Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Newton, NJ: $52.10

Avg. Paid

$52.10

Range

$0.00 – $109.79

Total Claims

131,295

Providers

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 Newton, NJ

Provider	Avg. Paid	Claims	Patients
Louis O Pupo 61 Newton Sparta Road	$44.47	26,179	22,812
Ahs Hospital Corp 175 High St	$55.69	20,913	19,098
Genevieve Sison 39 Newton Sparta Rd	$68.67	9,709	9,083
Daya Nadarajah 222 High St	$29.12	9,063	8,115
Ken Kinoshita 238 Spring St	$19.39	8,867	8,025
Center For Prevention & Counseling, Inc. 61 Spring St	$85.71	8,556	5,668
Douglas P Sieminski 33 Newton Sparta Rd	$18.42	8,259	6,985
Premier Health Associates Llc 123 Newton Sparta Rd	$80.22	6,063	5,084
Glenn S Sherman 222 High St	$64.38	4,865	4,247
Yevgeniy I Khesin 183 High St	$67.61	4,303	3,906
Craig Wexler 125 Newton Sparta Rd	$23.25	3,739	3,023
Annemarie Schlomann 181 High St	$108.36	3,561	2,860
Pavel Tishuk 183 High St	$90.04	2,524	2,449
Jacqueline Haydee Hunterton-Anderson 280 Newton Sparta Rd Ste 2	$55.50	2,285	1,837
Srinivas Janardhan Madane 222 High Street Ste 102	$32.06	1,531	1,252
James Howard Porter 39 Newton Sparta Rd	$65.63	1,168	1,048
Planned Parenthood Of Northern, Central, And Southern New Jersey, Inc. 8 Moran Street	$92.87	1,125	1,108
Linda Tabor Cardiology Associates Of Sussex County	$100.76	997	878
Leatrice M Current 33 Newton Sparta Rd Ste 1	$35.23	903	817
Michael R. Ganon 179 High St Ste 101	$30.49	858	746
Obinna Anyanwu 33 Newton Sparta Rd Ste 3	$53.00	838	758
Natalie Mercedes 238 Spring St Ste A	$14.07	825	749
Jenna Martin 238 Spring St Ste A	$19.83	766	730
M Adeel Abbasi 175 High St	$44.87	612	539
Christian Anthony Robertozzi 222 High St	$26.79	476	289
Anne Elizabeth Huelbig 33 Newton Sparta Rd	$62.89	378	350
Kirsty Digger 181 High St	$61.12	373	292
Augustine Chukwujekwu Okpala 175 High St	$53.32	367	326
Holly Chadwick 135 Newton Sparta Rd	$35.51	158	156
Rachel Koshy 249 High St	$30.46	147	140
Resource Center For The Chemically Dependent, Inc. 124 Hampton House Rd	$72.31	115	111
Rakesh K Garg 179 High St	$30.28	80	75
Carla Benson 125 Newton Sparta Rd	$5.78	74	50
Gursharanjit Singh 181 High St	$2.30	68	53
Warren L. Galeos 12 Lawrence Rd Ste 202	$74.69	64	64
Angelo A Cervone 128 Water St	$22.46	60	53
Cindy Aves 135 Newton Sparta Rd	$42.85	56	54
Anthony Scimone 175 High St	$19.23	55	55
Vandankumar Patel 175 High St	$27.16	45	44
Zufall Health Center, Inc 238 Spring St	$0.00	39	38
Atlantic Urgent Care, Llc 181 High St	$27.22	37	35
Ladislav Habina 39 Newton Sparta Rd	$109.79	32	32
Lakshmi Lavanya Sodagum 67 High St	$12.68	31	27
Sameer Stas 123 Newton Sparta Rd	$9.81	31	24
Conner Michael O'Keefe Cardiology Associates Of Sussex County	$3.74	31	31
Tara Constantino 181 High St	$45.59	30	30
William Joseph Landre 238 Spring St	$30.51	26	26
Scott Schwarz 222 High St	$43.00	13	12

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 Newton, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newton, NJ is $52.10 per claim, based on 131,295 claims from 48 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 Newton, NJ?

There are 48 Medicaid providers offering Office Visit related services in Newton, NJ according to public payment data.

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

Medicaid reimbursement for Office Visit in Newton, NJ ranges from $0.00 to $109.79 per claim, with an average of $52.10. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Newton, NJ: $52.10

Providers Offering Office Visit in Newton, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Newton, NJ

Blood Work & Lab Tests

Physical Therapy

Emergency Room Visit

Behavioral & Mental Health Therapy

Psychiatric Evaluation

Urinalysis & Urine Tests

EKG / ECG (Electrocardiogram)

Vaccines & Immunizations