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 |
|---|---|---|---|
|
Salvatore Giovanni Savatta
655 E Jersey St |
$1.10 | 13 | 13 |
|
Amy A Werner
225 Williamson St |
$61.54 | 13 | 13 |
|
Guillermo Riestra
240 Williamson St |
$0.18 | 14 | 12 |
|
Guilaine Michaud-Mesidor
1000 S Elmora Ave |
$0.00 | 16 | 16 |
|
Agnieszka Lesniak
240 Williamson St Ste 402 |
$44.18 | 17 | 16 |
|
Emmanuel Asare
225 Williamson St |
$60.77 | 20 | 20 |
|
Center For Diagnosis And Treatment, Llc
624 Newark Ave |
$0.00 | 22 | 19 |
|
Iris Y Gomez-Brito
225 Williamson St |
$31.77 | 24 | 24 |
|
Intervention Specialist
583 Cherry St |
$249.05 | 24 | 24 |
|
Union County Pediatrics Group Inc
817 Rahway Ave |
$0.00 | 24 | 23 |
|
Dara Jeanne Sperber
127 Elmora Ave |
$22.07 | 26 | 26 |
|
Kate Amoa Ohenakwah
655 E Jersey St |
$0.00 | 26 | 24 |
|
Kristin Cohen
225 Williamson St |
$30.35 | 27 | 26 |
|
Pascale Ferdinand
115 Jefferson Ave |
$41.80 | 31 | 28 |
|
Adarsh Surya Reddy
655 E Jersey St |
$47.86 | 34 | 34 |
|
Sujal Singh
Union County Healthcare Associates, Llc |
$41.28 | 34 | 24 |
|
Nariman Konjkavfard
655 E Jersey St |
$2.44 | 36 | 33 |
|
Maritza Nohemy Cruz Hernandez
1019 E Jersey St |
$1.25 | 39 | 36 |
|
Linden Pediatric Group, P.A.
517 Rahway Ave |
$51.62 | 53 | 49 |
|
Alexandr Zaitsev
225 Williamson St |
$0.00 | 65 | 37 |
|
Linda Fam
225 Williamson St |
$1.31 | 69 | 57 |
|
Dwight E Lee
225 Williamson St |
$54.83 | 80 | 77 |
|
Paula L Clinton
701 Newark Ave |
$23.02 | 90 | 83 |
|
Erenio Mejias
505 Westfield Ave |
$21.87 | 91 | 80 |
|
Biren D Patel
240 Williamson St Ste 203 |
$59.00 | 94 | 94 |
|
Meeta Hasmukh Bhatt
240 Williamson St |
$55.76 | 104 | 102 |
|
Bakr Asif
225 Williamson St |
$32.80 | 106 | 102 |
|
Ritesh Patel
225 Williamson St |
$73.36 | 109 | 104 |
|
William W Kessler
225 Williamson St |
$21.47 | 117 | 112 |
|
The Lennard Clinic, Inc
850 Woodruff Ln |
$90.69 | 119 | 97 |
|
Michel-Ange Ferdinand
115 Jefferson Ave |
$43.38 | 119 | 102 |
|
Shanaya Recalde
225 Williamson St |
$17.58 | 131 | 70 |
|
Associates In Ent & Allergy Pa
470 North Avenue |
$30.91 | 132 | 102 |
|
Trinitas Regional Medical Center
200 Williamson St |
$5.12 | 135 | 131 |
|
Chilton Pediatrics Llc
144 Chilton Street |
$36.00 | 139 | 130 |
|
Novil Kaur
240 Williamson St Ste 305 |
$8.83 | 142 | 131 |
|
Scarlett Finocchiaro
200 Williamson St Ste 320 |
$5.94 | 191 | 185 |
|
Ariel Quinones Md
38 Elmora Ave |
$19.13 | 205 | 183 |
|
Trinitas Physicians Practice, Llc
200 Williamson St Ste 350 |
$0.00 | 212 | 150 |
|
Nathalie Jaqueline Rivera
225 Williamson St |
$100.18 | 223 | 221 |
|
Nandanee Myneni
824 Elizabeth Ave |
$35.37 | 228 | 195 |
|
Wilson Desquitado Guinto
144 Chilton St |
$29.29 | 234 | 226 |
|
Lisa M Derr
240 Williamson St |
$17.63 | 250 | 183 |
|
Matthew George Cholankeril
100 Grove St |
$21.59 | 259 | 215 |
|
Fatima Ibrahim
570 Cherry St |
$71.21 | 311 | 301 |
|
Jeffrey P. Sagalow
520 Westield Ave |
$51.32 | 319 | 308 |
|
Robert Kogan
700 N Broad St |
$65.01 | 327 | 291 |
|
Neighborhood Health Services Corporation
184 First Street |
$5.34 | 334 | 285 |
|
Jung San Shen
219 S Broad St |
$41.52 | 340 | 325 |
|
Esther O Nwaji
728 Pearl St |
$15.18 | 347 | 308 |
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.
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 Elizabeth, NJ
Home Health Visit
Avg $73.66
998,753 claims
Blood Work & Lab Tests
Avg $8.67
444,887 claims
Psychiatric Evaluation
Avg $108.09
323,822 claims
Emergency Room Visit
Avg $175.41
311,968 claims
Non-Emergency Medical Transportation
Avg $34.17
297,323 claims
Vaccines & Immunizations
Avg $12.38
217,358 claims
Dental Cleaning & Exam
Avg $27.85
185,821 claims
Eye Exam
Avg $26.25
176,694 claims