Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Iselin, NJ: $55.73

Avg. Paid

$55.73

Range

$1.65 – $163.23

Total Claims

143,103

Providers

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 Iselin, NJ

Provider	Avg. Paid	Claims	Patients
Sara Zuckerman 740 Route 1 N	$35.27	33,855	32,667
Alexander Chiu 120 Wood Ave S	$77.67	23,779	17,725
Douglas Edward Pitchford 740 Route 1 N	$81.91	15,031	13,322
Sapna Shibhu Nambiar 521 Green St Fl 2	$50.38	13,266	11,384
Joseph Daniel Napolitano 485 Route 1 S	$63.36	11,477	11,406
Burton Judah Wisotsky 485 Route 1 S	$39.37	7,792	7,365
Douglas K Grayson 485A Us Highway 1 S	$39.60	5,932	5,582
Danielle Savitsky Strauss 485 Route 1 S	$21.90	5,714	5,203
Bhavik Maheshbhai Patel 289 Benjamin Ave	$70.28	5,708	5,050
Sayani Niyogi 485 Route 1 S Bldg B Ste 350	$100.76	4,396	4,359
Maitri Patel 5 Dundee Ave	$40.18	4,389	3,921
Sowjanya Kanuri 812 Green Hollow Dr	$53.50	1,393	1,345
Ratika Gupta 485 Route 1 S	$163.23	1,313	1,295
Rahul Gokhroo 400 Gill Ln	$42.35	1,306	1,248
Thomas Frank Mazzoni 485 Route 1 S, Building B Suite 350	$55.40	1,111	1,081
Adedoyin T Kolawole 485C Us Highway 1 S Ste 100-101	$36.32	962	630
James P Milite 485 Route 1	$38.09	885	819
George W Veliky 485 Route 1 S	$22.66	818	769
Dina Ibrahim 1200 Green St	$25.23	811	704
Eric Robert Devore 485 Route 1 South Building A	$32.09	761	664
Ryan L Maurer 485 Rt 1S	$1.65	474	436
Jessica Garden 485 Route 1 S Bldg A	$24.54	298	282
Trenton Healthcare, Llc 670 Route 1 N	$53.00	271	210
Chelsea Renee Mathis 485 Us Highway 1 S Bldg A	$88.87	205	195
Vibhay Bhatnagar 530 Green Street	$44.80	199	195
Heather Zeveney 740 Route 1 N	$5.46	151	146
Michael J Veliky 485 Route 1 South	$20.80	149	135
Ekta H Makani 5 Dundee Ave	$95.56	134	121
Nikki Bajaj 1477 Oak Tree Rd Ste 8	$19.63	90	67
Henry Adewole Ibitokun 200 Middlesex Tpke Ste 210	$36.40	89	88
Chelsea Kleen 485 Route 1 S	$25.83	88	84
Olga Kaplinsky 740 Us Highway 1 N	$33.00	49	42
Kimberley Ovittore 485 Route 1 S	$10.72	46	44
Robert D Huang 485 Route 1 S	$86.26	38	36
Melanne Rosetta 485 Route 1 South Building A	$27.72	38	36
Allison Leigh La Fata 485 Route 1 South	$25.85	26	25
Aakruti Bhalja 222 Worth St	$6.81	25	25
Pinnacle Treatment Centers Nj-Iii, Llc 670 Route 1 N	$52.46	19	18
Ramesh Raju 870 Green St	$46.80	15	14

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 Iselin, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Iselin, NJ is $55.73 per claim, based on 143,103 claims from 39 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 Iselin, NJ?

There are 39 Medicaid providers offering Office Visit related services in Iselin, NJ according to public payment data.

What is the price range for Office Visit in Iselin, NJ?

Medicaid reimbursement for Office Visit in Iselin, NJ ranges from $1.65 to $163.23 per claim, with an average of $55.73. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Iselin, NJ: $55.73

Providers Offering Office Visit in Iselin, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Iselin, NJ

Home Health Visit

Non-Emergency Medical Transportation

Eye Exam

Behavioral & Mental Health Therapy

Dental Cleaning & Exam

Ambulance Transport

X-Ray

Vaccines & Immunizations