Average Medicaid Office Visit Payments in Hackensack, NJ: $57.18
Avg. Paid
$57.18
Range
$0.03 – $228.02
Total Claims
743,791
Providers
395
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 Hackensack, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rosa J Miranda
134 Summit Avenue |
$64.12 | 72,448 | 63,493 |
|
Edrik Josue Acevedo Beltran
30 Prospect Ave |
$38.64 | 36,763 | 33,414 |
|
Carrie R. Mallen
370 Summit Ave |
$53.98 | 26,487 | 25,154 |
|
Kyle James Viola
146 N State Rt 17 Ste 2 |
$62.20 | 14,654 | 13,709 |
|
Angel J Mulkay
493 Essex Avenue |
$27.79 | 14,301 | 13,455 |
|
Hany M Gaafer-Ahmed
20 Prospect Ave |
$53.69 | 13,105 | 9,801 |
|
Meltem Ates
140 Prospect Ave Ste 16 |
$35.35 | 12,659 | 10,908 |
|
Planned Parenthood Of Northern, Central, And Southern New Jersey, Inc.
575 Main Street |
$103.53 | 12,644 | 12,397 |
|
Cengiz Yucel
155 Polifly Rd |
$37.85 | 12,434 | 10,241 |
|
Adam Atoot
2 University Plz Ste 500 |
$69.71 | 11,883 | 10,582 |
|
Gomathi Adhiyaman
101 Prospect Ave |
$69.67 | 11,442 | 8,931 |
|
Paarth Raj
30 Prospect Ave |
$78.93 | 11,065 | 10,231 |
|
Hmh Hospitals Corporation
30 Prospect Ave |
$106.75 | 10,589 | 10,113 |
|
Comprehensive Behavioral Healthcare Inc
395 Main St |
$107.38 | 10,537 | 9,675 |
|
Luis C Grau
146 N State Rt 17 Ste 2 |
$67.36 | 10,398 | 9,068 |
|
Safwat Shaker
38 Summit Ave |
$38.59 | 10,176 | 8,559 |
|
Paul Mitchell Rothenberg
146 N State Rt 17 Ste 2 |
$107.30 | 9,818 | 9,250 |
|
Morris Samuel Friedman
52 1St St |
$49.95 | 9,568 | 5,332 |
|
Stephanie Dossantos
30 Prospect Ave |
$45.84 | 9,378 | 8,424 |
|
Aditya Mahendra Patel
146 N State Rt 17 Ste 3 |
$68.71 | 9,269 | 8,815 |
|
Rose Ann Reyes Macalintal
134 Summit Ave |
$75.83 | 9,005 | 8,474 |
|
Deena Mary Atieh Graham
92 2Nd St |
$31.57 | 8,961 | 5,990 |
|
Ehab Fawzy Ibrahim
92 Summit Ave |
$33.34 | 8,253 | 7,218 |
|
Tracy Ann Proverbs-Singh
92 2Nd St |
$32.99 | 8,154 | 4,566 |
|
North Hudson Community Action Corporation
25 E Salem St |
$0.03 | 7,737 | 6,188 |
|
Carla Ann Germinario
15 Anderson St |
$32.18 | 7,683 | 6,345 |
|
Michael Y Chee
30 Prospect Ave |
$141.06 | 7,678 | 7,523 |
|
Suhel Hussain Ahmed
357 Prospect Ave |
$45.67 | 7,568 | 6,019 |
|
Scott D. Ruffo
493 Essex Street |
$21.74 | 7,488 | 7,023 |
|
Raksha R Gupta
920 Main St |
$71.16 | 7,313 | 6,862 |
|
Martin Eduardo Gutierrez
92 2Nd St |
$32.97 | 7,284 | 4,792 |
|
Amy Tank
20 Prospect Ave Ste 702 |
$69.00 | 7,225 | 6,087 |
|
Juanita D Baca Barreto
83 Lodi St. |
$35.93 | 6,952 | 4,991 |
|
Stanley E Waintraub
92 2Nd St |
$34.91 | 6,642 | 4,384 |
|
Donna M Mcnamara
92 2Nd St |
$31.92 | 6,554 | 4,755 |
|
Zachariah G Smith
2 University Plz Ste 204 |
$17.05 | 6,467 | 6,253 |
|
Erin Courtney
20 Prospect Ave Ste 702 |
$74.41 | 6,152 | 5,576 |
|
Kulsuma Ahmed
357 Prospect Ave |
$24.83 | 5,886 | 4,815 |
|
Richard Yackshaw Greco
30 Prospect Ave |
$44.72 | 5,651 | 5,478 |
|
Robert S Alter
92 2Nd St |
$34.03 | 5,475 | 3,747 |
|
James Minall
30 Prospect Ave |
$31.65 | 5,350 | 5,261 |
|
Arturo L Marrero-Figarella
60 2Nd St |
$53.22 | 4,826 | 4,603 |
|
Marion Y Bobb-Mckoy
92 Summit Ave |
$33.67 | 4,799 | 3,929 |
|
Peter Basil Hilaris
51 Summit Ave |
$42.81 | 4,782 | 4,212 |
|
Mina Kamel Abadeer
211 Essex St Ste 405 |
$31.29 | 4,770 | 3,911 |
|
Matthew B. Hanson
20 Prospect Ave |
$82.92 | 4,370 | 4,220 |
|
Jamie Lynn Koprivnikar
92 2Nd St |
$29.82 | 4,367 | 2,733 |
|
Shalini Gupta
30 Prospect Ave |
$68.99 | 4,048 | 3,448 |
|
Judith Kutzleb
30 Prospect Ave |
$27.83 | 3,917 | 3,620 |
|
Melinda Jean Collins
150 Overlook Ave |
$106.24 | 3,780 | 3,678 |
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 Hackensack, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hackensack, NJ is $57.18 per claim, based on 743,791 claims from 395 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 Hackensack, NJ?
There are 395 Medicaid providers offering Office Visit related services in Hackensack, NJ according to public payment data.
What is the price range for Office Visit in Hackensack, NJ?
Medicaid reimbursement for Office Visit in Hackensack, NJ ranges from $0.03 to $228.02 per claim, with an average of $57.18. 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 Hackensack, NJ
Home Health Visit
Avg $86.27
9,989,239 claims
Emergency Room Visit
Avg $188.15
581,932 claims
Blood Work & Lab Tests
Avg $5.94
581,470 claims
Non-Emergency Medical Transportation
Avg $31.19
365,382 claims
X-Ray
Avg $12.25
335,824 claims
Ambulance Transport
Avg $62.85
312,820 claims
Behavioral & Mental Health Therapy
Avg $115.15
289,922 claims
Dental Cleaning & Exam
Avg $21.38
249,539 claims