Average Medicaid Office Visit Payments in Edgewater, NJ: $112.02
Avg. Paid
$112.02
Range
$2.16 – $128.42
Total Claims
340,231
Providers
21
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 Edgewater, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Corinne Jeanette Gehegan
725 River Road |
$44.00 | 13 | 12 |
|
Grishma Parikh
725 River Rd Side Road |
$16.67 | 18 | 17 |
|
Yaron Bareket
103 River Rd |
$2.16 | 26 | 24 |
|
Nitin Putcha
103 River Rd |
$53.50 | 71 | 69 |
|
Maria Montalvo
125 River Rd Ste 103 |
$59.88 | 172 | 166 |
|
Vinod R Lala
968 River Rd |
$13.74 | 281 | 261 |
|
Amira Haany Gabra
725 River Rd |
$12.86 | 319 | 313 |
|
Lucia Alvarez
103 River Rd Fl 2 |
$2.88 | 416 | 401 |
|
Wei Wei Li
725 River Rd |
$39.26 | 427 | 400 |
|
George Chai
725 River Rd |
$51.81 | 572 | 491 |
|
Saurabh Dang
20 Vela Way |
$56.26 | 592 | 562 |
|
Fernando Segovia
103 River Rd |
$5.74 | 1,759 | 1,723 |
|
Carol Ann Boody Deutsch
1375 River Rd |
$42.50 | 2,071 | 1,549 |
|
Adam Alex, Llc
725 River Rd |
$74.99 | 3,310 | 3,136 |
|
Domenico Rotoli
103 River Rd |
$31.84 | 3,469 | 2,864 |
|
Michael A Sciarra
968 River Road |
$60.84 | 4,324 | 4,194 |
|
Shubha Varma
968 River Rd |
$53.58 | 5,045 | 4,729 |
|
Luis A. Febus
99 Gorge Rd Apt 1908 |
$30.48 | 5,907 | 5,073 |
|
Isaac Kamal Zaki
935 River Rd Ste 100 |
$60.06 | 6,572 | 5,623 |
|
Tanya Leykin
471 Undercliff Ave |
$44.64 | 32,296 | 26,774 |
|
Prohealth Urgent Care Medicine Of New Jersey Llp
461 River Rd |
$128.42 | 272,571 | 256,991 |
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 Edgewater, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Edgewater, NJ is $112.02 per claim, based on 340,231 claims from 21 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 Edgewater, NJ?
There are 21 Medicaid providers offering Office Visit related services in Edgewater, NJ according to public payment data.
What is the price range for Office Visit in Edgewater, NJ?
Medicaid reimbursement for Office Visit in Edgewater, NJ ranges from $2.16 to $128.42 per claim, with an average of $112.02. 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 Edgewater, NJ
Nursing Facility Care
Avg $13.04
72,603 claims
Dental Cleaning & Exam
Avg $27.59
16,909 claims
Vaccines & Immunizations
Avg $13.52
12,288 claims
Psychiatric Evaluation
Avg $56.48
9,006 claims
X-Ray
Avg $5.99
7,940 claims
Physical Therapy
Avg $2.94
4,632 claims
CT Scan (Computed Tomography)
Avg $45.63
4,239 claims
Eye Exam
Avg $10.50
3,922 claims