Average Medicaid Office Visit Payments in Hamilton, NJ: $51.75
Avg. Paid
$51.75
Range
$0.00 – $220.62
Total Claims
477,985
Providers
187
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 Hamilton, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mariam Z Maniya
1078 White Horse Ave |
$23.53 | 41,277 | 33,371 |
|
Mind Your Mind
2083 Klockner Rd |
$92.37 | 25,239 | 20,523 |
|
Rao S Pasupuleti
1245 Whitehorse Mercerville Rd |
$64.04 | 24,967 | 23,132 |
|
Aisha S Chaudhry
1725 Klockner Rd |
$30.96 | 20,785 | 18,600 |
|
Syed Wh Rizvi
1374 Whitehorse Hamilton Square Rd Ste 104 |
$64.58 | 15,766 | 14,996 |
|
Christine B Malaty
2113 Klockner Rd |
$44.89 | 11,103 | 10,671 |
|
Stephanie Marano
1601 Whitehorse Mercerville Rd Ste 2 |
$45.59 | 10,553 | 10,082 |
|
Reina Duremdes Reyes
1230 Whitehorse-Mercerville Rd. |
$0.89 | 10,173 | 9,641 |
|
Patient First Maryland Physicians Group, P.C.
641 Us Highway 130 |
$80.13 | 9,980 | 9,093 |
|
Amarish Sheth
1544 Kuser Road |
$43.32 | 9,627 | 9,015 |
|
Noemi Spinazzi
3575 Quakerbridge Rd |
$13.33 | 9,229 | 5,914 |
|
Elsa Sophia Olan
1544 Kuser Rd Ste C1 |
$35.32 | 9,171 | 8,678 |
|
Marc Handler
1700 Whitehorse Hamilton Square Rd Ste D1 |
$66.13 | 8,265 | 7,748 |
|
Ebele Edith Ufondu
941 Whitehorse Avenue |
$39.54 | 8,200 | 7,426 |
|
Planned Parenthood Of Northern, Central, And Southern New Jersey, Inc.
2279 Route 33 |
$93.31 | 7,658 | 7,515 |
|
Annabel Agcopra
641 Us Highway 130 |
$70.91 | 7,555 | 6,831 |
|
Frank John Colarusso
2501 Kuser Rd Ste 3 |
$128.99 | 7,375 | 6,209 |
|
Mukaram A Gazi
1374 Whitehorse Hamilton Square Rd |
$64.63 | 7,099 | 6,284 |
|
Charles Edward Flores
1230 Whitehorse Mercerville Rd |
$21.64 | 6,749 | 6,325 |
|
Agha Sadeq Razvi
2333 Whitehorse Mercerville Rd |
$63.21 | 6,740 | 6,371 |
|
Ankita Modh Lathigra
1 Nami Ln Ste 8 |
$45.68 | 6,465 | 6,011 |
|
Maria Linda O Valencia
2113 Klockner Road |
$40.74 | 6,281 | 5,877 |
|
Laisa Lukose Vadakara
1401 Whitehorse Mercerville Rd Ste 220 |
$30.87 | 6,206 | 5,717 |
|
Rubina Baber Raza
1235 Whitehorse-Mercerville Rd |
$36.50 | 6,065 | 4,372 |
|
Chioma Genevieve Obiukwu
1540 Kuser Rd |
$38.47 | 5,715 | 5,370 |
|
Rebecca J Macadams
1544 Kuser Rd Ste C9 |
$48.31 | 5,257 | 4,255 |
|
Rachel C Bellamy
1544 Kuser Rd Ste C9 |
$84.45 | 5,076 | 3,974 |
|
Emily Taylor Bonnes
1230 Whitehorse Mercerville Rd |
$2.04 | 5,055 | 4,741 |
|
Alexander Gotesman
1374 Whitehorse Hamilton Square Rd |
$74.76 | 5,020 | 4,835 |
|
Irfan Ul Huq
1235 Whitehorse Mercerville Rd |
$29.64 | 4,979 | 3,610 |
|
Samuel A Qassab
1374 Whitehorse Hamilton Square Rd Ste 101 |
$56.67 | 4,935 | 4,275 |
|
Selim Uddin Sheikh
2312 Whitehorse Mercerville Rd |
$13.92 | 4,869 | 4,353 |
|
Belen Flores
1230 Whitehorse Mercerville Rd |
$3.93 | 4,630 | 4,383 |
|
Douglas Downing D'Orio
1225 Whitehorse Mercerville Rd Ste 202 |
$24.03 | 4,397 | 4,167 |
|
Paulina Sieczkowska
1078 White Horse Ave |
$16.76 | 4,135 | 3,919 |
|
Thomas K. Bills
2501 Kuser Rd Ste 3 |
$154.38 | 4,089 | 3,789 |
|
Maher Ibrahim
1374 Whitehorse-Hamilton Square Rd |
$53.02 | 3,976 | 3,783 |
|
Omar Zakaria Maniya
1078 White Horse Ave |
$21.93 | 3,975 | 3,229 |
|
Lisa Flores
1230 Whitehorse Mercerville Rd |
$27.29 | 3,727 | 3,494 |
|
Aigner Green
1445 Whitehorse Mercerville Rd |
$41.48 | 3,674 | 3,346 |
|
Patient First New Jersey Physicians Group Llc
641 Us Highway 130 |
$80.90 | 3,656 | 3,493 |
|
Sara I Ali
3100 Quakerbridge Rd Ste 2B |
$56.22 | 3,626 | 3,368 |
|
Lei Zhang
1245 Whitehorse Mercerville Rd |
$48.32 | 3,499 | 3,192 |
|
Khaja Tajuddin Faisal
300 Clocktower Dr |
$43.81 | 3,153 | 2,859 |
|
Parth Shah
1078 White Horse Ave |
$32.28 | 3,024 | 2,569 |
|
Daniel Oswari
1799 Klockner Rd |
$67.00 | 2,981 | 2,725 |
|
Stephanie J. Nacim
1544 Kuser Rd Ste C9 |
$89.27 | 2,968 | 2,437 |
|
Sabeena Farhath
1401 Whitehorse Mercerville Rd Ste 215 |
$94.64 | 2,885 | 2,837 |
|
Walter J Jacques
3 Hamilton Health Pl |
$80.21 | 2,871 | 2,751 |
|
Qaisar Hasan Usmani
2333 Whitehorse Mercerville Rd Ste J |
$11.85 | 2,746 | 2,495 |
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 Hamilton, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hamilton, NJ is $51.75 per claim, based on 477,985 claims from 187 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 Hamilton, NJ?
There are 187 Medicaid providers offering Office Visit related services in Hamilton, NJ according to public payment data.
What is the price range for Office Visit in Hamilton, NJ?
Medicaid reimbursement for Office Visit in Hamilton, NJ ranges from $0.00 to $220.62 per claim, with an average of $51.75. 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 Hamilton, NJ
Home Health Visit
Avg $123.37
261,417 claims
Non-Emergency Medical Transportation
Avg $11.56
188,973 claims
Dental Cleaning & Exam
Avg $24.74
183,027 claims
Psychiatric Evaluation
Avg $96.04
174,367 claims
Blood Work & Lab Tests
Avg $5.04
156,478 claims
Pathology & Lab Services
Avg $13.45
150,773 claims
Physical Therapy
Avg $24.57
149,451 claims
Behavioral & Mental Health Therapy
Avg $78.21
134,886 claims