Average Medicaid Office Visit Payments in Flemington, NJ: $81.77
Avg. Paid
$81.77
Range
$6.79 – $160.50
Total Claims
189,240
Providers
172
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 Flemington, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hunterdon Urgent Care Pc
2100 Wescott Dr |
$104.76 | 17,076 | 16,328 |
|
Eric Michael Gordon
8100 Wescott Dr |
$77.08 | 7,201 | 6,651 |
|
John S Douvris
6 Sand Hill Rd Ste 102 |
$80.07 | 7,170 | 6,784 |
|
Christopher Angelo Caruso
8100 Wescott Dr |
$83.46 | 6,308 | 5,648 |
|
Ricky A Braff
6 Sand Hill Rd Ste 102 |
$87.62 | 5,881 | 5,650 |
|
Mitchell I Clarin
6 Sand Hill Road |
$78.45 | 5,374 | 5,104 |
|
Holly Potts
6 Sand Hill Rd Ste 102 |
$85.06 | 4,841 | 4,611 |
|
Richard Chang
8100 Wescott Dr |
$95.34 | 4,595 | 4,158 |
|
Rachel Brauner
6 Sand Hill Rd |
$78.24 | 4,137 | 3,851 |
|
Scott Thomas Bleazey
8100 Wescott Dr |
$91.84 | 4,074 | 3,748 |
|
Michael J Sisack
63 Church St |
$90.45 | 3,818 | 3,714 |
|
Philip Justin Glassner
6 Sand Hill Rd |
$67.50 | 3,562 | 3,246 |
|
Hong Chen
190 Route 31 North |
$61.72 | 3,441 | 3,286 |
|
Michael E Pollack
8100 Wescott Drive |
$94.08 | 3,330 | 3,104 |
|
Randy S Klein
149M Highway 31 |
$72.62 | 3,256 | 2,866 |
|
John P Hanna
6 Sand Hill Rd |
$74.33 | 3,145 | 2,851 |
|
Marie G Bernard
111 Rt 31 |
$94.56 | 2,996 | 2,665 |
|
Thomas A St John
8100 Wescott Drive |
$75.11 | 2,800 | 2,567 |
|
Paul S Phillips
6B Minneakoning Rd |
$100.40 | 2,603 | 2,419 |
|
Michael Thomas Milone
8100 Wescott Dr Ste 101 |
$92.27 | 2,594 | 2,232 |
|
Suneel K Basra
8100 Wescott Dr Ste 101 |
$86.30 | 2,584 | 2,377 |
|
Brett Kolpan
1738 Route 31 No |
$84.11 | 2,511 | 2,365 |
|
Peter J Scott
6 Sand Hill Rd |
$77.10 | 2,263 | 2,194 |
|
Shilpa Renukuntla
6 Sand Hill Rd Ste 302 |
$84.77 | 2,158 | 1,981 |
|
Marc Ira Storch
1100 Wiscott Drive |
$81.33 | 2,124 | 2,018 |
|
High Point Partial Care, Llc
162 Broad St |
$117.09 | 2,061 | 1,863 |
|
Anoli Maniar
6 Sand Hill Rd |
$78.87 | 2,044 | 1,850 |
|
Michael J Coraggio
6 Sand Hill Road |
$75.62 | 2,016 | 1,920 |
|
Aleya Salam
8100 Wescott Drive |
$78.89 | 1,988 | 1,880 |
|
Smita Patil Randhawa
9100 Wescott Dr |
$85.80 | 1,987 | 1,779 |
|
Jerome Elliot Decker
8100 Wescott Drive |
$77.57 | 1,959 | 1,778 |
|
Kathryn A. Wall
190 Rt. 31 |
$34.87 | 1,871 | 1,850 |
|
Saima Khan
9100 Wescott Dr |
$76.45 | 1,852 | 1,754 |
|
Ami Tailor Langdon
Hunterdon Pediatric Associates |
$77.41 | 1,814 | 1,731 |
|
Melissa Rae Camiolo
4 Walter E Foran Blvd Ste 302 |
$88.46 | 1,783 | 1,677 |
|
Justin Nealis
2100 Wescott Dr |
$101.89 | 1,730 | 1,601 |
|
Jonathan E Wierzbicki
4 Walter E Foran Blvd Ste 101 |
$89.15 | 1,618 | 1,407 |
|
Yamileth Rios
6 Sand Hill Rd Ste 102 |
$75.31 | 1,558 | 1,497 |
|
Jimena Rivas
4 Walter E Foran Blvd Ste 302 |
$92.39 | 1,489 | 1,411 |
|
Christopher Robin Hood
1100 Wescott Dr Ste 303 |
$51.80 | 1,482 | 1,257 |
|
Sarah Qureshi
63 Church St |
$69.08 | 1,467 | 1,405 |
|
Parag N Patel
6 Sand Hill Rd Ste 302 |
$84.18 | 1,465 | 1,338 |
|
Erica Hannema
1100 Wescott Dr |
$87.74 | 1,401 | 1,281 |
|
Yelena Belkina
4 Walter E Foran Blvd Ste 302 |
$97.42 | 1,396 | 1,291 |
|
Christopher Anthony Garcia
1100 Wescott Dr Ste G3 |
$55.87 | 1,343 | 1,230 |
|
Kevin B Roche
6 Sand Hill Rd |
$79.41 | 1,264 | 1,237 |
|
David F Kroon
6 Sand Hill Rd |
$81.13 | 1,257 | 1,167 |
|
Genea Mukherji
9100 Wescott Dr |
$96.94 | 1,233 | 1,157 |
|
John V. Kramer
1100 Wescott Dr Ste 303 |
$54.76 | 1,189 | 821 |
|
Lisa Plunkett
1100 Wescott Dr |
$84.08 | 1,162 | 1,082 |
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 Flemington, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Flemington, NJ is $81.77 per claim, based on 189,240 claims from 172 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 Flemington, NJ?
There are 172 Medicaid providers offering Office Visit related services in Flemington, NJ according to public payment data.
What is the price range for Office Visit in Flemington, NJ?
Medicaid reimbursement for Office Visit in Flemington, NJ ranges from $6.79 to $160.50 per claim, with an average of $81.77. 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 Flemington, NJ
Behavioral & Mental Health Therapy
Avg $87.95
194,709 claims
Blood Work & Lab Tests
Avg $5.04
128,149 claims
Psychiatric Evaluation
Avg $78.39
127,970 claims
Ambulance Transport
Avg $22.99
99,390 claims
Non-Emergency Medical Transportation
Avg $8.94
72,862 claims
Physical Therapy
Avg $33.05
68,948 claims
Emergency Room Visit
Avg $209.85
48,508 claims
Urinalysis & Urine Tests
Avg $3.23
31,504 claims