Average Medicaid Office Visit Payments in Holmdel, NJ: $37.86
Avg. Paid
$37.86
Range
$0.00 – $135.07
Total Claims
152,100
Providers
43
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 Holmdel, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Raja Barakat
733 N Beers St |
$24.27 | 29,224 | 25,879 |
|
Emilia Santamaria Lucero
670 N Beers St |
$23.46 | 28,016 | 24,677 |
|
Fouad S Albana
2080 Highway 35 |
$36.02 | 13,039 | 10,212 |
|
Sagar Patel
100 Commons Way |
$42.05 | 9,895 | 8,524 |
|
Christine Esmeralda Nazarian
2139 Route 35 |
$54.74 | 8,624 | 8,165 |
|
Samia B Ayoub
2080 Highway 35 |
$25.59 | 7,863 | 7,250 |
|
Folarin Tuboku-Metzger
34 Main St |
$39.84 | 6,379 | 5,278 |
|
Lea Hipolito David
719 N Beers St |
$42.33 | 5,322 | 4,830 |
|
Sandra Birkenhauer
670 N Beers St Bldg 4 |
$60.99 | 4,990 | 4,784 |
|
Yelena Potylitsina
702 N Beers St Ste 1 |
$38.83 | 4,216 | 3,089 |
|
Visiting Nurse Association Of Central Jersey, Inc.
23 Main St Ste D1 |
$35.60 | 3,833 | 3,626 |
|
Catherine Aurelie Hoch
727 N. Beers St |
$81.05 | 3,785 | 3,604 |
|
Virginia Atieh
2080 Hwy 35 |
$18.78 | 3,519 | 2,618 |
|
Nancy A Denicola
2139 Rt 35 North |
$55.87 | 3,370 | 2,965 |
|
Rafiya S Khakoo
721 N Beers St |
$59.53 | 3,314 | 3,265 |
|
Aileen L Chen
723 N Beers St |
$26.58 | 3,228 | 2,355 |
|
Grace Mercado Yia
723 N Beers St |
$49.98 | 2,896 | 2,650 |
|
Rahab Khalil
2080 Route 35 |
$78.48 | 2,674 | 2,073 |
|
Chi I Lee
717 N Beers St |
$38.39 | 1,390 | 1,261 |
|
New Start Psychological Care
717 N Beers St Ste 1C |
$105.92 | 1,136 | 993 |
|
Parini Munjal Patel
100 Commons Way |
$78.57 | 1,097 | 1,076 |
|
Ifeoma Judith Oguagha
23 Main St |
$14.93 | 1,059 | 999 |
|
Manthan Pandya
100 Commons Way Ste 140 |
$116.95 | 695 | 680 |
|
Harry John Coniaris
723 N Beers St |
$86.70 | 500 | 497 |
|
Jennifer Zaitz
100 Commons Way |
$85.54 | 450 | 437 |
|
Vanda Bruner
719 N Beers St |
$50.76 | 363 | 274 |
|
Simone Sebban
34 Main St |
$72.31 | 258 | 251 |
|
Vicki R De Noia
71 Main St |
$77.72 | 215 | 207 |
|
Harbor Wellness & Recovery Center
2139 Hwy 35 Ste 120 |
$125.42 | 177 | 129 |
|
Robert A. Blozen
2124 State Route 35 |
$45.54 | 117 | 114 |
|
Jijo Wang
733 N Beers St Ste U4 |
$100.30 | 92 | 92 |
|
Magdy Nasra
723 N Beers St |
$30.17 | 77 | 56 |
|
Vinaychandra Bhogilal Shah
702 North Beers Street |
$43.53 | 55 | 52 |
|
Avtar S Parhar
721 N Beers St |
$89.04 | 46 | 43 |
|
Michele Farrah Malit
733 N Beers St Ste U3 |
$102.36 | 39 | 39 |
|
Daniel Marc Weiner
727 N Beers St |
$63.12 | 33 | 28 |
|
Victoria Finnegan
100 Commons Way Ste 140 |
$79.28 | 25 | 25 |
|
Michael Marchetti
Bayshore Community Hospital |
$135.07 | 18 | 16 |
|
Kristine Clabby
719 N Beers St |
$39.28 | 16 | 14 |
|
Meridian Hospitals Corporation
727 N Beers St |
$0.00 | 16 | 13 |
|
Niranjan Shah
717 N Beers St |
$4.50 | 14 | 14 |
|
Elie Mansour
719 North Beers Street |
$28.88 | 13 | 13 |
|
Ramsha Sheikh
2107 State Route 35 |
$52.19 | 12 | 12 |
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 Holmdel, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Holmdel, NJ is $37.86 per claim, based on 152,100 claims from 43 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 Holmdel, NJ?
There are 43 Medicaid providers offering Office Visit related services in Holmdel, NJ according to public payment data.
What is the price range for Office Visit in Holmdel, NJ?
Medicaid reimbursement for Office Visit in Holmdel, NJ ranges from $0.00 to $135.07 per claim, with an average of $37.86. 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 Holmdel, NJ
Blood Work & Lab Tests
Avg $4.14
157,053 claims
Emergency Room Visit
Avg $195.96
89,298 claims
Vaccines & Immunizations
Avg $14.80
67,032 claims
Physical Therapy
Avg $38.09
51,306 claims
Eye Exam
Avg $25.74
44,452 claims
Urinalysis & Urine Tests
Avg $1.64
41,083 claims
EKG / ECG (Electrocardiogram)
Avg $12.44
35,826 claims
X-Ray
Avg $10.60
26,513 claims