Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Dover, NJ: $33.12

Avg. Paid

$33.12

Range

$0.00 – $58.39

Total Claims

145,578

Providers

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 Dover, NJ

Provider	Avg. Paid	Claims	Patients
Mauricio Restrepo 2 E Blackwell St	$58.39	50,909	43,048
Douglas Scott Bishop 17 S Warren St	$19.74	15,892	14,679
Zufall Health Center, Inc 18 W Blackwell St	$0.40	12,127	10,783
Amy Maxine Kotler 369 W Blackwell St	$22.72	6,537	6,041
Philip Goncalves 18 W Blackwell St	$17.46	5,213	4,883
Lina Maria Calderon 18 W Blackwell St	$19.88	4,520	4,233
Janice Beth Taitel 17 S Warren St	$20.32	4,466	4,154
Lauren Cuza 18 W Blackwell St	$23.17	4,131	3,697
Karen Feldman 17 S Warren St	$18.06	3,979	3,742
Claudia Goni 18 W Blackwell St	$19.77	3,836	3,644
Vanessa M Samedi 18 W Blackwell St	$22.61	3,829	3,476
Mario Szuchman 17 S Warren St	$28.15	3,716	3,445
Vito Fernando Zuna 18 W Blackwell St	$19.96	3,645	3,343
Brianne Parker 18 W Blackwell St	$19.22	3,125	2,909
Matthew Eric Krupnick 369 W Blackwell St	$42.42	2,912	2,595
Nicole Hurtado 18 W Blackwell St	$13.49	2,771	2,624
Christine Federline Pagano 18 W. Blackwell St	$37.24	2,336	2,165
Rina M Ramirez-Alexander 17 S Warren St	$16.32	2,304	2,047
Lilian Zorrilla 17 S Warren St	$14.40	2,006	1,871
Theresa Nicole Thomas 18 W Blackwell St	$33.08	1,815	1,546
Danielle Starling 18 W Blackwell St	$24.41	1,587	1,436
Carolina Arencibia 18 W Blackwell St	$27.24	1,278	1,181
Mini Balaji 400 W Blackwell St	$46.33	1,064	994
Sergey Rybalov 369 W Blackwell St	$38.35	740	666
Asma Saud 600 Mount Pleasant Ave	$13.13	249	230
Lina Alcazar 18 W Blackwell St	$15.57	201	188
Himanshu Kantibhai Patel 400 W Blackwell St	$32.34	130	122
Infanta Anusha Stephen 369 West Blackwell St	$13.03	67	40
Latoya D Lee 18 W Blackwell St	$44.02	62	48
Jacqueline Reyes 21 N Linden Pl	$47.66	31	31
Feliks Shtindler 400 West Blackwell St	$0.00	28	27
Urgent Care Medical Associates Professional Corporation 600 Mount Pleasant Ave	$13.89	16	15
Paul John Lafergola 387 W Blackwell St	$22.48	15	14
Katharine Theresa Palla 18 W Blackwell St	$12.53	15	13
Marcia Anne Dover 369 West Blackwell St	$14.12	13	12
Eric B Mann 600 Mount Pleasant Ave	$0.00	13	13

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 Dover, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dover, NJ is $33.12 per claim, based on 145,578 claims from 36 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 Dover, NJ?

There are 36 Medicaid providers offering Office Visit related services in Dover, NJ according to public payment data.

What is the price range for Office Visit in Dover, NJ?

Medicaid reimbursement for Office Visit in Dover, NJ ranges from $0.00 to $58.39 per claim, with an average of $33.12. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Dover, NJ: $33.12

Providers Offering Office Visit in Dover, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Dover, NJ

Non-Emergency Medical Transportation

Home Health Visit

Vaccines & Immunizations

Eye Exam

Dental Cleaning & Exam

Psychiatric Evaluation

Blood Work & Lab Tests

Ambulance Transport