Average Medicaid Office Visit Payments in Metuchen, NJ: $74.71
Avg. Paid
$74.71
Range
$0.74 – $122.35
Total Claims
184,849
Providers
29
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 Metuchen, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nayla Mumneh
15 Spear St |
$68.37 | 14 | 14 |
|
Janette Helena Mcdermott
173 Essex Ave |
$73.55 | 17 | 14 |
|
Sunil K Khanna
579 Main St |
$29.90 | 39 | 37 |
|
Kavitha Thukkaram
212 Bridge St |
$47.58 | 49 | 39 |
|
Monica Gad
561 Middlesex Ave |
$33.16 | 114 | 103 |
|
Henry Altszuler
45 Pearl St |
$45.35 | 118 | 104 |
|
Amy Ann John
65 Us Highway 1 |
$9.17 | 131 | 118 |
|
Bimal Patel
45 Pearl St |
$73.31 | 144 | 133 |
|
Mohinder P Singh
162 Main St |
$80.01 | 149 | 128 |
|
Hiral Jani
561 Middlesex Ave |
$36.96 | 218 | 167 |
|
Maria T Garcia
561 Middlesex Ave |
$63.36 | 418 | 375 |
|
Alyssa Rios
215 Amboy Ave |
$122.35 | 433 | 419 |
|
William H Rossy
561 Middlesex Ave |
$39.25 | 465 | 402 |
|
Boqing Chen
249 Bridge St |
$0.74 | 610 | 462 |
|
Anita Jasani
561 Middlesex Ave |
$42.99 | 619 | 547 |
|
Danny Phan
252 Bridge St Bldg G |
$58.38 | 689 | 654 |
|
Joseph Raviola
186 Newman St |
$83.27 | 767 | 727 |
|
Jasmine Baez
561 Middlesex Ave |
$56.59 | 891 | 788 |
|
Tianshu Zhang
227 Bridge St |
$62.89 | 1,723 | 1,654 |
|
Smitha Manoj
240 Bridge St Bldg F |
$34.10 | 2,324 | 1,903 |
|
Hyok Y Lee
150 Middlesex Ave |
$12.60 | 2,554 | 2,182 |
|
Paul Michael Ahn
173 Essex Ave |
$40.16 | 2,961 | 2,280 |
|
Suk I Ghong
219 Bridge St |
$29.75 | 3,556 | 2,950 |
|
Harry H Lin
201 Bridge Street |
$30.52 | 6,341 | 5,083 |
|
Bingru Xie
211 Bridge St Bldg D |
$50.22 | 7,751 | 6,676 |
|
Ren Zhou
233 Bridge St |
$35.76 | 11,061 | 8,573 |
|
Srinivas S Vasireddi
205 Bridge St |
$38.68 | 11,459 | 9,390 |
|
Varinder Singh
215 Bridge St |
$34.39 | 18,101 | 15,199 |
|
Kpuc, Llc
65 Us Highway 1 |
$98.93 | 111,133 | 102,451 |
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 Metuchen, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Metuchen, NJ is $74.71 per claim, based on 184,849 claims from 29 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 Metuchen, NJ?
There are 29 Medicaid providers offering Office Visit related services in Metuchen, NJ according to public payment data.
What is the price range for Office Visit in Metuchen, NJ?
Medicaid reimbursement for Office Visit in Metuchen, NJ ranges from $0.74 to $122.35 per claim, with an average of $74.71. 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 Metuchen, NJ
Non-Emergency Medical Transportation
Avg $27.31
961,347 claims
Home Health Visit
Avg $93.77
625,721 claims
EKG / ECG (Electrocardiogram)
Avg $14.89
13,785 claims
Dental Cleaning & Exam
Avg $17.04
12,317 claims
X-Ray
Avg $5.81
11,536 claims
Echocardiogram
Avg $72.48
4,798 claims
Upper Endoscopy (EGD)
Avg $167.94
4,687 claims
CT Scan (Computed Tomography)
Avg $43.03
4,615 claims