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 |
|---|---|---|---|
|
Vantage Health System, Inc.
93 W Palisade Ave |
$78.37 | 21,609 | 20,580 |
|
Chang Bae Son
200 Grand Ave 201 |
$43.53 | 20,820 | 18,720 |
|
Diana M Portilla
148 Engle St |
$41.52 | 18,986 | 15,610 |
|
Kevin Howard Ende
23 West Palisade Ave |
$71.58 | 17,967 | 15,531 |
|
Sau Yan Yee
245 Engle St |
$39.80 | 14,156 | 13,023 |
|
Doron Z Katz
177 N Dean St |
$47.45 | 13,473 | 7,293 |
|
Keith Gresham
177 N Dean St |
$89.72 | 11,965 | 11,862 |
|
Sujin Kim
500 Grand Ave Ste 201 |
$90.18 | 11,161 | 10,844 |
|
Nicholas Kotopoulos
40 Engle St |
$94.49 | 10,327 | 10,283 |
|
Jimmy Hoon Jee
401A S Van Brunt St Ste 200 |
$52.31 | 8,669 | 7,257 |
|
Dongjin Kim
350 Engle St |
$95.06 | 8,383 | 4,298 |
|
Garbis Gary Baydar
370 Grand Avenue |
$61.07 | 7,397 | 6,063 |
|
North Hudson Community Action Corporation
197 Van Brunt St |
$2.12 | 7,110 | 5,915 |
|
Jill S Morrison
350 Engle St |
$35.03 | 5,765 | 4,699 |
|
Yoon O Han
185 Engle St Ste 200 |
$19.20 | 5,691 | 4,884 |
|
Planned Parenthood Of Northern, Central, And Southern New Jersey, Inc.
46 N Van Brunt St |
$95.11 | 5,142 | 5,019 |
|
Constantine George Binas
177 N Dean St |
$83.93 | 4,764 | 4,746 |
|
Marcelo Marin
148 Engle St |
$28.46 | 4,582 | 3,977 |
|
Lindsay Princer
23 W Palisade Ave |
$54.92 | 4,119 | 2,798 |
|
Maxwell Janosky
350 Engle St |
$26.69 | 4,100 | 3,129 |
|
William N Onwuka
177 N Dean St Ph Floor |
$80.30 | 4,061 | 3,417 |
|
Damien Ian Davis
401 S Van Brunt St |
$44.97 | 3,793 | 3,474 |
|
Peter Andrew Salob
401 S Van Brunt St |
$63.96 | 3,730 | 3,540 |
|
Janet Amaro
93 W Palisade Ave |
$11.92 | 3,445 | 3,255 |
|
Michael Francis Pizzillo
401 S Van Brunt St |
$43.95 | 3,422 | 3,169 |
|
Asit Kantilal Shah
401 S Van Brunt St |
$35.18 | 3,393 | 3,077 |
|
Enny Oyeniran
23 W Palisade Ave |
$54.50 | 3,385 | 2,694 |
|
Paul S Han
200 Grand Avenue |
$25.50 | 3,330 | 2,663 |
|
James Ko
25 Rockwood Pl Ste 110 |
$45.01 | 3,078 | 2,908 |
|
Brian Hangil Kim
350 Engle Street |
$22.92 | 2,995 | 2,489 |
|
Shernett Griffiths
180 Engle St |
$44.41 | 2,900 | 2,716 |
|
Mariam Rasool Saand
350 Engle St |
$79.53 | 2,850 | 2,653 |
|
Tiffany M Danan
350 Engle St |
$26.98 | 2,668 | 2,250 |
|
Meghan Kaumaya
350 Engle St Fl 5 |
$28.87 | 2,593 | 1,994 |
|
Ria Madeliene Lim
180 Engle St |
$31.67 | 2,583 | 2,293 |
|
Minaxi Jhawer
350 Engle St |
$27.76 | 2,506 | 1,587 |
|
Eli S Djebiyan
140 Grand Ave |
$33.50 | 2,495 | 2,225 |
|
Kenneth Fred Garay
475 Grand Ave |
$55.79 | 2,482 | 2,300 |
|
Alexey Volokhov
370 Grand Ave |
$21.87 | 2,333 | 2,154 |
|
Yitzhack Asulin
106 Grand Ave |
$65.46 | 2,238 | 1,871 |
|
Jorge Luis Vivar-Aguirre
350 Engle St |
$106.66 | 2,084 | 1,398 |
|
Vladimir Kilinsky
177 N Dean St |
$73.35 | 1,944 | 1,939 |
|
Jennifer Eun Sun Cho
106 Grand Ave Ste 300 |
$51.77 | 1,874 | 1,432 |
|
David Nathan Feldman
25 Rockwood Pl |
$43.64 | 1,867 | 1,696 |
|
Medical Associates Of Englewood, Pc
350 Engle St |
$23.17 | 1,852 | 1,717 |
|
Jay Joel Kelinson
177 North Dean Street |
$77.74 | 1,844 | 1,842 |
|
Englewood Hospital And Medical Center
350 Engle St |
$27.61 | 1,770 | 1,166 |
|
Celines Morales-Ribeiro
350 Engle St |
$67.89 | 1,728 | 1,689 |
|
Jay Pathak
229 Engle St |
$26.32 | 1,719 | 1,463 |
|
Lewis M Attas
350 Engle St |
$25.54 | 1,662 | 1,337 |
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