Average Medicaid Office Visit Payments in Jersey City, NJ: $41.23
Avg. Paid
$41.23
Range
$0.00 – $268.05
Total Claims
1,785,761
Providers
373
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 Jersey City, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mazhar Elamir
192 Harrison Ave |
$34.26 | 143,268 | 97,503 |
|
Maged Ghaly
50 Baldwin Ave |
$44.67 | 80,512 | 60,409 |
|
Jersey City Medical Center
355 Grand Street |
$60.44 | 64,296 | 57,823 |
|
Hyacinth E Ucheagwu
95 Martin Luther King Jr Dr |
$49.01 | 43,064 | 35,659 |
|
Babak Behin
142 Palisade Ave |
$64.36 | 40,515 | 37,037 |
|
Abaid Ullah Anwar Choudry
2775 John F Kennedy Blvd |
$45.86 | 36,974 | 32,157 |
|
Saleem Mahmood
8 Jordan Ave |
$33.34 | 36,134 | 33,082 |
|
Yasmine Elamir
355 Grand St |
$28.99 | 30,953 | 20,094 |
|
Merwin F Richard
550 Newark Ave |
$31.86 | 28,396 | 24,248 |
|
Ariz Ruyintan Mehta
191 Palisade Ave |
$35.07 | 28,163 | 22,093 |
|
Tayyaba K Malik
127 Palisade Ave |
$46.38 | 27,741 | 21,888 |
|
Winston Caraos Umali
395 Danforth Ave |
$45.99 | 25,228 | 22,484 |
|
Hemant Shah
237 Central Ave |
$33.47 | 24,993 | 15,741 |
|
Nelo Dimaculangan
4 Highland Ave |
$45.66 | 24,163 | 19,230 |
|
Marwan Assaleh
591 Summit Ave |
$63.15 | 21,645 | 18,579 |
|
Mary Ibrahim
130 Bentley Ave |
$16.44 | 21,246 | 18,020 |
|
Hudson Hospital Opco Llc
176 Palisade Ave |
$66.47 | 21,045 | 19,913 |
|
Ronak N Chinai
610 Washington Blvd |
$34.42 | 19,052 | 15,435 |
|
Jeffrey Paul Casia
67 Central Ave |
$42.92 | 18,902 | 16,184 |
|
Simon Badin
1947 John F Kennedy Blvd |
$19.96 | 18,744 | 9,306 |
|
Shaik Abubakar
452 Central Ave |
$39.91 | 18,297 | 16,397 |
|
Rita Guevarra De La Rosa
779 Bergen Ave |
$40.45 | 18,209 | 15,527 |
|
Mohammed Elamir
192 Harrison Ave |
$45.20 | 16,698 | 12,698 |
|
Ayesha Shabbir Mahmoud
10 Exchange Pl |
$82.30 | 16,597 | 15,170 |
|
Jason Taiwo Elliston
935 Garfield Ave |
$18.02 | 16,378 | 14,419 |
|
Nagi Ibrahim Eltemsah
2775 Kennedy Blvd |
$50.70 | 15,801 | 14,165 |
|
Solomon Owusu
559 W Side Ave |
$39.23 | 15,231 | 13,242 |
|
Margarita Borghini
550 Newark Ave |
$21.35 | 14,951 | 13,146 |
|
Metropolitan Family Health Network,Inc
935 Garfield Ave |
$14.81 | 14,928 | 13,422 |
|
Saquiba Syed
2727 John F Kennedy Blvd |
$50.62 | 14,474 | 12,765 |
|
Carolina Maria Medrano Mendez
600 Pavonia Ave Ste 2 |
$48.35 | 14,064 | 12,685 |
|
Adrian Lancelot Fox
395 Grand St |
$30.41 | 13,912 | 12,875 |
|
Diane Badin
1947 John F Kennedy Blvd |
$18.50 | 13,760 | 9,289 |
|
Jayeshkumar S Patel
550 Summit Ave |
$29.75 | 13,744 | 10,755 |
|
Navjot Ghotra
634 Newark Ave |
$46.33 | 13,288 | 11,070 |
|
Ahmed S Yousry
377 Jersey Ave |
$51.53 | 12,040 | 9,604 |
|
Ammar Haikal
2 Journal Square Plz Ste 2 |
$88.61 | 11,876 | 11,292 |
|
Feraydoon Kohan
550 Newark Ave |
$33.34 | 11,718 | 10,752 |
|
Nathaniel Augustus Barber
1815 John F Kennedy Blvd Ste C |
$19.07 | 11,685 | 10,710 |
|
Michel S. Badin, Md Pa
1947 Kennedy Boulevard |
$15.05 | 11,635 | 4,945 |
|
Dominic Joseph Maiello
3 Webster Ave |
$43.79 | 11,166 | 8,808 |
|
Taonei I Mushayandebvu
2777 Kennedy Blvd. |
$56.86 | 11,063 | 9,901 |
|
John A Fritz
709 Newark Ave |
$49.21 | 10,930 | 8,057 |
|
Robert A Fogari
3053 Kennedy Blvd |
$42.47 | 10,802 | 10,643 |
|
Ghias Moussa
1815 Kennedy Blvd |
$37.52 | 10,680 | 8,660 |
|
Amit A Patel
1 Exchange Pl Fl 1 |
$20.83 | 10,320 | 7,430 |
|
Maria Montilla Franco
935 Garfield Ave |
$16.70 | 10,206 | 9,577 |
|
Manuel Lopez Borja
201 Palisade Ave |
$47.84 | 10,110 | 7,863 |
|
Carl Restivo
3 Webster Ave |
$39.97 | 9,907 | 8,429 |
|
Lynne Joanne Acierno
935 Garfield Ave |
$15.19 | 9,904 | 9,130 |
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 Jersey City, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jersey City, NJ is $41.23 per claim, based on 1,785,761 claims from 373 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 Jersey City, NJ?
There are 373 Medicaid providers offering Office Visit related services in Jersey City, NJ according to public payment data.
What is the price range for Office Visit in Jersey City, NJ?
Medicaid reimbursement for Office Visit in Jersey City, NJ ranges from $0.00 to $268.05 per claim, with an average of $41.23. 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 Jersey City, NJ
Home Health Visit
Avg $87.35
4,021,509 claims
Non-Emergency Medical Transportation
Avg $36.57
1,282,417 claims
Blood Work & Lab Tests
Avg $6.69
657,903 claims
Emergency Room Visit
Avg $258.37
617,176 claims
Physical Therapy
Avg $17.07
524,168 claims
Dental Cleaning & Exam
Avg $28.72
412,484 claims
Eye Exam
Avg $30.70
275,219 claims
Ambulance Transport
Avg $167.42
274,922 claims