Average Medicaid Office Visit Payments in Hoboken, NJ: $57.11
Avg. Paid
$57.11
Range
$0.00 – $178.15
Total Claims
203,693
Providers
91
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 Hoboken, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Humc Opco Llc
308 Willow Ave |
$84.49 | 22,686 | 20,947 |
|
Juliana P Paternina
70 Hudson St Bsmt Basement |
$31.26 | 18,473 | 13,209 |
|
Mohamed A Esiely
79 Hudson St Ste 204 |
$54.05 | 16,922 | 13,285 |
|
Andrzej Edmund Klos
1327 Willow Ave |
$68.69 | 14,703 | 12,476 |
|
Piotr W. Oko
1327 Willow Ave |
$60.44 | 9,269 | 8,307 |
|
Todd Lawrence Newman
2 Hudson Pl |
$59.89 | 8,964 | 8,507 |
|
Ricardo Matienzo
450 7Th St |
$25.59 | 7,239 | 5,465 |
|
Mohy Eldin A Kotb
36-42 Newark St Ste 302 |
$81.03 | 6,814 | 6,339 |
|
Dina M Began
133 Madison St |
$111.82 | 6,180 | 5,975 |
|
Latrice Akuamoah
720 Monroe St Ste C208 |
$65.86 | 5,135 | 4,863 |
|
Prompt Md Llc
309 1St St |
$74.12 | 5,044 | 4,661 |
|
Mohamed Adam Saleh
70 Hudson St Bsmt |
$39.77 | 4,655 | 3,910 |
|
Gaurang Ravaji Brahmbhatt
609 Washington St |
$63.30 | 4,263 | 4,005 |
|
Steven J. Garcia
122 Clinton St |
$26.17 | 4,062 | 3,772 |
|
Shiraz Cede Yussaf
122 Clinton St |
$39.32 | 3,986 | 3,673 |
|
Juan Joel Latorre
122 Clinton St |
$29.21 | 3,823 | 3,373 |
|
Simran Sethi
333 River St |
$20.15 | 3,492 | 887 |
|
Johan A Picard
609 Washington St |
$45.08 | 3,287 | 3,001 |
|
Pascale Moraille
Hoboken University Medical Center |
$17.09 | 3,154 | 2,783 |
|
Hoboken Family Planning, Inc.
124 Grand St |
$114.93 | 2,823 | 2,780 |
|
Bridgeway Behavioral Health Services
506 3Rd St |
$87.36 | 2,709 | 2,044 |
|
Devjit S Nayar
113 14Th St |
$47.45 | 2,644 | 2,473 |
|
Mario Anibal Mancheno
422 Grand Street |
$38.35 | 2,583 | 2,252 |
|
Harini C Kumar
122 Clinton St |
$35.95 | 2,546 | 2,384 |
|
Olivia Julia Karczewski
1425 Bloomfield St |
$53.29 | 2,546 | 2,482 |
|
Michael Olukotun
221 River St Ste 9 |
$40.81 | 2,506 | 2,247 |
|
Priyanka Gumaste
2 Hudson Pl |
$122.36 | 2,078 | 1,964 |
|
Mohammed Ahmer Siddiqui
308 Willow Ave |
$72.86 | 2,033 | 1,916 |
|
Joseph Neal Gressock
122 Clinton St |
$49.64 | 1,754 | 1,501 |
|
Jeremy Moon
609 Washington St |
$48.09 | 1,717 | 1,645 |
|
Sunil Saxena
231 Washington St |
$81.65 | 1,692 | 937 |
|
Abiodun Akinola Olatubosun
308 Willow Ave |
$20.89 | 1,669 | 1,543 |
|
Thanh Hoa T Bui
308 Willow Ave |
$0.00 | 1,501 | 1,186 |
|
Abbie Jacobs
122 Clinton St |
$31.58 | 1,437 | 1,368 |
|
Robert John Leon
129 Washington St Ste 401 |
$13.23 | 1,365 | 1,334 |
|
Gilchris Burton
231 Washington St |
$47.22 | 1,327 | 1,253 |
|
Martin S Pine
300 Hudson St Ste A |
$36.40 | 1,294 | 984 |
|
Juan Paolo Murillo Prudente
108 Washington St |
$80.30 | 1,136 | 1,000 |
|
Meron Debesai
330 Grand St |
$32.32 | 911 | 868 |
|
Alvaro M Gutierrez
223 Bloomfield Street |
$38.42 | 906 | 864 |
|
Cristina Miceli
609 Washington St Fl 2 |
$39.66 | 837 | 780 |
|
Jonathan Eliezer Shalot
70 Hudson St Bsmt |
$26.32 | 816 | 533 |
|
Valerie Fabiola Buisson
113 14Th St |
$120.38 | 728 | 706 |
|
Genesis Bueno
308 Willow Ave |
$51.70 | 690 | 663 |
|
William Jay Lipkin
500 Bloomfield St |
$29.92 | 650 | 591 |
|
Michael Bouchard
308 Willow Ave |
$13.30 | 648 | 555 |
|
Kyle Yi
70 Hudson St Bsmt |
$29.93 | 601 | 467 |
|
Nathalie Vignier
308 Willow Ave |
$178.15 | 552 | 550 |
|
Lydia Pan
308 Willow Ave |
$42.57 | 545 | 493 |
|
Tina Marie James
221 River St Ste 901 |
$60.02 | 541 | 427 |
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 Hoboken, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hoboken, NJ is $57.11 per claim, based on 203,693 claims from 91 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 Hoboken, NJ?
There are 91 Medicaid providers offering Office Visit related services in Hoboken, NJ according to public payment data.
What is the price range for Office Visit in Hoboken, NJ?
Medicaid reimbursement for Office Visit in Hoboken, NJ ranges from $0.00 to $178.15 per claim, with an average of $57.11. 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 Hoboken, NJ
Emergency Room Visit
Avg $178.79
207,302 claims
Blood Work & Lab Tests
Avg $5.17
159,911 claims
X-Ray
Avg $10.58
149,972 claims
Psychiatric Evaluation
Avg $89.17
103,094 claims
Urinalysis & Urine Tests
Avg $4.55
55,671 claims
Physical Therapy
Avg $8.88
48,832 claims
Dental Cleaning & Exam
Avg $35.13
46,718 claims
EKG / ECG (Electrocardiogram)
Avg $31.54
32,548 claims