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
Georgiana Hart 58 Freeman St	$0.00	12	12
Scott Anthony Fiorini 111 Central Ave	$81.20	12	12
Jennifer Demosthene 166 Lyons Ave	$27.88	12	12
Eman Rashed 201 Lyons Ave Ste L4	$263.63	12	12
Christopher Bobby Nnaoma 201 Lyons Ave	$240.80	12	12
Marie Merthilde Sanon 268 Dr Martin Luther King Jr Blvd	$18.75	12	12
Robert Alan Levinson 201 Lyons Ave	$39.06	12	12
Michael Scott Segal 201 Lyons Ave	$22.41	12	12
Kristen Garofalo 201 Lyons Ave	$48.14	12	12
Adaora Gabriellene Madubuko 185 S Orange Ave	$331.21	12	12
Hector David Aguilar 150 Bergen Street Uh-H245	$29.80	13	13
Tooba Qadir 183 S Orange Ave	$138.61	13	12
Augustina Christine Defoe 201 Lyons Ave Ste L4	$25.76	13	12
David John Cennimo 90 Bergen St	$85.50	13	13
Frances Rieth Maynard 90 Bergen St # 300	$97.91	13	13
Claudia Lynch 972 Broad St	$6.54	13	12
Banu Ozkan Karadag 183 S Orange Ave Rm 1452	$41.87	13	13
Saba Afzal 183 South Orange Avenue	$106.74	14	14
Prashant Sinha 201 Lyons Ave # F4	$128.55	14	14
Maria Korogodsky 65 Bergen St	$6.98	14	14
Dhaval Swaminarayan 185 S Orange Ave	$66.35	14	13
Yini Kong 201 Lyons Ave # L5	$205.04	14	14
Michelle Lee Diaz 201 Lyons Ave	$25.48	14	12
Brandon Khoa Nguyen 90 Bergen St	$55.00	15	15
Orion Medical Pc 337 Bloomfield Ave	$11.91	15	15
Sarah B Rieber 151 Washington St	$2.70	15	14
Radhika Shah 150 Bergen St	$57.78	15	15
Angelica C Fernandes 201 Lyons Ave	$0.00	15	13
Micaela Sanchez 201 Lyons Ave	$32.84	16	15
Jamil Mohammad Shah 150 Bergen St	$0.00	16	16
Dawn M Truett 1 Gateway Ctr Ste 2600	$0.00	17	14
Albert David Della Fave 150 Bergen St	$85.55	17	17
City Of Newark 140 Bergen Street	$0.00	17	17
Kasra Moazzami 150 Bergen St	$45.83	17	17
Natalie Joseph 741 Broadway	$32.24	18	17
Josephine Vanessa Rodriguez 510 Mount Prospect Ave	$21.09	19	17
Emily Seton Walsh 150 Bergen St	$38.10	20	20
Gina M Proctor 1 Gateway Ctr Ste 2600	$0.00	20	20
Star Medcare Pc 62 Elizabeth Ave.	$0.00	20	20
Hortensia Kelly 851 Mount Prospect Ave	$20.97	22	22
Sharon Carlitha Mayers 111 Central Ave	$14.28	22	22
Tochi Amaechina 179-181 Manchester Pl	$34.29	23	22
Thomas Haveron The Therapy Center At Wilson Towers	$4.37	24	24
Eduardo Antonio Espinoza Olortegui 150 Bergen St Ste F-102	$43.01	25	25
Karen A. Onufer 150 Bergen St	$41.69	26	25
Jose Rodriguez 39 Jay St Apt 2	$57.69	26	25
Evan Skyler Grossi 150 Bergen St	$106.70	27	27
Erik John Woxholdt 617 Broad St	$6.67	27	27
Mark Adams 140 Bergen St # D1610	$85.14	28	26
Central Jersey Medical Center, Inc. 246 18Th Ave	$0.00	28	25

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)