Average Medicaid Office Visit Payments in Hamilton Square, NJ: $33.77
Avg. Paid
$33.77
Range
$12.68 – $93.06
Total Claims
17,534
Providers
11
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 Square, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yue Wang
2065 Klockner Rd |
$12.68 | 8,761 | 7,269 |
|
Daniel Scott Kessel
1700 Whitehorse Hamilton Square Rd |
$93.06 | 2,184 | 2,126 |
|
David J Lax
1700 Whitehorse Hamilton Square Rd |
$31.31 | 1,693 | 1,505 |
|
Denise A Agness
1700 Whitehorse Hamilton Square Rd |
$32.89 | 1,359 | 1,263 |
|
Alon Baker
2133 State Highway 33 |
$60.85 | 1,211 | 1,161 |
|
Soo Kil Chung
1700 Whitehorse Hamilton Square Rd |
$43.92 | 589 | 546 |
|
Edward B Didonato
1700 Whitehorse Hamilton Square Rd |
$33.43 | 545 | 519 |
|
Alena Otero
1700 Whitehorse Hamilton Square Rd Ste D1 |
$45.59 | 466 | 425 |
|
Laura K. Brandspiegel
2133 State Highway 33 |
$58.27 | 422 | 410 |
|
Sonya Boor
2133 State Highway 33 |
$58.18 | 259 | 252 |
|
Sevasti Guthrie
1700 Whitehorse Hamilton Square Rd |
$30.31 | 45 | 45 |
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 Square, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hamilton Square, NJ is $33.77 per claim, based on 17,534 claims from 11 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 Square, NJ?
There are 11 Medicaid providers offering Office Visit related services in Hamilton Square, NJ according to public payment data.
What is the price range for Office Visit in Hamilton Square, NJ?
Medicaid reimbursement for Office Visit in Hamilton Square, NJ ranges from $12.68 to $93.06 per claim, with an average of $33.77. 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 Hamilton Square, NJ
Dental Cleaning & Exam
Avg $27.19
147,593 claims
Eye Exam
Avg $8.36
36,935 claims
Dental Filling
Avg $52.68
22,954 claims
Nursing Facility Care
Avg $15.47
18,767 claims
Tooth Extraction
Avg $78.93
5,623 claims
Root Canal
Avg $50.00
2,406 claims
Physical Therapy
Avg $0.28
1,211 claims
Blood Work & Lab Tests
Avg $0.38
134 claims