Average Medicaid Office Visit Payments in East Windsor, NJ: $50.71
Avg. Paid
$50.71
Range
$0.00 – $137.95
Total Claims
27,266
Providers
23
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 Windsor, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Erman
400 Us Highway 130 |
$0.00 | 14 | 14 |
|
Harika Vemulapalli
59 One Mile Rd Ext |
$137.95 | 15 | 15 |
|
Neha Saraiya
300B Princeton Hightstown Rd |
$27.33 | 22 | 16 |
|
Medwell Internal Medicine Llc
104 Hickory Corner Rd |
$31.41 | 34 | 28 |
|
Edward D Stoner
569 Abbington Dr Ste C |
$33.03 | 42 | 38 |
|
Charlsie Khalisha Celestine
319 Us Highway 130 Ste 29D |
$60.50 | 107 | 82 |
|
Mark R. Heimmel
300B Princeton Hightstown Rd Ste 207 |
$45.57 | 308 | 269 |
|
Ronald H. Dubow
319 Highway 130 North |
$32.27 | 562 | 522 |
|
Nasir Mehmood Malik
441 Us Highway 130 |
$51.48 | 655 | 607 |
|
Christopher Wong
319 Route 130 Ste 29B |
$55.02 | 680 | 602 |
|
John Sigva
557 Us Highway 130 # North |
$107.63 | 775 | 742 |
|
Jessica Carpenter
339 Princeton Hightstown Road |
$30.75 | 788 | 718 |
|
Irene Kotok
319 Highway 130 North |
$61.09 | 797 | 605 |
|
Kesha Eden Cheron
440 Us Highway 130 Ste 11 |
$71.57 | 872 | 680 |
|
Brittany Mcneil
319 Route 130 |
$40.74 | 1,046 | 1,011 |
|
Rakesh Mangal
375 Route 130 |
$50.23 | 1,441 | 1,151 |
|
Julie Cargille
29 Millstone Dr |
$29.86 | 1,492 | 1,188 |
|
Shital Kayastha
300A Princeton Hightstown Rd Ste 102 |
$57.18 | 1,699 | 1,500 |
|
Nishant P. Reddy
300B Princeton Hightstown Rd Ste 202 |
$81.83 | 1,789 | 1,612 |
|
Srilakshmi Subramanian
400 Us Highway 130 |
$48.57 | 2,071 | 1,896 |
|
Sunit P Jariwala
33 Teal Ct |
$85.95 | 2,412 | 2,368 |
|
Raul Valcarcel
685 Avon Dr |
$30.08 | 3,100 | 2,621 |
|
Rajaram Kandasamy
339 Princeton Hightstown Rd |
$37.41 | 6,545 | 5,817 |
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 Windsor, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Windsor, NJ is $50.71 per claim, based on 27,266 claims from 23 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 Windsor, NJ?
There are 23 Medicaid providers offering Office Visit related services in East Windsor, NJ according to public payment data.
What is the price range for Office Visit in East Windsor, NJ?
Medicaid reimbursement for Office Visit in East Windsor, NJ ranges from $0.00 to $137.95 per claim, with an average of $50.71. 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 East Windsor, NJ
Physical Therapy
Avg $9.61
24,675 claims
Dental Cleaning & Exam
Avg $12.35
23,227 claims
Eye Exam
Avg $25.65
9,526 claims
Dental Filling
Avg $24.42
6,719 claims
Nursing Facility Care
Avg $7.42
5,881 claims
Psychiatric Evaluation
Avg $63.28
926 claims
Blood Work & Lab Tests
Avg $3.56
901 claims
Vaccines & Immunizations
Avg $12.72
858 claims