Average Medicaid Office Visit Payments in Marlboro, NJ: $38.82
Avg. Paid
$38.82
Range
$0.00 – $127.08
Total Claims
37,906
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 Marlboro, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Julie Kelly
80 Conover Rd |
$13.15 | 7,005 | 6,552 |
|
Michael John Mclarnon
17 N Main St |
$35.61 | 6,367 | 3,488 |
|
Discovery Institute For Addictive Disorders
80 Conover Rd |
$39.49 | 4,748 | 3,321 |
|
Aryay Gefen
15 School Rd E |
$50.42 | 4,268 | 3,986 |
|
Mira Kamal Kaga
58 N Main St |
$16.37 | 3,732 | 3,300 |
|
Jayendra N. Patel
32 N Main St |
$73.01 | 3,635 | 3,444 |
|
Swapna Nair
32 N Main St |
$47.59 | 2,408 | 2,094 |
|
Sabine T Paul-Yee
479 Route 520 Newman Springs Rd |
$54.47 | 1,404 | 1,290 |
|
Seema Nandkishor Varma
32 N Marlboro Street |
$64.95 | 803 | 761 |
|
New Hope Foundation, Inc.
80 Conover Rd |
$40.69 | 698 | 582 |
|
Sandra Masino-Kalinowski
15 School Rd E |
$43.72 | 686 | 673 |
|
Shira A Meyer
479 Route 520 |
$50.59 | 449 | 390 |
|
Kirsten Lane Buckley
9 S Main St |
$44.25 | 328 | 310 |
|
Alexis Kim
80 Conover Rd |
$127.08 | 281 | 218 |
|
Erin Mcneilly
479 County Road 520 Ste B101 |
$80.66 | 232 | 221 |
|
Stephanie Price Messa
8 Huxley Ct |
$23.10 | 228 | 212 |
|
Moran Maurine S. Shmulewich Shalev
479 Highway 520 Ste A202 |
$35.26 | 208 | 184 |
|
Michael Bruce Sherman
15 S Main St |
$52.57 | 177 | 158 |
|
Jaclyn M Guliano
479 Newman Springs Rd Ste 101A |
$49.19 | 160 | 141 |
|
Jun Li
15 S Main St Ste 2 |
$0.00 | 48 | 44 |
|
Patricia Tiwaa Boachie
4 Ryan Rd |
$0.70 | 29 | 28 |
|
Mary Melissa Tobiasson
32 N Main St |
$26.53 | 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 Marlboro, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marlboro, NJ is $38.82 per claim, based on 37,906 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 Marlboro, NJ?
There are 22 Medicaid providers offering Office Visit related services in Marlboro, NJ according to public payment data.
What is the price range for Office Visit in Marlboro, NJ?
Medicaid reimbursement for Office Visit in Marlboro, NJ ranges from $0.00 to $127.08 per claim, with an average of $38.82. 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 Marlboro, NJ
Behavioral & Mental Health Therapy
Avg $220.24
200,539 claims
Substance Abuse Treatment
Avg $1,092
27,474 claims
Dental Cleaning & Exam
Avg $28.30
12,393 claims
Psychiatric Evaluation
Avg $290.64
12,308 claims
Ambulance Transport
Avg $41.86
11,026 claims
Physical Therapy
Avg $3.77
10,101 claims
Chiropractic Care
Avg $8.06
9,858 claims
Non-Emergency Medical Transportation
Avg $37.51
5,392 claims