Average Medicaid Office Visit Payments in Ho Ho Kus, NJ: $46.08
Avg. Paid
$46.08
Range
$31.66 – $126.49
Total Claims
3,414
Providers
9
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 Ho Ho Kus, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stefani H Birnhak
201 E Franklin Tpke |
$38.89 | 864 | 774 |
|
Christopher B Nicpon
201 East Franklin Turnpike |
$34.81 | 620 | 574 |
|
Julia J Lee
201 E Franklin Tpke |
$38.10 | 618 | 573 |
|
Irene Shevelev
201 East Franklin Turnpike |
$38.13 | 357 | 315 |
|
Yana Basis Garger
10 Sycamore Ave |
$126.49 | 280 | 274 |
|
Kristen Morgado
201 E Franklin Tpke |
$31.66 | 208 | 190 |
|
Lorraine Liberti
201 East Franklin Turnpike |
$55.05 | 193 | 185 |
|
Amy S Leifer
201 East Franklin Turnpike |
$45.25 | 148 | 130 |
|
Claude Ligenza
201 East Franklin Turnpike |
$44.97 | 126 | 119 |
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 Ho Ho Kus, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ho Ho Kus, NJ is $46.08 per claim, based on 3,414 claims from 9 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 Ho Ho Kus, NJ?
There are 9 Medicaid providers offering Office Visit related services in Ho Ho Kus, NJ according to public payment data.
What is the price range for Office Visit in Ho Ho Kus, NJ?
Medicaid reimbursement for Office Visit in Ho Ho Kus, NJ ranges from $31.66 to $126.49 per claim, with an average of $46.08. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Avg $54.47
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Other Procedures in Ho Ho Kus, NJ
Vaccines & Immunizations
Avg $12.93
698 claims
Dental Cleaning & Exam
Avg $0.00
348 claims
Physical Therapy
Avg $1.82
295 claims
Hearing Test (Audiometry)
Avg $16.51
99 claims
Blood Work & Lab Tests
Avg $7.74
45 claims
Culture & Microbiology Tests
Avg $7.48
36 claims
Chiropractic Care
Avg $0.00
23 claims
Urinalysis & Urine Tests
Avg $1.28
12 claims