Average Medicaid Office Visit Payments in Englewood, NJ: $53.45
Avg. Paid
$53.45
Range
$0.13 – $112.83
Total Claims
334,797
Providers
173
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 Englewood, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Selwyn E Levine
200 Grand Ave |
$19.09 | 12 | 12 |
|
Thomas Sal Bottiglieri
500 Grand Ave Ste 101 |
$77.63 | 13 | 13 |
|
Sejal Gandhi
25 Rockwood Pl Ste 120 |
$45.25 | 14 | 12 |
|
Scott Brian Hanauer
142 Engle St |
$13.64 | 14 | 13 |
|
Jums I Babatunde
25 Rockwood Pl Ste 205 |
$26.97 | 15 | 14 |
|
Marielaina S Derose
350 Engle St |
$8.45 | 16 | 16 |
|
Donna Zarandi
350 Engle St |
$26.26 | 18 | 13 |
|
Bryan T Ho
216 Engle St |
$83.68 | 24 | 24 |
|
Richard Edward May
200 Grand Ave Ste 102 |
$17.27 | 27 | 26 |
|
Jeena Mathew
180 Engle St |
$43.49 | 29 | 24 |
|
Troy Ezra Callahan
25 Rockwood Pl Ste 405 |
$69.03 | 29 | 27 |
|
Sevak Keshishyan
350 Engle St Ste 6586 |
$94.48 | 32 | 31 |
|
Joshua D Harris
350 Engle St |
$36.17 | 36 | 26 |
|
Vagram Ovnanian
275 Engle St |
$42.91 | 38 | 38 |
|
Eytan A Chen
105 N Dean St |
$102.56 | 40 | 40 |
|
Aileen P. Tlamsa
25 Rockwood Pl Ste 120 |
$51.84 | 41 | 39 |
|
Aron Isaac Schwarcz
25 Rockwood Pl Ste 440 |
$36.78 | 43 | 40 |
|
Jose Carlos Gomez-Marquez
180 N Dean St |
$28.23 | 43 | 40 |
|
Killol Patel
180 Engle St |
$39.33 | 43 | 40 |
|
Faith Renee Goldman
350 Engle St |
$39.88 | 44 | 43 |
|
Adriana Gambino
350 Engle St |
$15.04 | 45 | 34 |
|
Himabala Ghanta
200 Engle St Ste 14 |
$21.77 | 45 | 45 |
|
Joseph Jay Schwartz
229 Engle St |
$2.79 | 53 | 51 |
|
Johanna Amar- Eichenwald
240 E Palisade Ave Apt 19H |
$80.44 | 57 | 54 |
|
Jonathan Daniel Scherl
440 Curry Ave |
$27.08 | 58 | 54 |
|
Andrei Rebarber
190 Walnut St |
$44.91 | 63 | 18 |
|
Patricia Adele Lopinto
350 Engle St |
$22.76 | 74 | 71 |
|
Adam Glassman
180 N Dean St |
$36.72 | 80 | 75 |
|
Kasing Ho
370 Grand Ave |
$18.08 | 85 | 78 |
|
Irina Tartakovsky
177 N Dean St |
$32.48 | 89 | 82 |
|
Jason Jungsun Yoo
25 Rockwood Pl Ste 220 |
$9.64 | 96 | 87 |
|
Nita Casimiro
25 Rockwood Pl |
$39.62 | 98 | 93 |
|
Theophanis A Pavlou
200 Grand Ave |
$36.50 | 101 | 95 |
|
Eugene Han
420 Grand Ave Ste 101 |
$77.77 | 104 | 103 |
|
Son Dermatology, Pc
200 Grand Ave Ste 201 |
$8.38 | 105 | 104 |
|
Saurabh Kapoor
350 Engle St |
$43.65 | 109 | 108 |
|
Ashwin Jathavedam
25 Rockwood Place |
$35.76 | 118 | 114 |
|
Katalin A Frisch
180 Engle St |
$27.11 | 120 | 114 |
|
Harol Valenzuela
177 N Dean St Ste 207 |
$19.11 | 125 | 111 |
|
Burcu Erdil
54 S Dean St |
$5.30 | 136 | 99 |
|
Sheng Huan Ye
370 Grand Ave |
$22.75 | 136 | 127 |
|
Alicia C Skarimbas
370 Grand Ave |
$22.83 | 143 | 141 |
|
Zhanna Erenshteyn
275 Engle St |
$0.13 | 154 | 153 |
|
Edwin Salamanca
350 Engle Street |
$112.83 | 155 | 154 |
|
Aliye Runyan
200 Grand Ave |
$67.95 | 156 | 156 |
|
Anita N. Ramsetty
350 Engle St # 256 |
$47.60 | 157 | 149 |
|
Oleg Kaim, M.D., P.C.
214 Engle St |
$38.21 | 158 | 145 |
|
Alice Abraham
180 Engle St |
$36.70 | 158 | 148 |
|
John Michael Borzok
142 Engle St |
$28.80 | 161 | 138 |
|
Zachary Mason Merriam
401 S Van Brunt St Ste 301 |
$35.25 | 170 | 146 |
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 Englewood, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Englewood, NJ is $53.45 per claim, based on 334,797 claims from 173 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 Englewood, NJ?
There are 173 Medicaid providers offering Office Visit related services in Englewood, NJ according to public payment data.
What is the price range for Office Visit in Englewood, NJ?
Medicaid reimbursement for Office Visit in Englewood, NJ ranges from $0.13 to $112.83 per claim, with an average of $53.45. 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 Englewood, NJ
Blood Work & Lab Tests
Avg $8.55
1,062,223 claims
Home Health Visit
Avg $75.82
348,714 claims
Urinalysis & Urine Tests
Avg $3.20
208,832 claims
Dental Cleaning & Exam
Avg $27.28
166,796 claims
Ultrasound
Avg $74.82
166,173 claims
Physical Therapy
Avg $16.27
127,748 claims
Emergency Room Visit
Avg $126.34
124,878 claims
Pathology & Lab Services
Avg $56.83
105,959 claims