Average Medicaid Office Visit Payments in Colts Neck, NJ: $58.61
Avg. Paid
$58.61
Range
$10.04 – $104.45
Total Claims
30,681
Providers
13
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 Colts Neck, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vimax Llc
6 Cornwall St. |
$60.69 | 20,905 | 19,465 |
|
Ritu Khullar
9 Professional Cir Ste 103 |
$64.40 | 3,096 | 2,343 |
|
Casandra Hicks Autry
41 Highway 34 S |
$41.48 | 1,902 | 1,665 |
|
Krislin Louko
410 Route 34 Ste 212 |
$61.94 | 1,557 | 1,431 |
|
Peter Farrugia
340 Route 34 Ste 201 |
$20.87 | 1,241 | 962 |
|
Philip Joseph Angello
281 Route 34 Ste 813 |
$53.03 | 1,043 | 905 |
|
Rebecca Cipriano
24 Route 34 S |
$104.45 | 404 | 395 |
|
Lauren Marie Sullivan
410 Route 34 Ste 212 |
$55.53 | 303 | 281 |
|
Nicole Erica Pirozzi
9 Professional Cir |
$103.29 | 88 | 88 |
|
Anthony G. Chen
281 State Route 34 Ste 813 |
$46.84 | 78 | 71 |
|
Cristian Enescu
15 Red Hawk Rd N |
$10.04 | 38 | 36 |
|
Aileen C Estavillo
281 Route 34 Ste 813 |
$45.71 | 13 | 13 |
|
Goldstar Pediatrics, Llc
9 Professional Cir Ste 103 |
$62.00 | 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 Colts Neck, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Colts Neck, NJ is $58.61 per claim, based on 30,681 claims from 13 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 Colts Neck, NJ?
There are 13 Medicaid providers offering Office Visit related services in Colts Neck, NJ according to public payment data.
What is the price range for Office Visit in Colts Neck, NJ?
Medicaid reimbursement for Office Visit in Colts Neck, NJ ranges from $10.04 to $104.45 per claim, with an average of $58.61. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Colts Neck, NJ
Psychiatric Evaluation
Avg $89.89
131,378 claims
Emergency Room Visit
Avg $59.72
16,311 claims
EKG / ECG (Electrocardiogram)
Avg $5.68
3,314 claims
Podiatry (Foot Care)
Avg $2.42
2,075 claims
Nursing Facility Care
Avg $4.13
1,920 claims
Vaccines & Immunizations
Avg $22.18
1,663 claims
Physical Therapy
Avg $4.03
810 claims
Urinalysis & Urine Tests
Avg $5.03
315 claims