Average Medicaid Office Visit Payments in Montville, NJ: $25.12
Avg. Paid
$25.12
Range
$12.54 – $58.42
Total Claims
34,139
Providers
13
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 Montville, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wagih Girgis Wassef
150 River Rd |
$12.54 | 19,425 | 17,985 |
|
Alice Coscia
137 Main Rd |
$39.67 | 7,916 | 7,035 |
|
Arnold I Pallay
170 Changebridge Rd Bldg C3 |
$48.08 | 3,302 | 2,909 |
|
Ryan Coelho
170 Changebridge Rd Bldg C3 |
$35.22 | 1,022 | 893 |
|
Lora Mchale
170 Changebridge Rd Bldg C3 |
$37.09 | 886 | 811 |
|
Frank Iannetta
170 Changebridge Rd Bldg C3 |
$48.98 | 612 | 554 |
|
James Manuel Federica
170 Changebridge Rd Bldg C3 |
$25.90 | 323 | 261 |
|
Alyssa Huncken
170 Changebridge Rd Bldg C3 |
$51.04 | 251 | 228 |
|
Marjorie B Manalang
230 Changebridge Rd |
$58.42 | 202 | 193 |
|
Andrew Philip Gilmartin
170 Changebridge Rd Bldg C3 |
$56.07 | 93 | 86 |
|
Pareen Raj Lapsiwala
170 Changebridge Rd |
$52.15 | 45 | 41 |
|
Anna Chung
170 Changebridge Rd Bldg C3 |
$22.81 | 38 | 37 |
|
Genevieve S. Castaneda
170 Changebridge Rd Bldg C3 |
$43.92 | 24 | 24 |
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 Montville, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Montville, NJ is $25.12 per claim, based on 34,139 claims from 13 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 Montville, NJ?
There are 13 Medicaid providers offering Office Visit related services in Montville, NJ according to public payment data.
What is the price range for Office Visit in Montville, NJ?
Medicaid reimbursement for Office Visit in Montville, NJ ranges from $12.54 to $58.42 per claim, with an average of $25.12. 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 Montville, NJ
Vaccines & Immunizations
Avg $26.60
18,224 claims
Blood Work & Lab Tests
Avg $2.38
8,801 claims
Dental Cleaning & Exam
Avg $37.60
8,481 claims
Physical Therapy
Avg $11.44
7,991 claims
Non-Emergency Medical Transportation
Avg $12.36
7,088 claims
Chiropractic Care
Avg $6.01
3,304 claims
Substance Abuse Treatment
Avg $113.21
2,877 claims
Psychiatric Evaluation
Avg $128.51
1,247 claims