Average Medicaid Office Visit Payments in Dover, NJ: $33.12
Avg. Paid
$33.12
Range
$0.00 – $58.39
Total Claims
145,578
Providers
36
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 |
|
Katharine Theresa Palla
18 W Blackwell St |
$12.53 | 15 | 13 |
|
Paul John Lafergola
387 W Blackwell St |
$22.48 | 15 | 14 |
|
Eric B Mann
600 Mount Pleasant Ave |
$0.00 | 13 | 13 |
|
Marcia Anne Dover
369 West Blackwell St |
$14.12 | 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 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.
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 Dover, NJ
Non-Emergency Medical Transportation
Avg $35.50
596,035 claims
Home Health Visit
Avg $97.74
104,255 claims
Vaccines & Immunizations
Avg $15.41
73,388 claims
Eye Exam
Avg $33.16
40,633 claims
Dental Cleaning & Exam
Avg $22.19
36,505 claims
Psychiatric Evaluation
Avg $4.96
19,539 claims
Blood Work & Lab Tests
Avg $1.76
12,838 claims
Ambulance Transport
Avg $122.22
12,033 claims