Average Medicaid Office Visit Payments in Hawthorne, NJ: $66.00
Avg. Paid
$66.00
Range
$0.00 – $79.55
Total Claims
40,149
Providers
20
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 Hawthorne, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maria Jose Vasena Marengo
330 Lafayette Ave |
$79.55 | 19,483 | 17,189 |
|
Claudia Kim
330 Lafayette Ave |
$78.48 | 7,375 | 6,729 |
|
Joseph Lozito
484 Lafayette Ave |
$57.49 | 3,675 | 3,158 |
|
Ralph John Cifaldi
484 Lafayette Ave |
$36.10 | 3,424 | 2,848 |
|
Ellen Jo Fasanaro
1114 Goffle Rd |
$32.19 | 1,699 | 1,571 |
|
Rosemarie Spinelli-Drenth
169 Lafayette Ave |
$36.83 | 1,338 | 1,176 |
|
Deborah Lozito
484 Lafayette Ave |
$28.29 | 989 | 897 |
|
Mary C Bergin
1114 Goffle Rd |
$32.68 | 800 | 763 |
|
Thalia Vasiliades
484 Lafayette Ave |
$16.01 | 435 | 409 |
|
Robert G Buis
674 Lafayette Ave |
$0.00 | 295 | 294 |
|
Peter L Carrazzone
1114 Goffle Rd Ste 104 |
$38.07 | 183 | 164 |
|
Julie Becker
1114 Goffle Rd Ste 104 |
$43.48 | 103 | 95 |
|
Adrienne Lynn Salerno
1114 Goffle Rd Ste 104 |
$47.10 | 97 | 86 |
|
Phyllis E Hughes
1114 Goffle Rd |
$19.61 | 74 | 72 |
|
Kimberly A Miletti
290 Lafayette Ave Ste 202 |
$20.27 | 46 | 33 |
|
Ehab Elias Tuppo
1083 Goffle Rd |
$17.23 | 41 | 39 |
|
Robert T. Buis
674 Lafayette Ave |
$0.00 | 29 | 27 |
|
Christina Bottiglierie
1114 Goffle Rd Ste 104 |
$30.48 | 29 | 25 |
|
Akkc Medicine Llc
364 Lafayette Ave |
$6.21 | 18 | 15 |
|
Manju Gupta
332 Lafayette Avenue |
$76.31 | 16 | 14 |
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 Hawthorne, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hawthorne, NJ is $66.00 per claim, based on 40,149 claims from 20 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 Hawthorne, NJ?
There are 20 Medicaid providers offering Office Visit related services in Hawthorne, NJ according to public payment data.
What is the price range for Office Visit in Hawthorne, NJ?
Medicaid reimbursement for Office Visit in Hawthorne, NJ ranges from $0.00 to $79.55 per claim, with an average of $66.00. 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 Hawthorne, NJ
Home Health Visit
Avg $95.11
35,018 claims
Vaccines & Immunizations
Avg $10.38
26,404 claims
Dental Cleaning & Exam
Avg $14.57
16,955 claims
Non-Emergency Medical Transportation
Avg $26.32
10,086 claims
Behavioral & Mental Health Therapy
Avg $191.49
9,063 claims
Hearing Test (Audiometry)
Avg $12.98
4,614 claims
Colonoscopy
Avg $360.22
4,590 claims
Upper Endoscopy (EGD)
Avg $375.36
4,406 claims