Average Medicaid Office Visit Payments in Denville, NJ: $57.98
Avg. Paid
$57.98
Range
$10.69 – $113.63
Total Claims
119,375
Providers
44
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 Denville, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prime Healthcare Services - Saint Clare'S Llc
25 Pocono Rd |
$69.76 | 41,547 | 37,011 |
|
Sunita Kanumury
496 E Main St |
$49.31 | 11,826 | 10,281 |
|
Efrem Lewis Greenfield
14 Second Avenue |
$41.31 | 9,389 | 8,234 |
|
Oluchi Chilaka
50 Morris Ave |
$40.52 | 8,398 | 7,869 |
|
Victor Joseph Mazza
25 Pocono Rd |
$71.57 | 7,142 | 6,585 |
|
Maria Felipe
16 Pocono Rd |
$45.00 | 4,843 | 4,387 |
|
Slobodan J Miric
35 W Main St |
$56.83 | 3,960 | 3,831 |
|
Jarrod Michael Kucharski
25 Pocono Rd |
$72.67 | 3,405 | 3,191 |
|
Alan D Strumeyer
16 Pocono Rd Ste 114 |
$45.75 | 2,862 | 2,627 |
|
Michael Frank Demyen
16 Pocono Road |
$44.20 | 2,158 | 2,031 |
|
Janna Jo Danbe
16 Pocono Rd |
$101.95 | 1,956 | 1,910 |
|
Robert De Cristofano
10 Broadway |
$46.66 | 1,866 | 1,599 |
|
Dean Peter Licopantis
16 Pocono Rd |
$26.42 | 1,782 | 1,601 |
|
Robert Elswit
50 Morris Ave |
$55.80 | 1,643 | 1,559 |
|
Fawad A Mian
16 Pocono Rd Ste 205 |
$52.90 | 1,643 | 1,585 |
|
Krekamey Craig
140 E Main St |
$70.68 | 1,443 | 1,334 |
|
Barbara A. Girz
25 Pocono Rd |
$32.30 | 1,296 | 1,031 |
|
Suzanne V Di Turi
10 Broadway |
$48.01 | 1,242 | 1,103 |
|
Murray Las
56 Diamond Spring Rd |
$26.39 | 1,204 | 766 |
|
Jose Miguel Lopez
16 Pocono Rd |
$28.68 | 1,027 | 937 |
|
Prema Prasad
3175 Route 10 |
$47.87 | 927 | 871 |
|
Meredith Brandon
50 Morris Ave |
$61.29 | 845 | 804 |
|
Michael Ingber
3155 State Route 10 |
$48.76 | 752 | 640 |
|
Daniel Paul Ferrante
16 Pocono Rd Suite 217 |
$51.53 | 688 | 428 |
|
L. Feigin & M. Las, Mds
56 Diamond Spring Rd |
$76.23 | 680 | 589 |
|
Resource Center For The Chemically Dependent, Inc.
273 E Main St |
$88.48 | 678 | 639 |
|
Richard I Dicker
10 Broadway |
$49.15 | 607 | 549 |
|
Leslie Feigin
56 Diamond Spring Rd |
$41.97 | 495 | 390 |
|
Jamie Price
25 Pocono Rd |
$54.73 | 412 | 403 |
|
Dana C Delgardo
3155 State Route 10 Ste 204 |
$80.08 | 393 | 266 |
|
Richard Finkel
16 Pocono Rd |
$113.63 | 354 | 328 |
|
Benjamin Winter
140 E Main St |
$70.28 | 314 | 296 |
|
Kathleen Kilcoyne
50 Morris Ave |
$48.09 | 293 | 212 |
|
Bruce Lee Mintz
16 Pocono Rd |
$42.03 | 240 | 204 |
|
Vincent Cubelli
16 Pocono Rd |
$19.44 | 204 | 150 |
|
Daniel G. Hennessy
3155 State Route 10 Ste 215 |
$29.75 | 201 | 163 |
|
Dana Erica Chait-Kessler
140 E Main St |
$79.65 | 169 | 164 |
|
Edward J Barbarito
16 Pocono Rd |
$32.11 | 135 | 120 |
|
Gregg E. Zimmerman
16 Pocono Rd |
$23.97 | 114 | 90 |
|
Kenisha Mclennon
276 E Main St |
$13.59 | 100 | 98 |
|
Carla Brandt
276 E Main St |
$10.69 | 75 | 70 |
|
Liliana Moreno Garcia
25 Pocono Rd |
$22.83 | 29 | 25 |
|
David J Feldman
16 Pocono Rd |
$77.62 | 26 | 26 |
|
Maria Cristina Sanchez
23 Pocono Rd |
$36.41 | 12 | 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 Denville, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Denville, NJ is $57.98 per claim, based on 119,375 claims from 44 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 Denville, NJ?
There are 44 Medicaid providers offering Office Visit related services in Denville, NJ according to public payment data.
What is the price range for Office Visit in Denville, NJ?
Medicaid reimbursement for Office Visit in Denville, NJ ranges from $10.69 to $113.63 per claim, with an average of $57.98. 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 Denville, NJ
Blood Work & Lab Tests
Avg $10.34
134,230 claims
Ambulance Transport
Avg $199.96
123,538 claims
Emergency Room Visit
Avg $235.35
111,404 claims
Psychiatric Evaluation
Avg $99.52
101,905 claims
Substance Abuse Treatment
Avg $90.85
55,510 claims
X-Ray
Avg $20.88
53,080 claims
Dental Cleaning & Exam
Avg $36.58
50,294 claims
Urinalysis & Urine Tests
Avg $3.02
41,086 claims