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
Jessica Alana Scott 310 Central Ave Ste 206	$100.73	12	12
Kathleen M. Carletta 60 Evergreen Pl	$83.87	13	12
Hinakumari David Rey 300 Central Ave	$92.40	14	14
Aruna Gnanainder Yeldandi 310 Central Ave	$18.75	14	14
Family Intervention Services Inc 86 S Harrison St	$71.20	14	13
Neida Jimenez 385 Tremont Ave	$32.75	17	15
Stephanie Chen 300 Central Ave	$7.49	19	15
Stacyann Anderson 220 S Harrison St	$39.60	28	28
Latifah G Abdus-Salaam 444 William St	$25.55	32	28
City Of East Orange 110 South Grove Street, 3Rd Floor	$42.83	34	34
Pooja Mahajan 310 Central Ave Ste 100	$21.18	36	29
Essex Pediatrics 26 Baldwin St	$20.87	41	40
Catherine N Okali 385 Tremont Ave	$60.56	45	37
Physician Associates Of Northern New Jersey, Pc 240 Central Ave Ste 100	$1.80	53	38
Catharine Miller 240 Central Ave	$6.01	53	52
Guetty Gabaud-Dumesle 613 Park Ave	$63.87	61	61
Winston J Scott 310 Central Ave	$108.51	75	73
Derlan Enterprises 498 William St	$15.54	113	76
Anand Srinivasan 385 Tremont Ave	$37.19	119	100
Recovery Answer Behavioral Health Services Llc 60 Evergreen Pl Ste 904	$136.61	146	129
Bernadette Galli 385 Tremont Ave	$229.50	150	139
Marie S Tunis-Blanc 60 Evergreen Place	$43.60	164	151
Donna Persaud 310 Central Ave	$58.17	185	161
Roland Antoine 827 S Orange Ave	$20.19	232	174
Lilian Kordie 137 Evergreen Pl Ste 1B	$57.87	237	204
Solomon Suede 444 William St	$9.11	293	210
Shreya H Patel 300 Central Ave	$49.71	307	298
Ajim Inc 405 Central Ave	$3.68	319	269
Henry Duane Hamilton 60 Evergreen Pl Ste 200&904	$103.60	323	122
Lisa Krijger 385 Tremont Ave	$1.49	383	284
Maame Bonsu 134 Evergreen Pl	$37.72	407	384
Beena Mathew 60 Evergreen Place	$28.34	413	395
Alexandra Carrer 576 Central Ave Ste 202	$60.88	414	402
Joy Graseta Robertson East Orange General Hospital 33 Evergreen Place	$41.84	414	397
Christopher T Tikum 300 Central Ave	$10.84	438	397
Patrick Van Martin-Yeboah 185 Central Ave	$13.43	441	411
Ramesh M Kania 310 Central Ave	$36.39	445	414
Pearl Akwaja 190 S Harrison St	$59.51	498	463
Radhika Bawa 310 Central Avenue	$46.87	577	533
Joana O Okafor 484 Main St	$47.63	624	608
Maria Christina Errazo 613 Park Ave	$50.37	630	539
Ellis B Charles 90 Washington St	$38.65	652	613
Laura Haekyoung Kang 424 Main St	$11.48	655	630
Samuel Babatunde Adegboyega 310 Central Ave Ste 102	$28.64	674	532
George Abadeer 385 Tremont Ave	$45.15	675	629
Deepa Rajiv 60 Evergreen Place	$44.57	681	642
Udoka Jeremiah Ejiofor 134 Evergreen Pl	$43.12	775	728
Dennis Kordie 134 Evergreen Pl Ste 705	$36.46	884	754
Indu N Vira 60 Evergreen Place	$31.18	934	873
Kate Melanie Spielholz 172 Halsted St	$0.21	982	912

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