Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Maplewood, NJ: $42.00

Avg. Paid

$42.00

Range

$0.32 – $127.50

Total Claims

151,566

Providers

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 Maplewood, NJ

Provider	Avg. Paid	Claims	Patients
Kumar M Ramdas 2060 Millburn Ave	$37.55	50,381	38,565
Sunil Patel 2010 Springfield Ave	$32.18	33,174	27,849
Khalil Ahmed Kaid 2168 Millburn Ave	$52.01	11,283	9,962
Winsome Joan Parchment 1973 Springfield Ave	$53.65	10,011	8,256
Dina Prus 264 Boyden Ave	$63.16	7,155	6,970
Irene N Okeke 1984 Springfield Avenue	$15.25	4,274	3,329
Chirag D Patel 2130 Millburn Ave Ste A4	$33.05	3,436	2,958
Matthew Lobosco 515 Valley St Ste 203	$75.35	3,380	2,807
Donna Smith 2040 Milburn Ave	$47.06	3,135	2,816
Indu Sabnani 2130 Millburn Ave	$20.70	2,979	1,762
Shailender Karry Mohanrao 2115 Millburn Ave	$34.18	2,847	2,547
Nishith Bhattacharyya 2130 Millburn Avenue	$91.76	2,687	2,497
Severiano Fajardo Sanjuan 2040 Millburn Ave	$45.03	2,480	2,323
Heather Ann Sabol 264 Boyden Ave	$69.22	2,411	2,171
Matthew Parmar 264 Boyden Ave	$69.45	2,120	1,950
Lilian Obiageli Okechukwu 15 Harding St Apt 1	$16.92	1,582	1,193
Dara Heinlein 515 Valley St Ste 203	$55.21	859	797
Rejane Signor 1973 Springfield Ave	$17.32	830	725
Guy Anthony Francis 2130 Millburn Ave	$71.39	798	769
Alexander Gudz 749 Irvington Ave	$38.75	694	526
Dorsa Seimaa 515 Valley St	$50.51	652	464
Ndidiamaka Ezuma 143 Jacoby St Apt 1	$31.52	531	455
Howard B. Kook 1955 Springfield Ave	$29.05	460	353
Ivy Nnorom 2040 Millburn Ave Ste 206	$37.88	435	383
Marie Juline Cherubin 1560 Springfield Ave	$53.53	406	378
Dana Marie Cosentino Katz 1973 Springfield Ave	$57.50	376	321
Colin A Bethel 2130 Millburn Avenue	$127.50	314	314
Jessica Leigh Wolkun 264 Boyden Ave	$37.84	271	235
Rajender Kumar Arora 2168 Millburn Ave	$37.15	268	231
Stationmd Professional Corporation 515 Valley St Ste 203	$15.14	256	234
Sandra Jeanne Thompson 264 Boyden Ave	$66.89	239	224
Richard J. Solomon 2130 Millburn Ave	$67.64	200	166
Samuel T Duncan 2040 Millburn Ave	$38.31	129	112
Yvonne Wright-Cadet 2130 Millburn Ave	$92.71	111	99
Segun V Simon 2130 Millburn Ave	$26.47	93	86
Patricia Ngozi Okorie 253 Hilton Ave	$28.90	80	80
Monique Rice 1973 Springfield Ave	$101.01	79	78
Padmaja Kodali 2040 Millburn Ave	$14.64	73	65
Alexandria Brown 515 Valley St Ste 203	$25.30	40	28
Christiana Nduka-Onwuka 19 Boyden Pkwy S	$0.32	21	20
Leon Sherman Dick 2232 Millburn Ave	$3.85	16	14

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 Maplewood, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Maplewood, NJ is $42.00 per claim, based on 151,566 claims from 41 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 Maplewood, NJ?

There are 41 Medicaid providers offering Office Visit related services in Maplewood, NJ according to public payment data.

What is the price range for Office Visit in Maplewood, NJ?

Medicaid reimbursement for Office Visit in Maplewood, NJ ranges from $0.32 to $127.50 per claim, with an average of $42.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Maplewood, NJ: $42.00

Providers Offering Office Visit in Maplewood, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Maplewood, NJ

Non-Emergency Medical Transportation

Home Health Visit

Ambulance Transport

X-Ray

EKG / ECG (Electrocardiogram)

Nursing Facility Care

Blood Work & Lab Tests

Pulmonary Function Test