Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Elizabeth, NJ: $46.75

Avg. Paid

$46.75

Range

$0.00 – $249.05

Total Claims

1,054,219

Providers

157

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 Elizabeth, NJ

Provider	Avg. Paid	Claims	Patients
Trinitas Regional Medical Center 225 Williamson St	$52.61	112,291	95,518
Raghunandan Sundaram 817 Rahway Ave	$45.48	64,542	53,411
Anshu Goyal Garg 240 Williamson St	$33.63	53,274	43,142
Vipin Garg 240 Williamson St	$36.93	52,426	43,814
Johanna Jacqueline Gonzalez Mejia 433 North Broad Street	$42.12	30,145	27,912
Danilo Magallanes Guinto 144 Chilton St	$48.72	27,818	24,507
Edgardo Tan 314 1St Ave	$81.75	27,404	15,517
Sanjay Batta 240 Williamson St Ste 506	$42.18	27,311	23,749
Diego Saporta 470 North Ave	$92.88	26,870	24,779
Ashraf H Mansour 240 Williamson St	$36.07	25,066	19,407
Neveen A. Elkholy 1000 S Elmora Ave	$51.82	24,731	19,598
Ravikiran Iyengar 817 Rahway Ave	$43.84	24,243	20,501
Luis M Benalcazar 624 Newark Ave	$40.19	21,413	20,186
Fehintola Ogunsakin 288 N Broad St Fl 2A	$59.44	20,433	14,888
Planned Parenthood Of Northern, Central, And Southern New Jersey, Inc. 1171 Elizabeth Ave	$92.12	19,301	18,898
Maria Del Carmen Cisnero 605 S Broad St	$54.72	18,408	16,905
Raul Iluminado Perez 605 S Broad St Unit B	$52.80	18,031	16,378
Essam Abdou Othman 700 N Broad St	$41.35	17,647	13,972
Alan Plauka 1150 Dickinson St	$33.80	17,274	14,726
Jasjit Walia 1150 Dickinson St	$38.52	14,950	13,231
Baljit S Sappal 725 N Broad St	$31.21	13,102	11,248
Edwin R Roman 430 Morris Ave	$18.66	11,292	10,002
James Perez 824 Elizabeth Ave	$31.47	11,206	10,533
Aparna Bhamidipati 435 Elmora Ave	$63.26	11,047	7,721
Ariel Quinones 38 Elmora Ave	$24.86	10,988	9,967
Rekha Sharma 701 Newark Ave	$36.20	10,967	9,539
Alberto Lopez Silvero 240 Williamson St	$31.35	10,807	10,195
Arun Naik 240 Williamson St	$44.85	10,545	9,943
Manish S Patel 520 Westfield Ave	$36.26	10,316	9,121
Henry Sardar 171 Elmora Ave	$99.88	10,051	4,030
Saveren Scannapiego 230 W Jersey St	$59.09	9,861	9,563
Francisco Munoz 824 Elizabeth Ave	$30.12	9,682	8,994
Peter Lontai 171 Elmora Ave	$37.67	9,461	6,308
Karpukarasi Ayyanathan 517 Rahway Ave	$50.78	8,582	7,779
Edward Montoya 300 Washington Ave	$39.11	8,295	7,523
Kamran Khazai 240 Williamson St	$52.24	8,203	7,660
Shellie Auguste 240 Williamson St	$34.01	8,115	7,232
Narendra Narottamdas Saraiya 817 Rahway Ave	$49.15	7,793	7,036
Usha George Thalody 240 Williamson St	$30.74	7,627	6,834
Meherwan Burzor Joshi 240 Williamson St	$27.14	7,244	6,582
Lucyamma Thalody 240 Williamson St	$29.29	7,115	6,396
Edward Shen 219 S Broad St	$24.02	6,694	5,967
Guillermo Munoz 824 Elizabeth Ave	$35.90	6,606	6,028
Mathew V Cholankeril 100 Grove St	$23.15	6,542	6,040
Rachael Questelles 517 Rahway Ave	$51.53	6,427	5,677
Stephen Grelecki 655 E Jersey St	$13.20	6,363	5,986
Mary G Cholankeril 240 Williamson St	$37.54	6,210	5,032
Ying Tao 700 N Broad St	$50.65	6,026	5,372
Shawn R Klein 230 W Jersey St	$62.30	5,521	5,323
Soonkyum Kim 230 West Jersey St Ste 102	$54.71	5,416	4,155

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 Elizabeth, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elizabeth, NJ is $46.75 per claim, based on 1,054,219 claims from 157 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 Elizabeth, NJ?

There are 157 Medicaid providers offering Office Visit related services in Elizabeth, NJ according to public payment data.

What is the price range for Office Visit in Elizabeth, NJ?

Medicaid reimbursement for Office Visit in Elizabeth, NJ ranges from $0.00 to $249.05 per claim, with an average of $46.75. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Elizabeth, NJ: $46.75

Providers Offering Office Visit in Elizabeth, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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