Average Medicaid Office Visit Payments in Margate City, NJ: $44.72
Avg. Paid
$44.72
Range
$23.62 – $90.06
Total Claims
9,977
Providers
8
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 Margate City, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Glenn R. Budnick
9009 Ventnor Ave |
$35.59 | 5,424 | 4,549 |
|
Kelley E Cerchione
9701 Ventnor Ave Ste 201 |
$36.23 | 1,567 | 1,074 |
|
Jewish Family Service Of Atlantic & Cape May Counties
607 N Jerome Ave |
$90.06 | 1,370 | 1,295 |
|
David Q Bee
9701 Ventnor Ave Ste 201 |
$53.53 | 962 | 955 |
|
Steven Bachinsky
9701 Ventnor Ave Ste 201 |
$31.55 | 481 | 441 |
|
Michael J Caruso
9701 Ventnor Ave Ste 201 |
$30.23 | 86 | 82 |
|
Matthew Kurt Perez
9701 Ventnor Ave |
$23.62 | 55 | 51 |
|
Jewish Family Service Of Atlantic County
607 N Jerome Ave |
$75.94 | 32 | 32 |
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 Margate City, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Margate City, NJ is $44.72 per claim, based on 9,977 claims from 8 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 Margate City, NJ?
There are 8 Medicaid providers offering Office Visit related services in Margate City, NJ according to public payment data.
What is the price range for Office Visit in Margate City, NJ?
Medicaid reimbursement for Office Visit in Margate City, NJ ranges from $23.62 to $90.06 per claim, with an average of $44.72. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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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
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Chicago, IL
Avg $30.31
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Avg $82.40
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Phoenix, AZ
Avg $47.53
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Avg $48.27
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Avg $54.47
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Other Procedures in Margate City, NJ
Eye Exam
Avg $4.70
61,144 claims
Case Management Services
Avg $183.70
36,635 claims
Psychiatric Evaluation
Avg $84.89
24,736 claims
Vaccines & Immunizations
Avg $12.56
3,604 claims
Dental Cleaning & Exam
Avg $25.07
1,553 claims
Behavioral & Mental Health Therapy
Avg $224.31
628 claims
Cataract Surgery
Avg $555.44
438 claims
Anesthesia Services
Avg $0.00
40 claims