Average Medicaid Office Visit Payments in Kearny, NJ: $42.65
Avg. Paid
$42.65
Range
$3.33 – $79.95
Total Claims
134,504
Providers
26
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 Kearny, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Li Zhang
232 Belleville Tpke |
$50.75 | 49,429 | 33,157 |
|
Prakash J Doshi
206 Bergen Ave |
$33.68 | 31,738 | 25,227 |
|
Jehad E Saliba
744 Kearny Ave |
$36.51 | 14,201 | 11,883 |
|
Thomas Paul Francis
206 Bergen Ave Ste 201 |
$41.91 | 9,597 | 8,177 |
|
Aldona Julia Skripkus
381 Kearny Ave |
$20.74 | 8,105 | 6,890 |
|
Viren Desai
221 Kearny Ave |
$47.40 | 6,394 | 5,374 |
|
Rinet Philomena Fernandes
806 Kearny Ave Fl 1 |
$56.56 | 4,908 | 4,443 |
|
Mauricio Jorge Sanchez
845 Kearny Ave |
$53.17 | 2,184 | 2,089 |
|
Eneida R De Pina
338 Belleville Tpke |
$44.63 | 1,908 | 1,531 |
|
Jay I Stylman
847 Kearny Ave |
$56.82 | 1,290 | 1,231 |
|
Melissa Miao
752 Kearny Ave |
$79.95 | 1,008 | 945 |
|
Priyanka Gajjar
837 Kearny Ave |
$32.67 | 907 | 751 |
|
Sevim Ruzehaji
276 Passaic Ave Unit A |
$49.55 | 797 | 761 |
|
Adanna Ibezim
276 Passaic Ave Unit A |
$41.07 | 619 | 566 |
|
Gary P Cardiello
206 Bergen Ave Ste 201 |
$32.49 | 318 | 292 |
|
Ameet Doshi
512 Kearny Ave Ste B |
$3.33 | 203 | 154 |
|
Barry C Silver
752 Kearny Avenue |
$61.93 | 200 | 197 |
|
Richard David Romano
206 Bergen Ave Ste 201 |
$22.03 | 176 | 152 |
|
Mariza Portela De Brito
512 Kearny Ave Ste B |
$4.77 | 143 | 114 |
|
Inter County Council On Drug And Alcohol Abuse
480 Kearny Ave |
$79.38 | 93 | 81 |
|
Zabrina Laqui
828 Kearny Ave |
$9.72 | 89 | 68 |
|
Armeegrace Campos
837 Kearny Ave |
$5.69 | 76 | 73 |
|
Zeyu Xu
582 Kearny Ave Ste 2 |
$32.39 | 58 | 54 |
|
Alan P Cohen
752 Kearny Ave |
$13.91 | 39 | 37 |
|
Jennifer A Graf
338 Belleville Tpke |
$40.57 | 12 | 12 |
|
Louis Perrone
845 Kearny Ave |
$50.00 | 12 | 12 |
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 Kearny, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kearny, NJ is $42.65 per claim, based on 134,504 claims from 26 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 Kearny, NJ?
There are 26 Medicaid providers offering Office Visit related services in Kearny, NJ according to public payment data.
What is the price range for Office Visit in Kearny, NJ?
Medicaid reimbursement for Office Visit in Kearny, NJ ranges from $3.33 to $79.95 per claim, with an average of $42.65. 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 Kearny, NJ
Dental Cleaning & Exam
Avg $27.83
42,699 claims
Blood Work & Lab Tests
Avg $28.56
31,633 claims
Dental Filling
Avg $58.50
25,194 claims
Substance Abuse Treatment
Avg $136.19
18,421 claims
Vaccines & Immunizations
Avg $10.29
18,408 claims
Pulmonary Function Test
Avg $13.58
14,689 claims
Physical Therapy
Avg $4.25
11,838 claims
Eye Exam
Avg $18.77
8,328 claims