Average Medicaid Office Visit Payments in Hillsborough, NJ: $55.45
Avg. Paid
$55.45
Range
$0.00 – $307.58
Total Claims
56,710
Providers
56
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 Hillsborough, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laura E Riley
311 Omni Dr |
$10.70 | 12 | 12 |
|
Katherine Adamczyk
40 Walker Dr |
$69.40 | 12 | 12 |
|
Priyanka Singh Yadav
331 Us Highway 206 |
$307.58 | 12 | 12 |
|
Douglas Geller
311 Amwell Rd |
$58.48 | 12 | 12 |
|
Kenneth Robert Snyder
331 Route 206 |
$125.96 | 14 | 14 |
|
Kristen K Lee
511 Courtyard Dr |
$37.14 | 14 | 14 |
|
Lisa A Pittarelli
105 Raider Blvd Ste 101 |
$70.62 | 14 | 12 |
|
Anna Zajac
331 Route 206 |
$37.96 | 15 | 12 |
|
Maureen Molin
105 Raider Blvd |
$28.63 | 20 | 12 |
|
Madhvi D Rana
105 Raider Blvd Ste 101 |
$56.23 | 23 | 22 |
|
Yuange Hu
105 Omni Dr |
$0.00 | 24 | 24 |
|
Claudia Barghash
511 Courtyard Dr |
$38.27 | 25 | 24 |
|
Shreyas Saligram
511 Courtyard Dr |
$26.82 | 27 | 27 |
|
Gina Marie Theofanidis
511 Courtyard Dr Bldg 500 |
$12.98 | 27 | 24 |
|
Molisha Patel
105 Raider Blvd |
$1.78 | 32 | 17 |
|
Samantha Angel Rotondo Venet
105 Raider Blvd |
$23.06 | 35 | 25 |
|
Mary Eileen Kuc
10 Powelson Dr |
$49.11 | 51 | 49 |
|
Deepa N Patel
425 Amwell Rd |
$35.98 | 60 | 52 |
|
Brianna Fowls
71 Us Highway 206 |
$88.98 | 60 | 57 |
|
Brian Keith Mcclintock
390 Amwell Rd |
$25.43 | 65 | 51 |
|
David J Herman
105 Raider Blvd |
$1.44 | 66 | 64 |
|
Gary F. Ciambotti
511 Courtyard Dr |
$29.84 | 88 | 80 |
|
Sara Levy
105 Raider Blvd Ste 203 |
$75.62 | 88 | 80 |
|
William Slotter
491 Amwell Rd |
$35.26 | 93 | 77 |
|
Tamkeen Tariq Shaikh
712 Courtyard Dr |
$98.05 | 112 | 106 |
|
Katrina Campion
511 Courtyard Dr Bldg 500 |
$14.53 | 139 | 118 |
|
Aram Manoukian
511 Courtyard Dr |
$33.71 | 149 | 145 |
|
Lin Wu Chou
311 Omni Dr |
$104.33 | 243 | 230 |
|
Alan R Gingold
511 Courtyard Dr |
$30.54 | 342 | 316 |
|
Ronald G Nahass
105 Raider Blvd |
$72.99 | 387 | 316 |
|
Ahmad A Mur
503 Omni Dr |
$25.06 | 431 | 341 |
|
James E Tovey
751 Route 206 |
$72.00 | 449 | 404 |
|
Mark Greaves
511 Courtyard Dr Bldg 500 |
$34.22 | 527 | 487 |
|
Vida J Kaplan
390 Amwell Rd Ste 501 |
$52.77 | 539 | 476 |
|
Nazar Raoof
105 Raider Blvd |
$76.51 | 569 | 493 |
|
Joseph A Smith
71 Route 206 |
$83.44 | 571 | 519 |
|
Lauren Elizabeth Bischoff
71 Us Highway 206 |
$91.04 | 615 | 557 |
|
Ranjana Thakur
390 Amwell Rd |
$36.77 | 624 | 526 |
|
Judy Rivera
1 Gateway Blvd Apt 102 |
$23.22 | 653 | 552 |
|
Rohit Bhalla
105 Raider Blvd |
$58.45 | 708 | 427 |
|
Gabriella Melahn
105 Raider Blvd Ste 203 |
$83.69 | 846 | 782 |
|
Glen S Landesman
71 Route 206 |
$84.97 | 890 | 815 |
|
Deborah L Neiman
311 Omni Dr |
$97.80 | 957 | 868 |
|
Deneishia S. Fisher
812 Courtyard Dr |
$60.76 | 1,023 | 885 |
|
Puja Patel
751 Route 206 Ste 100 |
$54.18 | 1,166 | 1,058 |
|
Edwin Peter Schulhafer
712 Courtyard Dr |
$105.94 | 1,209 | 981 |
|
Robert E Segal
105 Raider Blvd |
$68.58 | 1,318 | 970 |
|
Leena Benoy
2 Clerico Ln, Ste 223 |
$44.37 | 1,645 | 1,381 |
|
Joseph R Weinstein
71 Route 206 |
$86.46 | 1,818 | 1,643 |
|
Jayshree Bhaskara
503 Omni Dr |
$26.16 | 2,059 | 1,617 |
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 Hillsborough, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hillsborough, NJ is $55.45 per claim, based on 56,710 claims from 56 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 Hillsborough, NJ?
There are 56 Medicaid providers offering Office Visit related services in Hillsborough, NJ according to public payment data.
What is the price range for Office Visit in Hillsborough, NJ?
Medicaid reimbursement for Office Visit in Hillsborough, NJ ranges from $0.00 to $307.58 per claim, with an average of $55.45. 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 Hillsborough, NJ
Dental Cleaning & Exam
Avg $38.58
22,210 claims
Home Health Visit
Avg $147.76
19,962 claims
Nursing Facility Care
Avg $17.49
12,437 claims
Physical Therapy
Avg $12.55
12,077 claims
Vaccines & Immunizations
Avg $20.13
10,689 claims
Blood Work & Lab Tests
Avg $2.09
6,163 claims
Eye Exam
Avg $16.04
6,092 claims
Hearing Test (Audiometry)
Avg $12.76
4,909 claims