Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in East Orange, NJ: $38.90

Avg. Paid

$38.90

Range

$0.21 – $229.50

Total Claims

672,879

Providers

117

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 East Orange, NJ

Provider	Avg. Paid	Claims	Patients
Anthony Michael Ricciardi 172 Halsted St	$20.36	95,805	91,179
Alexander G Salerno 613 Park Ave	$43.29	77,254	67,908
Rosario Zambrano 26 Baldwin St	$44.40	41,518	38,175
Eoh Acquisition Group, Llc 300 Central Ave	$40.56	34,755	29,942
Gitendra Rajiyah 60 Evergreen Place	$36.04	28,378	25,986
Bmg East Orange Llc 200 Freeway Dr E Ste 305	$61.03	25,986	22,547
Ruth Lynne Clark-Brown 240 Central Ave.	$38.03	19,226	18,458
Planned Parenthood Of Metropolitan Nj 560 Martin Luther King Blvd	$69.76	15,635	15,409
Suzanne W Botrous 185 Central Ave Ste 308	$18.66	15,381	13,497
Jeffrey A Miller 60 Evergreen Place	$83.14	14,997	14,535
Aleksander Lekan 60 Evergreen Place	$45.14	14,367	12,393
Amir Mordechai Friedman 300 Central Ave Fl 3	$30.34	13,005	10,932
Darshi Sunderam 310 Central Ave	$39.47	12,598	10,988
Madhavi R. Katta 444 William St	$19.79	12,474	11,263
Eddy Simon 310 Central Avenue	$44.11	12,330	11,099
Madhavi Nitin Maniar 90 Washington St	$24.56	12,302	11,472
Marnell Paul Moore 310 Central Ave	$34.29	12,064	10,631
Edwina Verner 86 S Harrison St	$11.85	11,021	10,232
Mamatha G. Mohan 60 Evergreen Place	$41.65	11,001	9,436
Ronke Dosunmu 190 S Harrison St	$58.29	9,678	8,854
Newark Community Health Centers,Inc. 444 William St	$1.31	8,223	7,325
Beverley B Taitt 385 Tremont Ave	$62.33	7,913	6,043
Radhika Maddali 310 Central Ave	$28.53	7,553	7,167
Edith N Eze 444 William St	$45.11	7,451	6,151
Robert A Clarke 108 South Munn Ave	$40.67	7,249	6,781
Caroline Uche Okonkwo 444 Williams Street	$20.51	7,191	6,453
Gnana Sunderam 310 Central Ave	$38.60	7,074	5,909
Bruce Preston Theall 310 Central Ave	$40.68	6,319	5,395
Myriam Sterlin 60 Evergreen Place	$44.55	5,864	5,401
Uzma Arshad Chatha 90 Washington St	$53.92	5,820	5,407
Kordai I Decoteau 60 Evergreen Place	$36.62	5,003	4,593
Primerose Germain 134 Evergreen Pl Ste 100	$16.98	4,619	4,231
Navrit Singh Randhawa 385 Tremont Ave	$53.98	4,254	3,752
Jasmaine N Shelford 310 Central Ave	$22.81	4,228	3,195
James T Cort 98 S Munn Ave	$18.56	4,051	3,792
Alina Tyndall 240 Central Ave	$41.24	3,992	3,535
Yanick Guerin 344 S Harrison St	$103.21	3,822	2,853
Joseph Scott Feldman 310 Central Ave	$41.56	3,695	2,020
Antonious W. Eskandar 90 Washington St Ste 308	$28.81	3,660	3,350
Callister Ibe 385 Tremont Ave	$36.43	3,576	2,460
Manouchka Jean 190 S Harrison St	$59.73	3,437	3,206
Kenneth Amoah Gyan 28A Melmore Gardens	$18.31	3,291	3,072
Yveline Auguste 310 Central Avenue	$95.44	3,160	2,301
Nirmala R Kania 310 Central Ave	$27.64	2,977	2,633
James L Amato 276 Prospect St	$23.26	2,940	2,623
Community Psychiatric Institute 67 Sanford St	$50.70	2,592	2,403
Clifford W Toliver 310 Central Ave	$51.03	2,577	2,346
Victoria Howell 613 Park Ave	$36.52	2,491	2,365
Pierre Frederic Lespinasse 444 William St	$109.19	2,446	2,347
Payal Maniar 90 Washington St	$49.56	2,433	2,225

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 East Orange, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Orange, NJ is $38.90 per claim, based on 672,879 claims from 117 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 East Orange, NJ?

There are 117 Medicaid providers offering Office Visit related services in East Orange, NJ according to public payment data.

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

Medicaid reimbursement for Office Visit in East Orange, NJ ranges from $0.21 to $229.50 per claim, with an average of $38.90. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in East Orange, NJ: $38.90

Providers Offering Office Visit in East Orange, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in East Orange, NJ

Home Health Visit

Non-Emergency Medical Transportation

Behavioral & Mental Health Therapy

Physical Therapy

Psychiatric Evaluation

Ambulance Transport

Vaccines & Immunizations

Blood Work & Lab Tests