Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Newark, NJ: $61.77

Avg. Paid

$61.77

Range

$0.00 – $389.10

Total Claims

2,237,116

Providers

681

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 Newark, NJ

Provider	Avg. Paid	Claims	Patients
University Hospital 150 Bergen St	$97.36	257,293	211,157
Newark Beth Israel Medical Center Inc 201 Lyons Ave	$60.99	86,338	77,702
Marc Preston Roberts 559 Broad St	$18.46	61,523	53,631
Luis Garay 495 N 13Th St	$21.48	51,995	42,799
Nathan Zemel 50 Park Pl	$10.40	42,527	10,919
Ramiro D. Yepez 88 Congress St	$40.72	41,771	21,278
Uma Kanikicharla 41 Wilson Avenue	$60.07	41,265	37,525
Thomas R Ortiz 465 Mt. Prospect Ave.	$22.12	36,194	31,848
Indu Madhok 156 Roseville Ave	$22.18	34,786	29,770
Suzanne Zemel 50 Park Pl	$43.39	29,863	14,408
Mount Carmel Guild Behavioral Health System 47 Miller St	$63.18	28,974	27,846
Mounir Y Abdelshahid 346 Roseville Ave	$44.57	28,961	25,731
Ramez Wadie Samuel 346 Roseville Ave	$38.86	23,960	18,347
David Peter Suarez 1299 Mccarter Hwy Ste 1A	$3.34	21,494	17,216
Planned Parenthood Of Metropolitan New Jersey 238-240 Mulberry Street	$68.33	20,261	19,899
Olga Benitez 73 Ferry St	$34.15	17,736	14,298
Maria Ramirez 796 Mount Prospect Ave	$45.52	17,616	15,126
Arthur Badillo 643 645 Mt Prospect Ave 1St Floor	$25.38	17,225	16,286
Jesus Ruben Ortega 571 N 6Th St	$39.13	16,996	14,839
Newark Community Health Centers, Inc. 741 Broadway	$12.10	16,351	13,144
Eduardo W Samaniego 76 Prospect St	$35.35	16,071	11,780
Javier Ricardo Ponce 654 Mount Prospect Ave Ste 301	$21.39	15,234	14,533
Ricardo Antonio Gomez-Vasquez. 550 Mount Prospect Ave	$37.84	14,675	12,306
Rene B. Esquerre 644 Mount Prospect Ave	$34.55	14,160	10,885
Francisca Meremikwu 741 Broadway	$41.61	14,093	10,820
Luis A Yerovi 91 Congress St	$38.33	13,647	10,192
Evita Recio 201 Lyons Ave	$24.12	12,425	8,934
Gricel Hernandez Comesanas 87 Adams St	$59.43	12,076	11,257
David O Alabi 18 Ferry St Ste 2	$34.79	11,158	8,279
Natasha A Fuksina 550 Bloomfield Ave	$34.89	11,033	10,025
Olalekan Kehinde Adefowokan 201 Lyons Ave	$29.69	10,791	9,640
Norman L Lim 148 South St	$36.93	10,088	9,680
Olubukola Olaolu Ogunnowo 168 Frontage Rd	$21.01	10,086	8,555
Khalid S Sawaged 671 Mt Prospect Ave	$50.11	9,999	7,493
Hemantkumar G Patel 646 Sanford Ave	$22.50	9,983	9,281
Mary Daisy Cantey 90 Bergen St	$38.05	9,531	8,800
Claudia Alcindor-Sparman 90 Bergen St # 4300	$89.71	9,325	8,521
Halina Zaborniak 741 Broadway	$26.68	9,260	8,104
Maria Gabriella Koliver 635 Market St	$51.40	9,141	8,666
Sarika Kalantre 90 Bergen St # 5100	$228.55	9,133	8,500
Jose R. Bustillo 201 Lyons Ave	$64.72	9,007	8,685
Monica Katherine Chomsky 297 16Th Ave	$47.52	8,951	8,170
Miriam Enock 205 S Orange Ave	$75.12	8,886	7,495
Sanjeev Sabharwal 90 Bergen St	$111.92	8,692	8,417
Ronald Rescigno 90 Bergen Street	$128.30	8,551	8,099
Neil Kaushal 205 South Orange Avenue	$167.59	8,542	8,217
Rawa Chater 228 Lafayette St	$42.49	8,508	8,023
Yu-Lan Mary Ying 90 Bergen Street Suite 8100	$160.80	8,208	7,843
Mark Camiolo 741 Broadway	$18.74	8,143	7,544
Ghassan M Chehade 268 Martin Luther King Jr Blvd	$63.51	8,121	6,997

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 Newark, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newark, NJ is $61.77 per claim, based on 2,237,116 claims from 681 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 Newark, NJ?

There are 681 Medicaid providers offering Office Visit related services in Newark, NJ according to public payment data.

What is the price range for Office Visit in Newark, NJ?

Medicaid reimbursement for Office Visit in Newark, NJ ranges from $0.00 to $389.10 per claim, with an average of $61.77. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Newark, NJ: $61.77

Providers Offering Office Visit in Newark, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Newark, NJ

Blood Work & Lab Tests

Emergency Room Visit

Dental Cleaning & Exam

X-Ray

Ambulance Transport

Vaccines & Immunizations

Substance Abuse Treatment

EKG / ECG (Electrocardiogram)