Average Medicaid Office Visit Payments in Maywood, NJ: $71.06
Avg. Paid
$71.06
Range
$25.96 – $131.39
Total Claims
35,945
Providers
18
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 Maywood, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Basel Baghal
1 Maywood Ave |
$65.82 | 12,458 | 11,250 |
|
Niren Jasutkar
1 Maywood Ave |
$112.84 | 5,288 | 5,160 |
|
Anthony N. Sifonios
255 W Spring Valley Ave Ste 200 |
$75.47 | 4,490 | 4,288 |
|
Vincent C Okabekwa
87 Route 17 N |
$25.96 | 2,761 | 1,917 |
|
Nitin Nick Patel
255 W Spring Valley Ave |
$111.53 | 2,544 | 2,500 |
|
Justin Yee-Ming Kei
87 Route 17 |
$38.46 | 2,321 | 1,584 |
|
Douglas Jay Saphier
87 Rte 17 N |
$36.73 | 2,043 | 1,388 |
|
Francis J Murdaco
255 W Spring Valley Ave Ste 203 |
$42.76 | 1,229 | 1,181 |
|
Laura Cristina Andreias
1 Maywood Ave |
$103.53 | 903 | 876 |
|
Kamran Ismail Hamirani
255 W Spring Valley Ave |
$75.24 | 652 | 620 |
|
Ulrick Vieux
87 Rte 17 N |
$67.71 | 430 | 343 |
|
Demetrios Nicholas Panagiotou
255 W Spring Valley Ave Ste 200 |
$74.01 | 282 | 245 |
|
Julio Eduardo Vega
255 W Spring Valley Ave Ste 102 |
$42.79 | 148 | 140 |
|
Martin M Goldstein
255 W. Spring Valley Ave |
$54.91 | 132 | 126 |
|
Stephanie Konrad
240 W Passaic St Ste 6 |
$34.71 | 126 | 119 |
|
Edward Hahn
113 W Essex St Ste 204 |
$131.39 | 75 | 72 |
|
Adam Feintisch
113 W Essex St Ste 204 |
$108.48 | 50 | 50 |
|
Everyday Urgent Care Llc
61 W Pleasant Ave |
$61.54 | 13 | 13 |
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 Maywood, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Maywood, NJ is $71.06 per claim, based on 35,945 claims from 18 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 Maywood, NJ?
There are 18 Medicaid providers offering Office Visit related services in Maywood, NJ according to public payment data.
What is the price range for Office Visit in Maywood, NJ?
Medicaid reimbursement for Office Visit in Maywood, NJ ranges from $25.96 to $131.39 per claim, with an average of $71.06. 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 Maywood, NJ
Dental Cleaning & Exam
Avg $40.36
40,938 claims
Prescription Medications
Avg $13.76
19,630 claims
EKG / ECG (Electrocardiogram)
Avg $5.24
14,495 claims
Dental Filling
Avg $97.52
7,842 claims
Colonoscopy
Avg $292.53
3,515 claims
Echocardiogram
Avg $49.24
2,749 claims
Vaccines & Immunizations
Avg $19.89
2,583 claims
Upper Endoscopy (EGD)
Avg $306.25
2,371 claims