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 |
|---|---|---|---|
|
Martin J Siegel
127 Newark Ave |
$24.63 | 12 | 12 |
|
Barjeta Balidemaj
100 Town Square Pl Ste 405 |
$50.00 | 12 | 12 |
|
Anthony La Monaca
355 Grand St |
$3.69 | 13 | 12 |
|
Yuhlin Lin
176 Palisade Ave |
$39.44 | 13 | 12 |
|
Metropolitan Family Health Network, Inc
857 Bergen Ave |
$44.19 | 13 | 13 |
|
Jeneba Abass-Shereef
355 Grand St |
$93.40 | 14 | 14 |
|
Naomi Kihwaga
418 Baldwin Ave Apt 31A |
$21.66 | 14 | 14 |
|
Melissa N Pagan
100 Town Square Pl Ste 630 |
$84.50 | 14 | 14 |
|
Gisela Lidia Munne
600 Pavonia Ave |
$0.00 | 14 | 13 |
|
Varsha Vallapuzha Suresh
26 Greenville Ave |
$12.16 | 15 | 13 |
|
Wendy Giang
355 Grand St |
$11.85 | 15 | 12 |
|
Paul Weissman P.C.
377 Jersey Ave |
$28.92 | 15 | 15 |
|
Shimal Sanghvi
355 Grand St |
$54.61 | 16 | 16 |
|
Rain Thomas
377 Jersey Ave Ste 550 |
$22.55 | 16 | 16 |
|
Alan Marc Shaiman
631 Grand St |
$7.95 | 17 | 14 |
|
Justin John Arnett
600 Pavonia Ave Ste 4 |
$38.18 | 17 | 17 |
|
Laura Beatriz Feratovic
525 Monmouth St |
$4.24 | 18 | 18 |
|
Acm Ear, Nose, Throat
3624 Jfk Blvd |
$58.39 | 18 | 18 |
|
Daniel Mohsin Khan
127 Montgomery St |
$57.92 | 19 | 12 |
|
Noushin Sultana
355 Grand St |
$87.35 | 19 | 19 |
|
Marifel B. Vidal
859 Summit Ave |
$7.55 | 21 | 16 |
|
Kristine Badin
1947 John F Kennedy Blvd |
$2.52 | 22 | 18 |
|
Mahip Gupta
377 Jersey Ave Ste 160 |
$1.15 | 24 | 21 |
|
Peter J Wong
601 Pavonia Avenue |
$30.25 | 24 | 24 |
|
Mahmood A Sindhu
2787 John F Kennedy Blvd |
$23.50 | 25 | 24 |
|
Azam Mughni
176 Palisade Ave |
$44.13 | 25 | 25 |
|
Anny C. Hsu
1 Journal Square Plz Ste 2 |
$77.36 | 26 | 25 |
|
Hudson Eyecare Associates Pa
368 Central Ave |
$23.50 | 27 | 27 |
|
Ross Emory Beyer
62 Bowers St |
$20.80 | 28 | 24 |
|
Hee Young So
395 Grand St |
$38.16 | 29 | 26 |
|
Jamie E Farley
377 Jersey Ave |
$98.64 | 29 | 29 |
|
Patrick J Mcgovern
17 Nardone St |
$33.52 | 30 | 30 |
|
Taylor Rose Rynkowski
355 Grand St |
$23.48 | 31 | 27 |
|
Victor Marchione
600 Pavonia Ave |
$26.08 | 32 | 31 |
|
Shkeirra Lucas
10 Exchange Pl |
$89.18 | 36 | 35 |
|
Jose Lino Mondejar
303 Grand St |
$30.71 | 37 | 34 |
|
Drs. Savoy & Siegel Llc
127 Newark Ave |
$24.63 | 37 | 37 |
|
Lily W Gonzalez
359 Grove St |
$53.72 | 38 | 38 |
|
Shar Kennett
32 Journal Sq |
$30.79 | 38 | 38 |
|
Ibrahim Elkattawy
2761 John F Kennedy Blvd |
$40.10 | 41 | 38 |
|
Alpa A Sheth
355 Grand Street |
$32.11 | 41 | 39 |
|
Carol Christine Skipper
115 Christopher Columbus Dr |
$34.02 | 41 | 40 |
|
Joseph Francis Popovich
159 Palisade Ave |
$75.74 | 41 | 29 |
|
Jennifer Frances Trela
15 Exchange Pl Ste 503 |
$9.04 | 41 | 33 |
|
Rohan S. Panchal
377 Jersey Ave Ste 500 |
$6.85 | 43 | 40 |
|
Scott Michael Walsman
600 Pavonia Ave |
$22.08 | 45 | 37 |
|
Anandkumar Ranjitbhai Patel
550 Summit Ave |
$6.40 | 46 | 46 |
|
Sean Herman
377 Jersey Ave Ste 220 |
$153.52 | 47 | 42 |
|
Merle Correa Cruz-Encarnacion
201 Saint Pauls Ave |
$37.08 | 48 | 47 |
|
Etienne Kenfack
191 Palisade Ave |
$0.89 | 48 | 46 |
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