Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Montclair, NJ: $49.62

Avg. Paid

$49.62

Range

$0.00 – $244.71

Total Claims

82,471

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 Montclair, NJ

Provider	Avg. Paid	Claims	Patients
Planned Parenthood Of Metropolitan Nj 29 N Fullerton Ave	$66.90	12,791	12,548
Linda Winful 51 Cedar Ave	$44.36	10,286	6,853
Khalid Sadrul Anam 314-316 Orange Road	$71.81	8,643	8,377
Mental Health Association Of Essex And Morris, Inc. 33 S Fullerton Ave	$79.18	7,469	6,770
Marcela Pekarova 18-20 Lackawanna Plz	$5.92	6,350	6,014
Fadi A El Atat 127 Pine St Ste 1	$36.92	4,654	4,062
Darshan Bhatt 28 Valley Rd # 148	$26.83	4,452	4,296
Faraj Touchan 33 N Fullerton Ave	$44.71	3,055	2,218
Ketaki Vaidhyanathan 1 Bay Ave	$22.69	2,448	2,187
Lisa K. Cadoo 66 Park St Ste 100	$60.71	2,036	1,783
Rini Abraham 88 Park St	$74.19	1,946	1,872
Nonkulie Zweli Dladla 120 Stonebridge Rd	$14.42	1,581	1,398
Bolanle A Akingboye 1 Seymour St	$6.30	1,525	1,040
Isaac K Soliman 1 Bay Ave	$44.25	1,357	1,239
Roveena Noeline Goveas 1 Bay Ave	$48.48	1,049	965
Dionne Hutson Hendy 28 Valley Rd # 148	$126.05	956	701
Tanya Lynne Carter 319 Orange Rd	$27.98	952	755
Iniobong Ukonne 1 Bay Ave	$76.20	739	641
Anna Slavin 28 Valley Rd # 148	$10.07	737	555
Douglas Zaeh 1 Bay Ave	$41.73	703	665
Dikshya Koirala 28 Valley Rd # 3148	$16.75	697	652
Tiziana Califano 1 Bay Ave	$60.47	657	584
Osama M Moshet Mountainside Hospital	$66.04	648	637
Michelle Giles-Honore 28 Valley Rd # 148	$30.71	636	576
Jelena Vasic 1 Seymour St	$100.93	575	571
Cope Center, Inc. 104 Bloomfield Ave	$78.32	460	429
Ira Morris Goldstein 70 Park St Ste 312	$80.52	435	418
Frank Barnes 319 Orange Rd	$26.68	431	365
Patrick J Dipaolo 781 Bloomfield Ave	$27.98	405	372
Maya Gabovich 1 Bay Ave	$69.61	396	367
Paul Vincent Kennedy 117 Watchung Ave	$25.32	393	304
Pragati Pandey 1 Seymour St	$39.47	387	365
Malasa Jois Kahn 100 Valley Rd Ste 102	$14.47	339	324
Kelly W Murakata 28 Valley Rd # 148	$1.29	304	266
Barry Joseph Benzing 1 Bay Ave	$43.77	251	242
Chameeka Olivia Barrett 1 Bay Ave	$54.73	241	213
Real House Inc. 95 Grove St	$67.68	209	185
Montclair Hospital Llc 1 Bay Avenue	$20.50	208	172
Ambrose Mgbako 1 Bay Ave	$1.33	196	165
Diana Matira Yildirim 1 Seymour St	$52.89	116	114
Rajitha R. Gujja 239 Claremont Ave	$40.11	102	88
Maria Karmina Cartasano 50 Belden Pl	$9.27	94	91
Joseph M Bellapianta 120 Valley Rd Ste 100	$1.31	85	79
Joseph Albano 242 Claremont Ave	$0.28	83	71
Alan J Klukowicz 62 S Fullerton Ave	$35.18	78	75
Young Ju Lee 1 Bay Ave	$55.87	68	64
Michael Stein 1 Bay Ave	$44.95	46	45
Fa Cv Consultants Pc 127 Pine St Ste 1	$48.71	39	30
Andrea Cacciarelli 29 Park St	$0.00	34	33
Rachel Francine Maslow 119 Grove St	$5.05	30	28

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 Montclair, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Montclair, NJ is $49.62 per claim, based on 82,471 claims from 56 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 Montclair, NJ?

There are 56 Medicaid providers offering Office Visit related services in Montclair, NJ according to public payment data.

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

Medicaid reimbursement for Office Visit in Montclair, NJ ranges from $0.00 to $244.71 per claim, with an average of $49.62. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Montclair, NJ: $49.62

Providers Offering Office Visit in Montclair, 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 Montclair, NJ

Blood Work & Lab Tests

Emergency Room Visit

Behavioral & Mental Health Therapy

Psychiatric Evaluation

Urinalysis & Urine Tests

Dental Cleaning & Exam

Ambulance Transport

Physical Therapy