Average Medicaid Office Visit Payments in Forked River, NJ: $43.24
Avg. Paid
$43.24
Range
$6.61 – $85.20
Total Claims
68,400
Providers
24
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 Forked River, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicole Catherine Eckert
540 Lacey Rd Ste 1C |
$54.58 | 13 | 13 |
|
Vincent J Migliori
638 Lacey Rd |
$32.46 | 66 | 56 |
|
Margaret Hager
138 S Main St |
$83.41 | 75 | 75 |
|
Annaliese Elizabeth Gilbert
731 Lacey Rd Ste 6 |
$75.61 | 95 | 88 |
|
Elizabeth Anne Packi
138 S Main St |
$12.80 | 142 | 137 |
|
Byung H Yu
765 Lacey Rd |
$43.71 | 183 | 151 |
|
Nicole Gabrielle Babushkin
138 Route 9 |
$70.22 | 250 | 220 |
|
Joel Peter Jannone
801 Lacey Road |
$30.92 | 253 | 244 |
|
Prasanna Govind Pradhan
620 W Lacey Rd |
$48.40 | 320 | 273 |
|
John Jeffrey Mosko
138 Route 9 |
$30.85 | 364 | 317 |
|
Joseph Kuna
332 Route 9 |
$39.80 | 465 | 443 |
|
Stephanie Ferrara
701 S Main St |
$62.93 | 543 | 510 |
|
Peter Bhiro
949 W Lacey Rd |
$52.95 | 623 | 534 |
|
Ann M Dipaolo
1044 Lacey Rd Ste 9 |
$6.61 | 1,009 | 932 |
|
Danna Glore Michelle Dela Cruz
731 Lacey Road |
$56.26 | 1,382 | 1,201 |
|
Lisa Adrian Kassenoff
138 Rte 9 S |
$85.20 | 1,475 | 1,378 |
|
Kimberly Jobes
424 S Main St |
$28.37 | 1,916 | 1,837 |
|
Theodore Ende
422 West Lacey Road |
$71.86 | 2,466 | 2,352 |
|
Laura Tavarez
138 S Main St |
$81.96 | 3,391 | 3,180 |
|
Shabnam Maghsood
34 Manchester Ave Ste 201 |
$61.59 | 4,294 | 4,003 |
|
Janet Ang Tumaliuan
606 Lacey Rd |
$49.57 | 5,403 | 5,013 |
|
Gianna Valerie Potts
424 S Main St |
$28.84 | 7,962 | 7,082 |
|
Maria Georgina Pineda Ramos
833 Lacey Rd |
$29.78 | 14,481 | 13,184 |
|
Mahmoud Yassin
115 Lacey Rd |
$41.50 | 21,229 | 15,535 |
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 Forked River, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Forked River, NJ is $43.24 per claim, based on 68,400 claims from 24 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 Forked River, NJ?
There are 24 Medicaid providers offering Office Visit related services in Forked River, NJ according to public payment data.
What is the price range for Office Visit in Forked River, NJ?
Medicaid reimbursement for Office Visit in Forked River, NJ ranges from $6.61 to $85.20 per claim, with an average of $43.24. 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 Forked River, NJ
Home Health Visit
Avg $97.87
97,661 claims
Vaccines & Immunizations
Avg $16.10
26,369 claims
Dental Cleaning & Exam
Avg $26.77
15,657 claims
Pathology & Lab Services
Avg $49.33
13,228 claims
Chiropractic Care
Avg $18.32
8,145 claims
Ambulance Transport
Avg $34.76
3,583 claims
Hearing Test (Audiometry)
Avg $23.81
2,627 claims
Allergy Testing
Avg $145.24
2,313 claims