Average Medicaid Office Visit Payments in Irvington, NJ: $39.84
Avg. Paid
$39.84
Range
$1.45 – $161.06
Total Claims
189,332
Providers
41
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 Irvington, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chidi Iheanacho Anukwuem
1182 Stuyvesant Ave |
$46.16 | 25,494 | 17,143 |
|
James Larry Kusnierz
855 Grove St |
$48.51 | 18,476 | 15,044 |
|
Pierre R Leger
987 Sanford Ave |
$22.30 | 13,581 | 12,855 |
|
Sonya L Goodrich
1200 Clinton Ave |
$32.03 | 11,446 | 10,568 |
|
Kimberly M Brown
50 Union Ave |
$30.15 | 11,064 | 9,658 |
|
Tokunbo T Dada
50 Union Avenue |
$38.27 | 11,020 | 10,357 |
|
Sunrise Clinical Services, Llc
22 Ball St |
$37.50 | 10,838 | 9,615 |
|
Nudrat F Ayub
50 Union Ave Ste 605 |
$44.69 | 9,052 | 8,729 |
|
Emmanuel Maduabuchi Emelle
40 Union Ave |
$35.91 | 7,005 | 6,676 |
|
Adekunle Adeoti
277 Coit St |
$52.95 | 6,363 | 6,077 |
|
Samuel A Banigo
40 Union Ave |
$43.97 | 5,475 | 4,897 |
|
Ann Marie Palagiano
50 Union Ave |
$31.14 | 5,227 | 4,648 |
|
Justina Anyanwu
1182 Stuyvesant Ave |
$19.69 | 4,914 | 4,453 |
|
Newark Community Health Centers Inc
1150 Springfield Ave |
$1.45 | 4,849 | 4,269 |
|
Anna Moy
633 Nye Ave |
$24.23 | 4,816 | 4,496 |
|
Jackson A Okoya
40 Union Ave |
$35.93 | 4,436 | 4,060 |
|
Irvington Counseling Center, Inc.
21-29 Wagner Place |
$112.29 | 4,391 | 4,211 |
|
Rudolph Willis
12 Krotik Pl |
$20.06 | 3,934 | 3,450 |
|
Kenneth Treadwell
1387 Clinton Ave |
$73.39 | 3,793 | 2,991 |
|
Roody Dalberis
18 Marshall St Apt 2P |
$37.30 | 3,590 | 3,141 |
|
Raj Patel
701 Stuyvesant Ave |
$22.57 | 3,236 | 2,931 |
|
Yolette Sterling
987 Sanford Ave |
$40.31 | 3,042 | 2,965 |
|
The New Hope Behavioral Center
277 Coit St |
$75.28 | 2,202 | 1,997 |
|
Nahndi Bush
40 Union Ave |
$62.30 | 1,793 | 1,613 |
|
Joseph V Campbell
1057 Sanford Ave |
$31.42 | 1,492 | 1,399 |
|
Parkway Eyecare Center Llc
50 Union Ave |
$31.77 | 1,479 | 1,405 |
|
Atul Kumar Agarwala
40 Union Ave |
$53.71 | 1,442 | 1,420 |
|
John Han Shao
50 Union Ave Fl 2 |
$78.17 | 1,216 | 1,166 |
|
Harvey G Masor
739 Chancellor Ave |
$49.62 | 1,058 | 937 |
|
Comprehensive Medical Center Llc
1200 Clinton Ave |
$20.06 | 992 | 911 |
|
Femi Ramat Omidire
40 Union Ave Ste 301 |
$6.33 | 528 | 436 |
|
Palanisamy S Sundaram
860 Grove St |
$44.92 | 417 | 373 |
|
Hasmukh Sutaria
40, Union Ave |
$35.81 | 291 | 282 |
|
People Helping People In Need
50 Union Ave |
$147.78 | 178 | 77 |
|
Prime Pediatrics Pc
50 Union Ave |
$1.55 | 64 | 45 |
|
Jaime Royo Soriano
50 Union Ave |
$71.48 | 39 | 39 |
|
Susan Jefferson
251 Munn Ave Apt 1A |
$31.25 | 34 | 30 |
|
Callista Ngozi Iwuala
860 Grove St |
$3.84 | 19 | 14 |
|
Anthony Ijehsedeh
12 Krotik Place |
$39.25 | 17 | 17 |
|
Anthony Apigo
591 Stuyvesant Ave |
$4.78 | 17 | 12 |
|
Answers Moving Forward Supportive Services Llc
1344 Springfield Ave |
$161.06 | 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 Irvington, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Irvington, NJ is $39.84 per claim, based on 189,332 claims from 41 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 Irvington, NJ?
There are 41 Medicaid providers offering Office Visit related services in Irvington, NJ according to public payment data.
What is the price range for Office Visit in Irvington, NJ?
Medicaid reimbursement for Office Visit in Irvington, NJ ranges from $1.45 to $161.06 per claim, with an average of $39.84. 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 Irvington, NJ
Substance Abuse Treatment
Avg $60.95
253,517 claims
Blood Work & Lab Tests
Avg $45.55
227,136 claims
Dental Cleaning & Exam
Avg $25.87
174,646 claims
Home Health Visit
Avg $98.90
153,513 claims
Eye Exam
Avg $16.32
127,315 claims
Psychiatric Evaluation
Avg $82.38
82,409 claims
Behavioral & Mental Health Therapy
Avg $122.38
80,219 claims
Physical Therapy
Avg $5.98
68,479 claims