Average Medicaid Office Visit Payments in Edison, NJ: $46.03
Avg. Paid
$46.03
Range
$1.38 – $189.29
Total Claims
753,071
Providers
266
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 Edison, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Naveen Mehrotra
652 Amboy Ave |
$38.22 | 36,499 | 32,502 |
|
Yongming Mao
65 James St |
$88.55 | 34,105 | 31,754 |
|
Aijuan Wang
2 Lincoln Highway |
$64.39 | 29,704 | 22,490 |
|
Pankaj V Patel
1920 Oak Tree Rd Ste 201 |
$30.70 | 27,909 | 19,237 |
|
Rajendra H Patel
1804 Oak Tree Road |
$38.45 | 27,556 | 24,131 |
|
Beaula V Koduri
2110 Oak Tree Road |
$28.76 | 22,604 | 15,386 |
|
Jasbir K Kasuri
340 Route 1 |
$36.70 | 20,015 | 16,925 |
|
Zhanna Libis
974 Inman Ave |
$57.69 | 18,771 | 17,107 |
|
Lijing Shen
906 Inman Ave |
$10.54 | 14,957 | 12,320 |
|
Vani Gayam
65 James St |
$49.42 | 14,385 | 13,255 |
|
Shefali S. Patel
1804 Oak Tree Rd |
$20.56 | 14,082 | 11,663 |
|
Anil Kumar Singh
1740 Oak Tree Rd Ste B |
$42.46 | 12,484 | 7,834 |
|
Nutan Shirish Nadkarni
3826 Park Ave |
$15.13 | 12,120 | 10,670 |
|
Hao Zhang
2 Ethel Rd Ste 203C |
$21.16 | 11,992 | 8,741 |
|
Ketankumar N Vaidya
2149 Woodbridge Ave |
$29.04 | 11,648 | 9,315 |
|
Stanley Kim
34 Progress St # 36 |
$38.61 | 11,283 | 9,122 |
|
Mukesh Maganbhai Patel
1628 Oak Tree Rd |
$40.40 | 10,972 | 10,029 |
|
Patricia Gao
98 James St |
$38.41 | 10,498 | 7,735 |
|
Hitesh K Patel
228 Plainfield Ave |
$33.01 | 10,317 | 9,481 |
|
Ram Bangalore
1740 Oak Tree Rd |
$30.69 | 9,961 | 7,585 |
|
Shelley D Carolan
2 Lincoln Hwy Ste 500 |
$114.01 | 9,867 | 9,137 |
|
Indravadan T Patel
2060 Oaktree Rd |
$28.49 | 9,834 | 7,701 |
|
Pulin H Patel
22 Meridian Rd Unit 10 |
$23.33 | 9,395 | 7,352 |
|
Michelle Wilks
65 James St |
$46.18 | 9,328 | 8,602 |
|
Nehabahen V Shah
2141 Oak Tree Rd |
$34.38 | 8,793 | 7,140 |
|
Nrupa Shah
2163 Oak Tree Rd |
$41.89 | 8,375 | 7,691 |
|
Nimisha J Shukla
1802, Oak Tree Rd. |
$57.48 | 7,800 | 6,962 |
|
Savitra M Bandari
65 James St |
$105.35 | 7,523 | 7,112 |
|
Kavitha Velicheti
65 James St |
$113.04 | 6,883 | 6,477 |
|
Khalid M Aziz
2090 Lincoln Hwy |
$48.25 | 6,775 | 5,171 |
|
Chintan Modi
98 James Street |
$42.56 | 6,489 | 6,066 |
|
Varun Ben Gujral
2163 Oak Tree Rd |
$41.02 | 6,282 | 5,772 |
|
Joseph Peter Aurilio
1881 Oak Tree Road |
$16.43 | 6,070 | 5,619 |
|
Juhee Gupta
35-37 Progress St Ste A1 |
$49.59 | 6,056 | 4,740 |
|
Aaditya Desai
6 Sandra Dr |
$47.42 | 5,693 | 5,142 |
|
Suresh I Patel
34-36 Progess St |
$52.35 | 5,671 | 5,058 |
|
Namrata Polam Reddy
1802 Oak Tree Rd |
$54.86 | 5,589 | 4,977 |
|
Gauri Bhagwat
1802 Oak Tree Rd |
$44.78 | 5,545 | 4,930 |
|
Sujatha Muppala
1 Ethel Rd Ste 106A |
$40.05 | 5,361 | 4,827 |
|
Amarjit Saini
956 Amboy Ave |
$28.32 | 5,264 | 4,641 |
|
Rajasingam Jayasingam
80 Calvert Ave W |
$34.88 | 5,210 | 4,874 |
|
Bhudev Sharma
98 James St |
$65.20 | 5,132 | 4,927 |
|
Adedayo Olubunmi Aderibigbe
629 Amboy Ave |
$46.37 | 5,085 | 4,448 |
|
Zareen Taj Syed
629 Amboy Ave Fl 3 |
$43.55 | 4,840 | 4,561 |
|
Vijaya Nimma
6 Nicholas Ct |
$28.48 | 4,698 | 4,337 |
|
James Pang
65 James St |
$22.87 | 4,693 | 3,999 |
|
Fatema Raja
2090 Route 27 |
$38.23 | 4,609 | 3,974 |
|
Maria S Flores Dieppa
616 Grove Ave |
$59.91 | 4,498 | 3,998 |
|
Santiago J. Caasi
7 State Route 27 |
$57.22 | 4,457 | 4,173 |
|
Sagar R. Desai
98 James St |
$35.43 | 4,285 | 3,660 |
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 Edison, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Edison, NJ is $46.03 per claim, based on 753,071 claims from 266 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 Edison, NJ?
There are 266 Medicaid providers offering Office Visit related services in Edison, NJ according to public payment data.
What is the price range for Office Visit in Edison, NJ?
Medicaid reimbursement for Office Visit in Edison, NJ ranges from $1.38 to $189.29 per claim, with an average of $46.03. 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 Edison, NJ
Home Health Visit
Avg $72.70
1,738,327 claims
Blood Work & Lab Tests
Avg $8.48
735,324 claims
Physical Therapy
Avg $26.81
302,797 claims
Emergency Room Visit
Avg $201.48
285,731 claims
Ambulance Transport
Avg $135.04
200,274 claims
Vaccines & Immunizations
Avg $13.11
181,694 claims
Dental Cleaning & Exam
Avg $26.48
177,448 claims
X-Ray
Avg $18.91
144,439 claims