Average Medicaid Office Visit Payments in Hazlet, NJ: $52.83
Avg. Paid
$52.83
Range
$0.25 – $113.51
Total Claims
49,212
Providers
23
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 Hazlet, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicole Marie Pantano
1 Bethany Rd |
$81.58 | 26 | 26 |
|
Roger Chen
2880 Route 35 |
$113.51 | 37 | 35 |
|
Adrian Michael Pristas
972 State Route 36 |
$56.71 | 69 | 65 |
|
Kerith Boyle
17 Parkview Dr |
$0.25 | 159 | 100 |
|
Lisa Wydra
3391 Highway 35 |
$25.59 | 272 | 253 |
|
Sheryl Cekot
1376 State Route 36 |
$42.68 | 324 | 312 |
|
Mary A Fury
One Bethany Road |
$80.77 | 432 | 393 |
|
Adeel Ahmad
1 Bethany Road |
$1.92 | 517 | 409 |
|
Ida M. Carideo
3253 Route 35 |
$45.03 | 598 | 569 |
|
Shalin Tarun Shah
1 Bethany Rd Ste 21 |
$52.41 | 607 | 553 |
|
Jessica Turro
3253 Rte 35 Ste 1 |
$6.28 | 767 | 645 |
|
Rama T Sambandan
80 Hazlet Ave |
$45.45 | 1,151 | 973 |
|
Douglas Walter Chudzik
31 Village Ct |
$39.86 | 1,580 | 1,402 |
|
Morgan Edward Bardall
41 Village Ct |
$49.20 | 1,984 | 1,660 |
|
Mohamad Salim Ani
1 Bethany Rd |
$41.31 | 2,063 | 1,830 |
|
Asha Jain
35 Village Ct |
$47.97 | 2,474 | 2,020 |
|
Parveen Uppal
80 Hazlet Ave |
$24.03 | 2,551 | 1,756 |
|
Vinutha Raj
80 Hazlet Ave Ste 10 |
$38.09 | 2,864 | 2,730 |
|
Jeanmarie Chudzik
31 Village Ct |
$36.90 | 2,909 | 2,501 |
|
Vijay Saaraswat
648 Holmdel Rd Ste 300 |
$37.96 | 4,955 | 4,403 |
|
Scott R Shrem
226 Middle Rd |
$38.40 | 4,965 | 4,161 |
|
Elsayed A Sahloul
1 Bethany Rd |
$42.25 | 6,381 | 5,681 |
|
Immediate Care Medical Walk-In Of Hazlet, Pa
1376 Highway 36 |
$97.71 | 11,527 | 10,617 |
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 Hazlet, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hazlet, NJ is $52.83 per claim, based on 49,212 claims from 23 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 Hazlet, NJ?
There are 23 Medicaid providers offering Office Visit related services in Hazlet, NJ according to public payment data.
What is the price range for Office Visit in Hazlet, NJ?
Medicaid reimbursement for Office Visit in Hazlet, NJ ranges from $0.25 to $113.51 per claim, with an average of $52.83. 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 Hazlet, NJ
Dental Cleaning & Exam
Avg $37.21
48,184 claims
Home Health Visit
Avg $82.55
44,722 claims
Dental Filling
Avg $104.92
14,625 claims
Nursing Facility Care
Avg $12.18
6,419 claims
EKG / ECG (Electrocardiogram)
Avg $6.83
5,122 claims
Psychiatric Evaluation
Avg $104.01
4,763 claims
Pathology & Lab Services
Avg $9.29
4,666 claims
Emergency Room Visit
Avg $88.33
4,665 claims