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 |
|---|---|---|---|
|
Maria Cristina Sanchez
23 Pocono Rd |
$36.41 | 12 | 12 |
|
David J Feldman
16 Pocono Rd |
$77.62 | 26 | 26 |
|
Liliana Moreno Garcia
25 Pocono Rd |
$22.83 | 29 | 25 |
|
Carla Brandt
276 E Main St |
$10.69 | 75 | 70 |
|
Kenisha Mclennon
276 E Main St |
$13.59 | 100 | 98 |
|
Gregg E. Zimmerman
16 Pocono Rd |
$23.97 | 114 | 90 |
|
Edward J Barbarito
16 Pocono Rd |
$32.11 | 135 | 120 |
|
Dana Erica Chait-Kessler
140 E Main St |
$79.65 | 169 | 164 |
|
Daniel G. Hennessy
3155 State Route 10 Ste 215 |
$29.75 | 201 | 163 |
|
Vincent Cubelli
16 Pocono Rd |
$19.44 | 204 | 150 |
|
Bruce Lee Mintz
16 Pocono Rd |
$42.03 | 240 | 204 |
|
Kathleen Kilcoyne
50 Morris Ave |
$48.09 | 293 | 212 |
|
Benjamin Winter
140 E Main St |
$70.28 | 314 | 296 |
|
Richard Finkel
16 Pocono Rd |
$113.63 | 354 | 328 |
|
Dana C Delgardo
3155 State Route 10 Ste 204 |
$80.08 | 393 | 266 |
|
Jamie Price
25 Pocono Rd |
$54.73 | 412 | 403 |
|
Leslie Feigin
56 Diamond Spring Rd |
$41.97 | 495 | 390 |
|
Richard I Dicker
10 Broadway |
$49.15 | 607 | 549 |
|
Resource Center For The Chemically Dependent, Inc.
273 E Main St |
$88.48 | 678 | 639 |
|
L. Feigin & M. Las, Mds
56 Diamond Spring Rd |
$76.23 | 680 | 589 |
|
Daniel Paul Ferrante
16 Pocono Rd Suite 217 |
$51.53 | 688 | 428 |
|
Michael Ingber
3155 State Route 10 |
$48.76 | 752 | 640 |
|
Meredith Brandon
50 Morris Ave |
$61.29 | 845 | 804 |
|
Prema Prasad
3175 Route 10 |
$47.87 | 927 | 871 |
|
Jose Miguel Lopez
16 Pocono Rd |
$28.68 | 1,027 | 937 |
|
Murray Las
56 Diamond Spring Rd |
$26.39 | 1,204 | 766 |
|
Suzanne V Di Turi
10 Broadway |
$48.01 | 1,242 | 1,103 |
|
Barbara A. Girz
25 Pocono Rd |
$32.30 | 1,296 | 1,031 |
|
Krekamey Craig
140 E Main St |
$70.68 | 1,443 | 1,334 |
|
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 |
|
Dean Peter Licopantis
16 Pocono Rd |
$26.42 | 1,782 | 1,601 |
|
Robert De Cristofano
10 Broadway |
$46.66 | 1,866 | 1,599 |
|
Janna Jo Danbe
16 Pocono Rd |
$101.95 | 1,956 | 1,910 |
|
Michael Frank Demyen
16 Pocono Road |
$44.20 | 2,158 | 2,031 |
|
Alan D Strumeyer
16 Pocono Rd Ste 114 |
$45.75 | 2,862 | 2,627 |
|
Jarrod Michael Kucharski
25 Pocono Rd |
$72.67 | 3,405 | 3,191 |
|
Slobodan J Miric
35 W Main St |
$56.83 | 3,960 | 3,831 |
|
Maria Felipe
16 Pocono Rd |
$45.00 | 4,843 | 4,387 |
|
Victor Joseph Mazza
25 Pocono Rd |
$71.57 | 7,142 | 6,585 |
|
Oluchi Chilaka
50 Morris Ave |
$40.52 | 8,398 | 7,869 |
|
Efrem Lewis Greenfield
14 Second Avenue |
$41.31 | 9,389 | 8,234 |
|
Sunita Kanumury
496 E Main St |
$49.31 | 11,826 | 10,281 |
|
Prime Healthcare Services - Saint Clare'S Llc
25 Pocono Rd |
$69.76 | 41,547 | 37,011 |
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