Average Medicaid Office Visit Payments in Little Silver, NJ: $66.35
Avg. Paid
$66.35
Range
$10.95 – $123.29
Total Claims
66,031
Providers
22
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 Little Silver, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anthony Paul Giovine
34 Sycamore Ave |
$67.91 | 32,632 | 22,427 |
|
Deepinder Kaur Arora
200 White Rd |
$40.28 | 6,989 | 5,967 |
|
William Nathan Kaufman
200 White Rd |
$70.16 | 4,409 | 3,583 |
|
Andrew Nicholas Sun
200 White Rd |
$69.07 | 4,310 | 3,540 |
|
Katherine Ann Bohnert
34 Sycamore Ave Ste 2A |
$66.97 | 4,095 | 3,691 |
|
Tina Concetta Zecca
200 White Rd |
$52.01 | 2,658 | 2,590 |
|
Abigail E Wright
34 Sycamore Ave Ste 2A |
$68.95 | 2,400 | 2,192 |
|
Lauren Mason-Cederberg
200 White Rd Ste 105 |
$58.43 | 2,396 | 2,063 |
|
Christos Plakas
200 White Rd Ste 108 |
$103.92 | 2,058 | 1,975 |
|
Chetan Anand
180 White Rd Ste 204 |
$123.29 | 1,793 | 1,712 |
|
Elie R Soussan
34 Sycamore Ave |
$72.80 | 806 | 730 |
|
Deepti Mehra
200 White Rd |
$51.54 | 454 | 393 |
|
Jessica Kirby-Smith
44 Sycamore Ave Ste 3D |
$44.83 | 230 | 175 |
|
Joseph Raevis
39 Sycamore Ave Ste 201 |
$21.71 | 151 | 148 |
|
Joanne Meejin Chang
34 Sycamore Ave |
$27.90 | 148 | 123 |
|
Stephen John Windsor
39 Sycamore Ave |
$46.15 | 103 | 91 |
|
Christine Nevin Schafer
680 Branch Ave |
$77.49 | 102 | 100 |
|
Iuliana Shapira
180 White Rd |
$77.06 | 100 | 96 |
|
Richard Anthony Deblasi
640 Seven Bridges Rd |
$11.95 | 91 | 80 |
|
Seeteram Rao Gourkanti
31 Seven Bridges Rd |
$27.82 | 74 | 65 |
|
Zachary K Perlman
180 White Rd Ste 102 |
$10.95 | 19 | 12 |
|
Iza M Boesler
160 White Rd Ste 201 |
$34.48 | 13 | 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 Little Silver, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Little Silver, NJ is $66.35 per claim, based on 66,031 claims from 22 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 Little Silver, NJ?
There are 22 Medicaid providers offering Office Visit related services in Little Silver, NJ according to public payment data.
What is the price range for Office Visit in Little Silver, NJ?
Medicaid reimbursement for Office Visit in Little Silver, NJ ranges from $10.95 to $123.29 per claim, with an average of $66.35. 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 Little Silver, NJ
Ultrasound
Avg $93.41
20,735 claims
Dental Cleaning & Exam
Avg $22.91
6,077 claims
Chiropractic Care
Avg $5.30
4,052 claims
Pregnancy & Prenatal Care
Avg $771.75
3,782 claims
Pulmonary Function Test
Avg $12.27
2,629 claims
X-Ray
Avg $7.12
2,243 claims
Urinalysis & Urine Tests
Avg $6.40
2,058 claims
Vaccines & Immunizations
Avg $20.60
1,595 claims