Average Medicaid Office Visit Payments in Mountain Lakes, NJ: $51.59
Avg. Paid
$51.59
Range
$7.59 – $97.95
Total Claims
28,226
Providers
17
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 Mountain Lakes, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ambreen Ahsan
115 Route 46 Unit 34-36 |
$48.94 | 16,285 | 13,188 |
|
Juan Lopez
17 Newcastle Ct |
$97.95 | 2,827 | 2,669 |
|
Sheikh Marie Naeem
415 Boulevard |
$36.30 | 1,991 | 1,726 |
|
Benjamin Fusman
356 Route 46 E |
$33.96 | 1,571 | 1,399 |
|
Phillip Ruisi
415 Boulevard |
$49.40 | 1,084 | 950 |
|
Keith S Leibowitz
415 Boulevard |
$38.15 | 1,066 | 906 |
|
Philip S Rogers
415 Boulevard |
$45.53 | 853 | 722 |
|
Monique Cecelia Gantier
115 Us Highway 46, Bldg F, Ste 1 |
$55.98 | 642 | 586 |
|
Paul D Derenzi
415 Boulevard |
$37.82 | 535 | 451 |
|
Ayodele Green
115 Route 46 W Bldg F |
$93.02 | 454 | 286 |
|
Darlene M Osipuk
420 Boulevard |
$30.14 | 337 | 92 |
|
Guillermo A Cook
356 Route 46 E |
$22.31 | 196 | 192 |
|
Hyeun S Park
415 Boulevard |
$35.91 | 140 | 130 |
|
Ruby Hanna
333 Route 46 W |
$7.59 | 103 | 94 |
|
Ronald D Massari
356 Route 46 E |
$33.10 | 95 | 80 |
|
Stuart E Shulruff
356 Route 46 E |
$35.96 | 34 | 24 |
|
Jordan G Safirstein
356 Rt 46 East |
$31.28 | 13 | 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 Mountain Lakes, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mountain Lakes, NJ is $51.59 per claim, based on 28,226 claims from 17 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 Mountain Lakes, NJ?
There are 17 Medicaid providers offering Office Visit related services in Mountain Lakes, NJ according to public payment data.
What is the price range for Office Visit in Mountain Lakes, NJ?
Medicaid reimbursement for Office Visit in Mountain Lakes, NJ ranges from $7.59 to $97.95 per claim, with an average of $51.59. 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 Mountain Lakes, NJ
Case Management Services
Avg $159.15
47,972 claims
EKG / ECG (Electrocardiogram)
Avg $6.89
20,386 claims
Vaccines & Immunizations
Avg $17.54
8,524 claims
Emergency Room Visit
Avg $59.54
8,081 claims
X-Ray
Avg $4.03
1,728 claims
Physical Therapy
Avg $0.77
1,685 claims
Blood Work & Lab Tests
Avg $1.41
810 claims
Echocardiogram
Avg $30.86
722 claims