metro Blvd	$0.00	16	13
Timothy M White 905 Allwood Rd	$56.86	16	16
Elizabeth M Alaeddin 12 Tromp St	$21.26	17	15
Peder Aakjar 852 Route 3	$124.67	22	22
Palak Majmudar 1005 Clifton Ave	$27.34	23	12
Wilber Espinosa 1700 Nj-3	$34.66	26	26
Neil Kamal Goyal 6 Brighton Road	$1.10	26	25
Marc A Goldberg 6 Brighton Rd	$2.24	27	27
Jennifer Enrique 716 Broad St	$34.38	27	27
Stanley Szwed 925 Clifton Ave	$6.25	29	24
Reyhan Berkel 1300 Main Ave	$75.30	29	27
Emad A Eisa 1300 Main Ave Ste 2C	$33.79	29	25
Lovan Vanclin Oloko-Nelson 1300 Main Ave Ste 1B	$70.13	31	28
Lauren Spadaro 1187 Main Ave Ste 1F	$6.23	35	29
Ryszard Krol 164 Brighton Rd	$12.70	37	37
Phylicia Baird 6 Brighton Rd	$80.44	38	38
Cardiac Arrhythmia Specialist Pc 524 Clifton Ave	$0.00	38	37
Hala Diar Bakerli 716 Broad St	$55.95	40	37
Cindy Ann Bowman 1401 Broad St	$54.42	40	39
James Reichman 50 Virginia Ave	$0.75	43	41
Marco Antonio Lopez 1187 Main Ave Ste 1D	$26.29	46	46
Mohamed Kassem 1300 Main Ave Ste 2C	$7.15	49	41
Internal Medicine And Geriatrics Practice, Inc 1414 Main Ave	$15.19	50	26
Laura Vanessa Herrera 246 Clifton Ave Ste 4	$78.42	51	43
Jessica Dominguez 1135 Main Ave	$52.58	54	53
Lena Qasem 57 Harding Ave	$54.65	54	53
Alexis C. Bobila 1037 Route 46	$30.28	55	53
Tayyab Malik 855 Valley Rd	$114.64	56	56
Melissa Matina 4 Brighton Rd Ste 401	$49.06	58	56
Srishti Shah 1255 Broad St	$46.93	63	60
Shoshana Pinsky 1161 Main Ave	$40.00	64	56
Shafaq Zaman Tarar 533 Lexington Ave	$66.24	65	54
Catherine Torres 6 Brighton Rd	$1.52	66	64
Salome Ugwu 992 Clifton Ave	$4.63	67	57
Christian Wagner 1233 Main Ave	$7.57	67	63
Joni Felicia Jefferson 852 Route 3 Ste 200	$19.37	83	76
Michael L Mund 1187 Main Ave	$72.70	84	78
Sessine Najjar 975 Clifton Ave	$33.52	91	75
Diana Fibison 533 Lexington Ave	$62.37	99	89
Daniel Arthur 35 Ackerman Ave	$44.82	103	94
Saleh I Khaddash Md Pa 40 Union Ave	$12.68	109	109
James W Turner 842 Clifton Ave	$5.54	114	91

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