Average Medicaid Office Visit Payments in Cranford, NJ: $52.73
Avg. Paid
$52.73
Range
$7.96 – $106.20
Total Claims
36,601
Providers
21
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 Cranford, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mount Carmel Guild Behavioral Health System
108 Alden St |
$56.25 | 8,471 | 7,936 |
|
Neelam Khadke
198 North Ave E |
$49.17 | 8,215 | 6,615 |
|
Bruce Daniel Schweiger
216 North Ave, East |
$46.94 | 5,454 | 4,726 |
|
Robert Lukenda
216 North Ave E |
$70.37 | 3,465 | 3,033 |
|
Sarah J. Wistreich
570 South Ave E Bldg G Unit A |
$58.81 | 2,314 | 2,037 |
|
Rupa Patel
570 South Ave E Bldg A |
$39.71 | 1,505 | 1,311 |
|
Matthew E Giangrante
570 South Ave E Bldg G Unit A |
$47.12 | 1,453 | 1,303 |
|
Zein Khozaim Nakhoda
570 South Ave E Bldg A |
$61.68 | 1,418 | 1,301 |
|
Bolanle O Akinronbi
11 Commerce Dr |
$36.15 | 1,252 | 1,181 |
|
Joshua Wein
570 South Ave E Bldg A |
$63.25 | 1,023 | 883 |
|
Brendan Patrick Mccollum
19 Holly St |
$42.35 | 461 | 432 |
|
Neil D. Sherman
570 South Ave E Bldg A |
$58.20 | 436 | 399 |
|
Michael S Lasser
570 South Ave E Bldg A |
$42.44 | 347 | 309 |
|
Karen A Yeboah-Norment
1130 Raritan Rd |
$36.46 | 233 | 204 |
|
Mark Ian Miller
570 South Ave E Bldg A |
$7.96 | 123 | 118 |
|
Danielle Gina Mainardi
16 Commerce Dr |
$60.08 | 118 | 97 |
|
William Terens
570 South Ave E Bldg A |
$52.47 | 113 | 104 |
|
Samantha Itsuka Kurihara
31 S Union Ave |
$13.17 | 110 | 70 |
|
Andrew Jay Bernstein
570 South Ave E Bldg A |
$41.00 | 49 | 49 |
|
Alon Y Mass
570 South Ave E Bldg A |
$11.33 | 21 | 16 |
|
Jamie Lynn Neville Fernandes
8 W End Pl |
$106.20 | 20 | 20 |
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 Cranford, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cranford, NJ is $52.73 per claim, based on 36,601 claims from 21 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 Cranford, NJ?
There are 21 Medicaid providers offering Office Visit related services in Cranford, NJ according to public payment data.
What is the price range for Office Visit in Cranford, NJ?
Medicaid reimbursement for Office Visit in Cranford, NJ ranges from $7.96 to $106.20 per claim, with an average of $52.73. 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 Cranford, NJ
Non-Emergency Medical Transportation
Avg $15.66
199,027 claims
Blood Work & Lab Tests
Avg $1.47
110,164 claims
Home Health Visit
Avg $0.00
54,691 claims
Behavioral & Mental Health Therapy
Avg $87.13
40,583 claims
Case Management Services
Avg $105.93
37,143 claims
Ambulance Transport
Avg $6.20
36,368 claims
Psychiatric Evaluation
Avg $89.00
30,967 claims
Urinalysis & Urine Tests
Avg $0.32
17,506 claims