Average Medicaid Office Visit Payments in Jackson, NJ: $63.21
Avg. Paid
$63.21
Range
$14.32 – $98.82
Total Claims
102,631
Providers
31
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 Jackson, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Somc Medical Group Pc
2290 W County Line Rd |
$91.33 | 25,540 | 23,300 |
|
Moshe Reich
874 Bethel Church Rd |
$30.50 | 14,649 | 14,096 |
|
Yamini Chandrakala Sakunala
271 S New Prospect Rd |
$68.32 | 9,678 | 9,356 |
|
Anil K Pawa
27 S Cooks Bridge Rd |
$84.19 | 6,702 | 6,091 |
|
Glenn Advincula Salcedo
21 S Hope Chapel Rd Ste 131 |
$74.05 | 6,223 | 5,577 |
|
Agnieszka Sulewski
27 S Cooks Bridge Rd Ste 1-5 |
$35.00 | 5,976 | 5,769 |
|
Edwin Wymer
27 S. Cooks Bridge Rd. |
$55.28 | 5,738 | 5,138 |
|
Tehsin Riaz Qudsi
27 S Cooks Bridge Rd |
$83.32 | 3,764 | 3,068 |
|
Taibat Gbadamosi
306 Harding Ct |
$14.32 | 3,312 | 3,186 |
|
Roopal M. Karia-Patel
27 S Cooks Bridge Rd Ste 2-20 |
$98.82 | 2,427 | 2,368 |
|
Mukesh Shah
2105 W County Line Rd |
$33.11 | 2,276 | 2,091 |
|
Batsheva Follman
5 Emma Ln |
$43.14 | 2,090 | 1,941 |
|
Sanjay Kumar
2105 W County Line Rd |
$29.22 | 2,026 | 1,887 |
|
Christopher H Blakeslee
100 W Veterans Hwy |
$29.75 | 1,668 | 1,561 |
|
Rex A Zapanta
1021 Bennetts Mills Rd |
$50.42 | 1,433 | 1,301 |
|
Nissim Menashy
27 S Cooks Bridge Rd |
$65.13 | 1,323 | 1,245 |
|
Susan Rodriguez-Bostock
27 S Cooks Bridge Rd |
$79.64 | 1,304 | 1,161 |
|
Susan Michelle Beltran
27 S Cooks Bridge Rd |
$70.69 | 1,117 | 985 |
|
Charisma Ann Lanez
161 Bartley Rd |
$45.32 | 1,064 | 862 |
|
Nelson Lee
27 S Cooks Bridge Rd Ste 2-1 |
$84.97 | 864 | 815 |
|
Benoit Mapa
161 Bartley Rd |
$37.70 | 861 | 828 |
|
Steve John Stavrellis
21 S Hope Chapel Rd Ste 131 |
$45.57 | 648 | 609 |
|
Kathryn Anne Feldenzer
706 Bennetts Mills Rd |
$29.08 | 562 | 544 |
|
Lauren H Parkes
27 S Cooks Bridge Rd |
$85.21 | 429 | 419 |
|
Winifred N Obiora
14 Greenwich Dr |
$20.15 | 370 | 342 |
|
Gopi Patel
27 S Cooks Bridge Rd Ste 2-1 |
$64.92 | 235 | 217 |
|
Fruma Raizel Roth
7 Lancaster Way |
$53.51 | 117 | 116 |
|
Scott J Druckman
27 S Cooks Bridge Rd |
$75.63 | 111 | 108 |
|
Lauren Michelle Pellicane
27 S Cooks Bridge Rd |
$43.78 | 79 | 72 |
|
Robyn Kroon
27 S Cooks Bridge Rd # 2-1 |
$33.81 | 27 | 26 |
|
Brian Jeffrey Schultz
180 N County Line Rd Ste H |
$26.38 | 18 | 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 Jackson, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jackson, NJ is $63.21 per claim, based on 102,631 claims from 31 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 Jackson, NJ?
There are 31 Medicaid providers offering Office Visit related services in Jackson, NJ according to public payment data.
What is the price range for Office Visit in Jackson, NJ?
Medicaid reimbursement for Office Visit in Jackson, NJ ranges from $14.32 to $98.82 per claim, with an average of $63.21. 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 Jackson, NJ
Non-Emergency Medical Transportation
Avg $25.13
56,575 claims
Dental Cleaning & Exam
Avg $27.06
56,510 claims
Behavioral & Mental Health Therapy
Avg $195.59
23,815 claims
Speech Therapy
Avg $24.81
20,733 claims
Tooth Extraction
Avg $142.33
19,883 claims
Vaccines & Immunizations
Avg $14.08
16,272 claims
Podiatry (Foot Care)
Avg $3.12
11,027 claims
Dental Filling
Avg $42.85
10,277 claims