Average Medicaid Office Visit Payments in Mahwah, NJ: $55.51
Avg. Paid
$55.51
Range
$1.37 – $131.16
Total Claims
4,955
Providers
9
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 Mahwah, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Morteza Shahamat
400 Franklin Tpke |
$69.53 | 2,367 | 2,189 |
|
Virginia Deguzman
608 Wyckoff Ave |
$47.34 | 1,832 | 1,648 |
|
Donna Carrazzone
71 W Airmount Rd |
$12.59 | 390 | 365 |
|
Anne Marie Hurban
190 Larch Ln |
$51.63 | 178 | 148 |
|
Ashley Nicole Parchinski
2094 Francis Ct |
$131.16 | 63 | 58 |
|
Veena Verghese
115 Franklin Tpke |
$1.37 | 63 | 57 |
|
Madeeha Shahzadi
400 Franklin Tpke Ste 104 |
$20.32 | 31 | 25 |
|
Allisson Jennifer Ramirez Lobaton
505 Ramapo Valley Rd |
$3.12 | 19 | 16 |
|
Virginia De Guzman Md Limited Liability Company
688 Wyckoff Ave |
$50.32 | 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 Mahwah, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mahwah, NJ is $55.51 per claim, based on 4,955 claims from 9 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 Mahwah, NJ?
There are 9 Medicaid providers offering Office Visit related services in Mahwah, NJ according to public payment data.
What is the price range for Office Visit in Mahwah, NJ?
Medicaid reimbursement for Office Visit in Mahwah, NJ ranges from $1.37 to $131.16 per claim, with an average of $55.51. 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 Mahwah, NJ
Physical Therapy
Avg $20.27
10,800 claims
Dental Cleaning & Exam
Avg $31.58
4,657 claims
Ambulance Transport
Avg $18.33
4,588 claims
EKG / ECG (Electrocardiogram)
Avg $7.83
4,061 claims
Emergency Room Visit
Avg $64.93
2,676 claims
Non-Emergency Medical Transportation
Avg $51.65
2,419 claims
Eye Exam
Avg $21.29
1,844 claims
Blood Work & Lab Tests
Avg $3.82
1,473 claims