Average Medicaid Office Visit Payments in Eatontown, NJ: $57.20
Avg. Paid
$57.20
Range
$0.00 – $236.90
Total Claims
86,745
Providers
55
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 Eatontown, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Manar Hanna
117 State Route 35 |
$40.53 | 18,574 | 13,911 |
|
Bindoo Rughani-Shah
34 Corbett Way |
$48.65 | 12,108 | 10,805 |
|
Marielle Recho
117 State Route 35 |
$42.53 | 9,356 | 7,377 |
|
Susanne W Zimmermann
2-12 Corbett Way |
$13.30 | 6,460 | 6,136 |
|
Premier Mental & Behavioral Services, Inc
615 Hope Rd Ste 3B |
$159.75 | 6,349 | 5,086 |
|
Valerie Niketakis-Wujciak
1 Industrial Way W Bldg C |
$69.37 | 2,631 | 2,414 |
|
Julie Master
274 Highway 35 |
$43.00 | 2,114 | 1,843 |
|
Isaac Tawfik
274 Highway 35 |
$52.20 | 2,006 | 1,800 |
|
Ajay S Shah
274 Highway 35 |
$36.79 | 1,956 | 1,786 |
|
Gregory Gerard Fedorcik
2 Industrial Way W |
$66.64 | 1,863 | 1,721 |
|
David M Anwar
274 Highway 35 |
$63.71 | 1,850 | 1,640 |
|
Deniz Cayir
11 Meridian Rd |
$28.51 | 1,643 | 1,419 |
|
Deepa Mathew
200 Wyckoff Rd Ste 4200 |
$81.70 | 1,556 | 1,522 |
|
Hank Ashforth
145 Wyckoff Rd Ste 301 |
$67.77 | 1,493 | 1,348 |
|
Charles William Concodora
200 Wyckoff Road |
$236.90 | 1,202 | 1,196 |
|
Scott R Eisenberg
274 Highway 35 |
$50.81 | 1,192 | 1,023 |
|
Michael G Absatz
44 Musket Ln |
$28.15 | 1,183 | 1,164 |
|
Warren K Churgin
158 Wyckoff Rd |
$37.26 | 1,150 | 1,026 |
|
Pratik Panchal
274 Highway 35 |
$60.38 | 1,062 | 945 |
|
Svetlana V Shifrin-Douglas
135 Route 35 |
$93.51 | 1,060 | 1,039 |
|
John Christopher Storti
44 Monmouth Rd |
$38.79 | 1,056 | 615 |
|
Sanyo Wen
135 Nj-35 |
$73.60 | 960 | 914 |
|
Rosalind C Elliott
200 Wyckoff Rd Ste 4600 |
$56.25 | 851 | 825 |
|
Eric J Abrams
142 Highway 35 |
$41.70 | 664 | 577 |
|
Mitchell Kim
145 Wyckoff Rd Ste 301 |
$52.54 | 646 | 577 |
|
Ashwin Agrawal
200 Wyckoff Road |
$152.62 | 646 | 611 |
|
Jennifer Marguerite Ryan
1 Industrial Way W Bldg B |
$43.11 | 618 | 590 |
|
Lynne Christine Einbinder
274 Highway 35 |
$47.50 | 523 | 446 |
|
Susan Ann Pepe
615 Hope Rd |
$63.85 | 478 | 449 |
|
Nadeem Baig
142 State Route 35 S |
$66.82 | 428 | 408 |
|
Emily Ann Hayden
135 Highway 35 |
$73.57 | 363 | 338 |
|
Ernest Savransky
6 Industrial Way West, Suite B |
$13.93 | 357 | 311 |
|
Golam G. Noaz
1 Industrial Way West |
$38.23 | 317 | 306 |
|
Kenneth Belitsis
142 State Route 35 S |
$87.20 | 317 | 299 |
|
Mariam Gamal Wassef
274 Route 35 |
$21.03 | 202 | 175 |
|
Amos Katz
135 Highway 35 |
$28.86 | 196 | 168 |
|
Lynda Baron
10 Industrial Way E Ste 101 |
$48.74 | 174 | 147 |
|
Amanda Miskewicz-Zastrow
180 Route 35 S |
$21.34 | 174 | 164 |
|
Jules M Geltzeiler
10 Industrial Way E |
$39.35 | 152 | 140 |
|
Anthony Guido Conte
745 Hope Road 2Nd Floor |
$56.76 | 150 | 136 |
|
Meghan Rogers
30 Corbett Way |
$35.41 | 143 | 119 |
|
Shannon Khulusi
142 State Route 35 S |
$26.30 | 125 | 121 |
|
Rashmi Chandra
6 Industrial Way W Ste B |
$24.03 | 86 | 85 |
|
Michelle Alicia Pinto
241-245 Route 35 |
$72.26 | 73 | 70 |
|
Thomas Fiest
142 Route 35 South |
$122.27 | 40 | 36 |
|
Central Jersey Hand Surgery
234 Industrial Way W |
$51.95 | 39 | 29 |
|
Boning Li
30 Corbett Way |
$47.05 | 31 | 27 |
|
Alexey Tatusov
11 Meridian Rd |
$23.18 | 25 | 25 |
|
Jordan L Kovacs
117 State Route 35 |
$45.60 | 25 | 25 |
|
Steven Alan Gorcey
145 Wyckoff Rd Ste 201 |
$57.34 | 16 | 16 |
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 Eatontown, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Eatontown, NJ is $57.20 per claim, based on 86,745 claims from 55 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 Eatontown, NJ?
There are 55 Medicaid providers offering Office Visit related services in Eatontown, NJ according to public payment data.
What is the price range for Office Visit in Eatontown, NJ?
Medicaid reimbursement for Office Visit in Eatontown, NJ ranges from $0.00 to $236.90 per claim, with an average of $57.20. 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 Eatontown, NJ
Pathology & Lab Services
Avg $38.26
122,236 claims
Psychiatric Evaluation
Avg $108.32
77,441 claims
Dental Cleaning & Exam
Avg $25.79
73,977 claims
Behavioral & Mental Health Therapy
Avg $95.05
47,225 claims
Ambulance Transport
Avg $5.00
45,335 claims
Non-Emergency Medical Transportation
Avg $9.08
45,291 claims
Physical Therapy
Avg $9.16
44,629 claims
EKG / ECG (Electrocardiogram)
Avg $6.37
38,437 claims