Average Medicaid Office Visit Payments in New Providence, NJ: $64.51
Avg. Paid
$64.51
Range
$17.52 – $109.30
Total Claims
32,257
Providers
14
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 New Providence, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kelly Jean Eberhardt
556 Central Ave |
$60.90 | 8,108 | 7,840 |
|
Niv Mor
550 Central Ave Ste 500 |
$72.83 | 7,566 | 6,756 |
|
Daniel Harrington
550 Central Ave Ste 500 |
$67.91 | 2,867 | 2,660 |
|
Jonathan David Cohen
550 Central Ave Ste 500 |
$62.07 | 2,472 | 2,015 |
|
Jared Preston
550 Central Ave Ste 500 |
$51.79 | 2,275 | 1,967 |
|
Suhyla Alam
550 Central Ave Ste 500 |
$67.40 | 2,058 | 1,884 |
|
Paul Benedict Brown
550 Central Ave Ste 500 |
$60.67 | 2,025 | 1,829 |
|
John Erickson
550 Central Ave Ste 500 |
$56.00 | 1,998 | 1,847 |
|
Jezabel Mariela Novo-Frias
550 Central Ave Ste 500 |
$54.21 | 1,578 | 1,439 |
|
Heather Lynne Provence
890 Mountain Ave |
$109.30 | 629 | 363 |
|
Jeffrey T Leary
550 Central Ave Ste 500 |
$67.15 | 433 | 407 |
|
Todd Michael Rosenthal
571 Central Ave Ste 115 |
$58.05 | 199 | 180 |
|
John Patrick Farry
571 Central Ave Ste 115 |
$46.03 | 35 | 27 |
|
Erin Elizabeth Mccrone
890 Mountain Ave |
$17.52 | 14 | 14 |
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 New Providence, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Providence, NJ is $64.51 per claim, based on 32,257 claims from 14 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 New Providence, NJ?
There are 14 Medicaid providers offering Office Visit related services in New Providence, NJ according to public payment data.
What is the price range for Office Visit in New Providence, NJ?
Medicaid reimbursement for Office Visit in New Providence, NJ ranges from $17.52 to $109.30 per claim, with an average of $64.51. 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 New Providence, NJ
Durable Medical Equipment (DME)
Avg $61.39
137,713 claims
Non-Emergency Medical Transportation
Avg $11.97
20,091 claims
Vaccines & Immunizations
Avg $11.57
16,607 claims
Eye Exam
Avg $32.09
7,338 claims
EKG / ECG (Electrocardiogram)
Avg $5.64
6,271 claims
X-Ray
Avg $12.14
5,161 claims
Hearing Test (Audiometry)
Avg $8.59
2,540 claims
Substance Abuse Treatment
Avg $42.17
2,425 claims