Average Medicaid Office Visit Payments in Iselin, NJ: $55.73
Avg. Paid
$55.73
Range
$1.65 – $163.23
Total Claims
143,103
Providers
39
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 |
|---|---|---|---|
|
Ramesh Raju
870 Green St |
$46.80 | 15 | 14 |
|
Pinnacle Treatment Centers Nj-Iii, Llc
670 Route 1 N |
$52.46 | 19 | 18 |
|
Aakruti Bhalja
222 Worth St |
$6.81 | 25 | 25 |
|
Allison Leigh La Fata
485 Route 1 South |
$25.85 | 26 | 25 |
|
Melanne Rosetta
485 Route 1 South Building A |
$27.72 | 38 | 36 |
|
Robert D Huang
485 Route 1 S |
$86.26 | 38 | 36 |
|
Kimberley Ovittore
485 Route 1 S |
$10.72 | 46 | 44 |
|
Olga Kaplinsky
740 Us Highway 1 N |
$33.00 | 49 | 42 |
|
Chelsea Kleen
485 Route 1 S |
$25.83 | 88 | 84 |
|
Henry Adewole Ibitokun
200 Middlesex Tpke Ste 210 |
$36.40 | 89 | 88 |
|
Nikki Bajaj
1477 Oak Tree Rd Ste 8 |
$19.63 | 90 | 67 |
|
Ekta H Makani
5 Dundee Ave |
$95.56 | 134 | 121 |
|
Michael J Veliky
485 Route 1 South |
$20.80 | 149 | 135 |
|
Heather Zeveney
740 Route 1 N |
$5.46 | 151 | 146 |
|
Vibhay Bhatnagar
530 Green Street |
$44.80 | 199 | 195 |
|
Chelsea Renee Mathis
485 Us Highway 1 S Bldg A |
$88.87 | 205 | 195 |
|
Trenton Healthcare, Llc
670 Route 1 N |
$53.00 | 271 | 210 |
|
Jessica Garden
485 Route 1 S Bldg A |
$24.54 | 298 | 282 |
|
Ryan L Maurer
485 Rt 1S |
$1.65 | 474 | 436 |
|
Eric Robert Devore
485 Route 1 South Building A |
$32.09 | 761 | 664 |
|
Dina Ibrahim
1200 Green St |
$25.23 | 811 | 704 |
|
George W Veliky
485 Route 1 S |
$22.66 | 818 | 769 |
|
James P Milite
485 Route 1 |
$38.09 | 885 | 819 |
|
Adedoyin T Kolawole
485C Us Highway 1 S Ste 100-101 |
$36.32 | 962 | 630 |
|
Thomas Frank Mazzoni
485 Route 1 S, Building B Suite 350 |
$55.40 | 1,111 | 1,081 |
|
Rahul Gokhroo
400 Gill Ln |
$42.35 | 1,306 | 1,248 |
|
Ratika Gupta
485 Route 1 S |
$163.23 | 1,313 | 1,295 |
|
Sowjanya Kanuri
812 Green Hollow Dr |
$53.50 | 1,393 | 1,345 |
|
Maitri Patel
5 Dundee Ave |
$40.18 | 4,389 | 3,921 |
|
Sayani Niyogi
485 Route 1 S Bldg B Ste 350 |
$100.76 | 4,396 | 4,359 |
|
Bhavik Maheshbhai Patel
289 Benjamin Ave |
$70.28 | 5,708 | 5,050 |
|
Danielle Savitsky Strauss
485 Route 1 S |
$21.90 | 5,714 | 5,203 |
|
Douglas K Grayson
485A Us Highway 1 S |
$39.60 | 5,932 | 5,582 |
|
Burton Judah Wisotsky
485 Route 1 S |
$39.37 | 7,792 | 7,365 |
|
Joseph Daniel Napolitano
485 Route 1 S |
$63.36 | 11,477 | 11,406 |
|
Sapna Shibhu Nambiar
521 Green St Fl 2 |
$50.38 | 13,266 | 11,384 |
|
Douglas Edward Pitchford
740 Route 1 N |
$81.91 | 15,031 | 13,322 |
|
Alexander Chiu
120 Wood Ave S |
$77.67 | 23,779 | 17,725 |
|
Sara Zuckerman
740 Route 1 N |
$35.27 | 33,855 | 32,667 |
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.
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 Iselin, NJ
Home Health Visit
Avg $66.84
556,101 claims
Non-Emergency Medical Transportation
Avg $20.06
125,763 claims
Eye Exam
Avg $20.97
65,878 claims
Behavioral & Mental Health Therapy
Avg $177.09
24,791 claims
Dental Cleaning & Exam
Avg $34.18
16,759 claims
Ambulance Transport
Avg $31.93
11,713 claims
X-Ray
Avg $3.71
11,257 claims
Vaccines & Immunizations
Avg $14.92
10,713 claims