Based on public Medicaid payment data.

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
Cathleen M Ballance 1945 Route 33	$58.91	12	12
Joe Matias 1945 Corlies Ave	$43.64	12	12
Haroon Shahid 19 Davis Ave Fl 6	$172.56	12	12
Mark L. Kayton 19 Davis Ave Fl 4	$77.94	12	12
Karim S. Elsahwi 19 Davis Ave Fl 1	$152.57	12	12
Sindhuja Reddy Kedika 19 Davis Ave	$9.67	13	13
Xiaoyin Tang 2240 Route 33	$68.39	13	13
Danielle Erin Lann 19 Davis Ave Fl 2	$57.37	14	13
Kosiso L Bernards-Obi 1945 Corlies Ave	$47.73	14	14
Morgan Devlin 19 Davis Ave Fl 4	$61.11	14	14
Brittany Lynn Klavens 19 Davis Ave	$0.00	14	12
Ravi Diwan 1820 State Route 33	$28.15	14	14
Rachel Penn 19 Davis Ave Fl 5	$6.26	15	15
Avais Masud 2100 Corlies Ave	$38.68	15	12
Michael R Aaron 1820 State Route 33	$20.81	15	15
Andrew Xavier Parada 19 Davis Ave Fl 9	$44.06	17	12
Kyrollos Zare 1945 State Route 33	$84.04	17	17
Stacy J. Doumas 3535 Route 66	$62.02	17	15
Donna M Maitland 2200 Hwy 66	$9.08	18	15
Carlos W Benito 1944 State Route 33	$59.58	19	16
Matthew Evan Dutka 3520 State Route 33 Ste D	$38.33	24	24
Carlos Octavio Fernandez 1944 Route 33	$26.10	25	12
Renato A Apolito 1820 State Route 33	$22.23	25	25
Suzanne Ahde 19 Davis Ave	$89.07	25	25
Omni Health Services Of New Jersey, Inc 2240 Highway 33	$100.56	25	24
Beverly Demchuk 1900 Corlies Ave	$15.50	26	25
Dena G. Arumugam 1706 Corlies Avenue	$67.16	27	25
Morning Glory Behavioral Health Partial Care Program Llc 645 Neptune Blvd	$39.42	28	28
Swapnil Patel 19 Davis Ave Fl 6	$152.34	29	29
Debra Gussman 19 Davis Ave Fl 7	$41.07	31	28
Loisann Stapleton 1900 Corlies Ave	$45.59	32	31
Mina Adel Morgan 1945 State Route 33	$115.60	33	32
Lydia Anne Hawk 3700 Route 33	$90.00	35	35
Mariah Helen Labarbera 1945 Nj-33	$41.01	35	32
Ellen Howells 1945 Highway 33	$7.98	38	20
Christian Michael Kaunzinger 19 Davis Ave Fl 6	$52.79	40	40
Carmela Rocchetti 19 Davis Ave Fl 6	$14.02	41	40
Christina Carrier 19 Davis Ave Fl 6	$83.68	41	39
Sabyasachi Mohapatra 1945 State Route 33	$65.52	41	40
David J Pinnelas 1820 State Route 33	$8.33	43	43
Monica Angstadt 19 Davis Ave Fl 5	$43.16	43	42
Cristina Elizabeth Farrell 81 Davis Ave	$68.93	45	38
Natasha Campbell 1945 State Route 33	$20.97	48	46
Maulik D Shah 1945 State Route 33	$84.62	53	46
Ziad Afif Abbud 1900 Corlies Ave	$3.38	54	39
Habib Khan 3700 Route 33	$57.35	59	53
Robert E Sussman 2100 State Route 33 Ste 3	$12.32	60	48
Michael Corey Sullivan 1944 Rt 33	$57.39	60	56
Patricia Tager 26 Highway 35 N	$65.44	62	61
Eileen Masterson 2240 State Route 33	$61.37	65	64

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.

Average Medicaid Office Visit Payments in Neptune, NJ: $70.63

Providers Offering Office Visit in Neptune, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Neptune, NJ

Blood Work & Lab Tests

Emergency Room Visit

Behavioral & Mental Health Therapy

Non-Emergency Medical Transportation

Ambulance Transport

Ultrasound

Home Health Visit

Physical Therapy