Based on public Medicaid payment data.

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
Brittany Unhye Kramer 65 James St	$5.69	12	12
Nagavalli Thiruvalluvan 11 Pavlocak Ct	$46.75	12	12
Maria P Masih 65 James St	$5.94	12	12
Philip A. Hanna 65 James St	$43.22	12	12
Grace Njeri Njuguna Bachia 1813 Oak Tree Rd	$82.08	12	12
Susan Matthew 65 James St	$20.61	12	12
Lewis Martin Milrod 80 State Route 27	$123.17	12	12
Catholic Charities, Diocese Of Metuchen 26 Safran Ave	$71.20	12	12
Ming He 65 James St	$88.78	13	13
Harsha Ayyala 65 James St	$45.14	14	12
James Zu, Md,Pa 2 Lincoln Hwy	$70.84	14	13
Patrick Nierva 3830 Park Ave Ste 207	$60.00	14	14
Soraya Moreno 65 James St	$22.61	14	13
Richard B Menashe 15 So Main St	$3.80	15	12
Hemanth Kumar Koduri 25 Remington Dr	$18.20	15	15
Kevin Yee 102 James St Ste 301	$20.53	15	14
Karishma Vipul Patel 65 James St	$116.19	15	14
Haneen Hussein 65 James St	$1.38	17	17
Andrew R Freedman 7 Marshall Dr	$25.09	18	17
Renee Palmyra Armour 98 James St	$96.65	26	26
Thomas C. Steineke 65 James St	$80.75	26	26
Kasim Ali Babar 65 James St	$41.24	26	26
Valsamma Joseph 225 May St	$6.57	27	25
Christine Greiss 65 James St	$47.76	27	24
Elisabeth Brayton Wilson 65 James St	$29.14	29	29
Anna Burzynska 561 Us Highway 1	$73.84	30	29
Michael Chen 35 Progress St # 37	$7.96	32	30
Malali Noori 2110 Oak Tree Rd	$74.57	33	32
Klara Galperina 65 James St	$81.14	38	38
Niveditha Meghadri 295 Pierson Ave	$1.83	40	39
Ofure R. Luke 65 James St	$39.89	43	37
Mohammad Memon 98 James St	$45.96	44	42
Maria E Martins 65 James St	$45.89	44	44
Lama El Zein 65 James St	$76.85	44	42
Richard M Schuman 34 36 Progress St	$25.84	53	41
Mona Williams - Gregory 6 Kilmer Rd Unit A114	$125.72	57	47
Leslie Bagay 65 James St	$46.20	58	50
Jayesh Gajendrabhai Kanuga 1740 Oak Tree Rd	$41.77	61	55
Stephen M. Bloomfield 65 James St	$58.75	62	54
Evan Jay 10 Parsonage Rd Ste 208	$1.88	63	57
Neeta Sharma Ogden 974 Inman Ave	$21.36	68	55
Ritu Anand 102 James St Ste 301	$61.63	71	66
Ashima Singla 98 James St Fl 4	$124.46	71	67
Jessica L Pu 1802 Oak Tree Rd Ste 101	$7.28	72	59
Tanuja M Rajpal 102 James St Ste 202	$96.90	81	60
Varun Bhatia 65 James St	$55.07	85	69
Eric D Freeman 10 Parsonage Rd Ste 208	$7.98	90	83
Oak Tree Patient Care Pc 1920 Oak Tree Rd Ste 201	$18.05	95	85
Mohammed Nisar 1895 Oak Tree Rd	$43.21	95	51
Ebere Aniegbuna 2079 Woodbridge Ave Ste 1388	$15.67	103	95

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.

Average Medicaid Office Visit Payments in Edison, NJ: $46.03

Providers Offering Office Visit in Edison, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Edison, NJ

Home Health Visit

Blood Work & Lab Tests

Physical Therapy

Emergency Room Visit

Ambulance Transport

Vaccines & Immunizations

Dental Cleaning & Exam

X-Ray