Average Medicaid Office Visit Payments in Mountainside, NJ: $104.98
Avg. Paid
$104.98
Range
$22.67 – $270.37
Total Claims
44,257
Providers
20
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 Mountainside, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Moshe Kupferstein
150 New Providence Rd |
$58.61 | 46 | 42 |
|
Nita Vaswani
150 New Providence Rd |
$203.26 | 62 | 61 |
|
Michael Armento
150 New Providence Rd |
$133.66 | 91 | 91 |
|
Melanie R Niederhauser
150 New Providence Rd |
$158.76 | 161 | 161 |
|
Anna Malia Beckwith
150 New Providence Rd |
$213.52 | 428 | 423 |
|
Janice L Prontnicki
150 New Providence Rd |
$270.37 | 435 | 426 |
|
Jessica Nicole Halpern
608 Sherwood Pkwy Ste 106 |
$51.85 | 542 | 503 |
|
Tara Anne Matthews
150 New Providence Rd |
$190.96 | 703 | 676 |
|
Joel Mendelson
1124 Springfield Ave |
$160.31 | 774 | 761 |
|
Janine Defeo
150 New Providence Rd |
$198.69 | 873 | 862 |
|
Katherine Elyse Cabrera
150 New Providence Rd |
$197.48 | 881 | 865 |
|
Maria Corazon Cerdena
200 Sheffield St Ste 303 |
$43.67 | 963 | 865 |
|
Claudette L Blake
1199 Route 22 |
$22.67 | 971 | 607 |
|
Eveline C Traeger
150 New Providence Rd |
$168.04 | 1,156 | 1,149 |
|
Zeenat Q Malik
150 New Providence Rd |
$191.80 | 1,363 | 1,354 |
|
Evelina Okouneva
150 New Providence Rd |
$205.57 | 1,732 | 1,703 |
|
Rose Mary Merola
150 New Providence Rd |
$107.92 | 2,851 | 2,781 |
|
Ave O Gozo
150 New Providence Rd |
$114.86 | 3,249 | 3,070 |
|
Adam Aronsky
150 New Providence Rd |
$156.44 | 4,112 | 3,831 |
|
Cooperative Counseling Services, Llc
1139 Spruce Drive |
$67.81 | 22,864 | 20,240 |
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 Mountainside, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mountainside, NJ is $104.98 per claim, based on 44,257 claims from 20 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 Mountainside, NJ?
There are 20 Medicaid providers offering Office Visit related services in Mountainside, NJ according to public payment data.
What is the price range for Office Visit in Mountainside, NJ?
Medicaid reimbursement for Office Visit in Mountainside, NJ ranges from $22.67 to $270.37 per claim, with an average of $104.98. 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 Mountainside, NJ
Psychiatric Evaluation
Avg $89.55
107,461 claims
Case Management Services
Avg $896.69
59,303 claims
Behavioral & Mental Health Therapy
Avg $204.01
48,623 claims
Vaccines & Immunizations
Avg $10.98
4,279 claims
Prescription Medications
Avg $0.00
2,708 claims
Dental Cleaning & Exam
Avg $30.84
1,746 claims
Emergency Room Visit
Avg $100.06
1,222 claims
Dental Filling
Avg $59.39
603 claims