Average Medicaid Office Visit Payments in Neptune, NJ: $70.63
Avg. Paid
$70.63
Range
$0.00 – $172.56
Total Claims
431,267
Providers
207
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 Neptune, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samuel H Engel
3700 Route 33 |
$111.35 | 35,412 | 34,560 |
|
Hmh Hospitals Corporation
1945 Route 33 |
$142.60 | 32,707 | 29,129 |
|
Vincent Anthony Polizio
26 Highway 35 N |
$48.54 | 31,513 | 30,735 |
|
Prabhas Trivedi
26 Highway 35 N |
$68.33 | 16,642 | 16,233 |
|
Anna Nowinowska
1945 State Route 33 |
$34.87 | 16,410 | 15,652 |
|
Jsas Healthcare, Inc.
685 Neptune Blvd |
$21.42 | 13,026 | 5,898 |
|
Kristen Atienza
1812 Corlies Ave |
$46.11 | 12,655 | 10,998 |
|
Elsie A Rivera
26 Highway 35 N |
$49.66 | 12,584 | 12,288 |
|
Rami E Geffner
26 Highway 35 N |
$88.37 | 11,374 | 10,968 |
|
Shazia Saif
26 Highway 35 N |
$68.30 | 10,771 | 10,474 |
|
Narine Azoyan
3700 Route 33 |
$75.65 | 10,019 | 9,335 |
|
Ashley Jade Munroe
2020 6Th Ave |
$75.60 | 9,541 | 5,731 |
|
Mary Yee
444 Neptune Boulevard |
$62.47 | 9,078 | 8,056 |
|
Haroon M Khan
1820 State Route 33 |
$39.44 | 8,883 | 8,611 |
|
Svetlana Chehet
26 Highway 35 N |
$44.15 | 7,912 | 7,756 |
|
Katie Boesz
26 Highway 35 N |
$42.36 | 7,624 | 7,488 |
|
Jayne Young Propert
29 Albany Rd |
$31.53 | 7,535 | 7,304 |
|
Jaclyn Lanciano
26 Highway 35 N |
$47.29 | 7,137 | 6,767 |
|
Sean D. Houston
3700 Route 33 |
$99.40 | 5,959 | 5,707 |
|
Manhong Ma
26 Highway 35 N |
$68.75 | 5,804 | 5,664 |
|
Donna Yanusz
26 Route 35 N |
$43.58 | 5,660 | 5,444 |
|
Jennifer Levine
1200 Jumping Brook Rd |
$28.37 | 5,104 | 4,448 |
|
Seth J Silberman
3700 Route 33 |
$88.82 | 5,101 | 4,797 |
|
Meridian Medical Group-Retail Clinic Pc
3600 Route 66 Fl 3 |
$77.70 | 4,988 | 4,695 |
|
Steven Charles Goldstein
1945 State Route 33 |
$37.97 | 4,586 | 4,372 |
|
Paul G Matta
19 Davis Ave Fl 7 |
$48.22 | 4,505 | 3,692 |
|
Bernard Adler
1944 Route 33 |
$67.52 | 4,431 | 4,124 |
|
Qasim Husain
3700 Route 33 |
$91.53 | 4,336 | 4,042 |
|
Timothy Patrick Kelly
26 Highway 35 N |
$81.69 | 4,159 | 3,777 |
|
Victoria M Bones
3700 Route 33 |
$91.33 | 3,873 | 3,570 |
|
Marcos Eleazar Alfie
61 Davis Ave |
$117.81 | 3,819 | 3,767 |
|
Lookman K Odejobi
2100 Corlies Ave |
$48.87 | 3,764 | 3,441 |
|
Girish C Sharma
1945 Route 33 |
$124.67 | 3,683 | 3,598 |
|
Ashlee Paknis
26 Highway 35 N |
$49.49 | 3,487 | 3,444 |
|
Frederic Elliot Wien
1945 Route 33 |
$64.30 | 3,436 | 3,240 |
|
Jamie Erica Ruderfer
19 Davis Ave |
$46.85 | 3,317 | 3,248 |
|
Meridian Hospitals Corporation
1945 Route 33 |
$38.00 | 3,253 | 2,877 |
|
Ihab Girgis
1820 State Route 33 |
$60.16 | 2,787 | 2,747 |
|
Nader John Nakhleh
19 Davis Ave Fl 5 |
$88.01 | 2,399 | 2,360 |
|
Jennifer Jimenez
61 Davis Ave |
$87.76 | 2,306 | 2,253 |
|
Alternative Counseling Method Llc
201 Highway 35 N |
$57.25 | 2,306 | 2,164 |
|
Gregory A Cartnick
1812 State Route 33 |
$34.65 | 2,201 | 1,975 |
|
Joseph Cosimo Canterino
19 Davis Ave Fl 7 |
$76.16 | 2,190 | 2,023 |
|
Meghan Iona Rattigan
1945 Corlies Ave |
$61.17 | 2,168 | 1,878 |
|
Elina Berkovsky
1945 Rt 33 |
$65.48 | 2,051 | 1,929 |
|
Kristi Kosarin
1945 State Route 33 |
$81.33 | 1,980 | 1,841 |
|
Oliver G Felibrico
1945 Route 33 |
$93.35 | 1,916 | 1,722 |
|
Lisa Ledden
26 Highway 35 N |
$36.80 | 1,779 | 1,683 |
|
Kimbreya Elese Otey
26 Highway 35 N |
$40.91 | 1,756 | 1,707 |
|
Charles K. Dadzie
19 Davis Ave Fl 5 |
$88.08 | 1,746 | 1,700 |
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 Neptune, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Neptune, NJ is $70.63 per claim, based on 431,267 claims from 207 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 Neptune, NJ?
There are 207 Medicaid providers offering Office Visit related services in Neptune, NJ according to public payment data.
What is the price range for Office Visit in Neptune, NJ?
Medicaid reimbursement for Office Visit in Neptune, NJ ranges from $0.00 to $172.56 per claim, with an average of $70.63. 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 Neptune, NJ
Blood Work & Lab Tests
Avg $5.23
384,628 claims
Emergency Room Visit
Avg $224.45
225,797 claims
Behavioral & Mental Health Therapy
Avg $98.04
215,215 claims
Non-Emergency Medical Transportation
Avg $29.45
181,642 claims
Ambulance Transport
Avg $6.47
155,798 claims
Ultrasound
Avg $53.47
126,133 claims
Home Health Visit
Avg $94.88
99,410 claims
Physical Therapy
Avg $65.46
97,089 claims