Average Medicaid Office Visit Payments in Glen Ridge, NJ: $59.64
Avg. Paid
$59.64
Range
$6.84 – $140.31
Total Claims
63,655
Providers
36
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 Glen Ridge, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Liljana Spidle
230 Sherman Ave |
$70.65 | 11,798 | 10,593 |
|
Khaula Khalid
946 Bloomfield Ave |
$96.51 | 11,582 | 10,791 |
|
Cornel Mircea
123 Highland Ave |
$69.06 | 5,770 | 5,322 |
|
Ellen E Urrutia
946 Bloomfield Avenue |
$34.52 | 5,346 | 4,929 |
|
Carlos Alfonso
946 Bloomfield Avenue |
$22.38 | 4,365 | 4,098 |
|
Asad M Cheema
946 Bloomfield Ave |
$21.35 | 3,548 | 3,320 |
|
James L Amato
946 Bloomfield Ave |
$26.73 | 2,885 | 2,707 |
|
Sung T. Kim
200 Highland Ave Ste 100B |
$45.34 | 2,251 | 1,968 |
|
Christopher Di Giorgio
946 Bloomfield Ave |
$30.12 | 1,925 | 1,826 |
|
Domenic L Mariano
946 Bloomfield Ave |
$36.10 | 1,906 | 1,722 |
|
David A. Green
777 Bloomfield Ave |
$59.66 | 1,870 | 1,811 |
|
Kartik Narendra Gohil
230 Sherman Ave Ste C |
$84.08 | 1,596 | 1,523 |
|
Karl W. Strom
123 Highland Ave |
$61.41 | 1,493 | 1,428 |
|
Bart Degregorio
946 Bloomfield Ave |
$28.04 | 1,277 | 1,212 |
|
Rosemarie Arena
311 Bay Ave |
$140.31 | 1,260 | 1,184 |
|
Hassan Malik
123 Highland Ave Ste 201 |
$53.57 | 1,139 | 1,036 |
|
Andrea R. Medel
1 Bay St |
$32.16 | 1,138 | 1,120 |
|
Mayur Chalia
123 Highland Ave |
$31.24 | 460 | 435 |
|
Marlyn Fernandez
123 Highland Ave Ste 301 |
$86.59 | 426 | 421 |
|
Sangjin Lim
311 Bay Ave Ste 102 |
$101.53 | 299 | 292 |
|
Aiza Akbar
230 Sherman Ave Ste B |
$43.08 | 257 | 244 |
|
Crystal Tank
311 Bay Ave |
$75.89 | 218 | 178 |
|
Nitika Dabas
946 Bloomfield Ave |
$21.68 | 201 | 174 |
|
Silvia Fresco
123 Highland Ave |
$6.84 | 191 | 187 |
|
Robert J. Barbalinardo
123 Highland Ave |
$30.13 | 120 | 119 |
|
Mazin Khalid
946 Bloomfield Ave |
$31.81 | 110 | 100 |
|
Konstantin Walmsley
311 Bay Ave Ste 200 |
$42.73 | 42 | 38 |
|
Dusan Knezevic
123 Highland Ave |
$65.03 | 40 | 39 |
|
Nitya Reddy Ramreddy
311 Bay Ave Ste 300A |
$48.01 | 28 | 27 |
|
Ankitkumar Kirankumar Patel
123 Highland Ave |
$84.42 | 25 | 25 |
|
Kamlesh Khanna
401 Ridgewood Ave |
$56.00 | 20 | 18 |
|
Mandy Lauren Sacher
200 Highland Ave Ste 100B |
$55.76 | 15 | 12 |
|
Jeffrey F Williams
311 Bay Ave Ste 200 |
$23.41 | 15 | 14 |
|
Anjali Grover
311 Bay Ave |
$85.78 | 14 | 14 |
|
Naveen Ballem
230 Sherman Ave |
$45.20 | 13 | 12 |
|
David Farrell Armstrong
123 Highland Ave Ste 302 |
$109.58 | 12 | 12 |
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 Glen Ridge, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Glen Ridge, NJ is $59.64 per claim, based on 63,655 claims from 36 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 Glen Ridge, NJ?
There are 36 Medicaid providers offering Office Visit related services in Glen Ridge, NJ according to public payment data.
What is the price range for Office Visit in Glen Ridge, NJ?
Medicaid reimbursement for Office Visit in Glen Ridge, NJ ranges from $6.84 to $140.31 per claim, with an average of $59.64. 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 Glen Ridge, NJ
EKG / ECG (Electrocardiogram)
Avg $9.45
57,063 claims
Echocardiogram
Avg $46.85
15,797 claims
Emergency Room Visit
Avg $51.55
10,739 claims
Nursing Facility Care
Avg $8.96
9,347 claims
Cardiac Stress Test
Avg $97.85
5,896 claims
Ultrasound
Avg $24.81
3,314 claims
Vaccines & Immunizations
Avg $14.76
1,177 claims
Prescription Medications
Avg $1.90
760 claims