Average Medicaid Office Visit Payments in North Bergen, NJ: $47.13
Avg. Paid
$47.13
Range
$0.58 – $123.07
Total Claims
428,138
Providers
106
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 North Bergen, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ravinder Tikoo
9225 Kennedy Blvd |
$49.54 | 64,290 | 52,641 |
|
Damaris Alejandra Eguino Conde
7524 Kennedy Blvd |
$43.22 | 23,080 | 19,798 |
|
Saeed Abbassi
7827 Bergenline Ave |
$74.58 | 22,882 | 21,357 |
|
Maria Gabriela Caceres
7224 Bergenline Ave |
$64.93 | 17,324 | 15,607 |
|
Sandy Amador
6301 Kennedy Blvd |
$24.58 | 17,241 | 16,674 |
|
M Maher A. Badri
8915 Bergenwood Ave |
$43.06 | 16,915 | 14,685 |
|
Syed S Jafri
8534 Kennedy Blvd |
$45.34 | 16,445 | 16,249 |
|
Kamalesh R Shah
9225 Kennedy Blvd |
$34.35 | 14,437 | 12,233 |
|
Elizabeth Simon
6045 Kennedy Blvd |
$50.47 | 13,565 | 12,028 |
|
Alvaro Alban
7600 River Road |
$26.92 | 12,626 | 11,084 |
|
Maria J Rodriguez
1103 Grand Ave |
$69.55 | 11,549 | 10,908 |
|
Maria Pilar Capo
700 79Th St |
$59.81 | 10,492 | 10,041 |
|
Justin Brackenrich
7600 River Rd |
$71.22 | 10,322 | 9,458 |
|
Humberto Jose Conde
7524 Kennedy Blvd |
$19.64 | 9,765 | 8,651 |
|
Steven Wayne Braunstein
7316 Kennedy Blvd |
$53.68 | 9,241 | 8,586 |
|
Mylene Alberto
1 Marine Plz Ste 307 |
$39.39 | 8,039 | 7,332 |
|
Joseph Andre Buttigheri
939 Kennedy Blvd |
$50.26 | 6,814 | 6,159 |
|
David Chang
7650 River Rd Ste 300 |
$66.02 | 6,508 | 6,063 |
|
Peter John Iannuzzi
7817 Bergenline Ave |
$27.43 | 6,159 | 5,268 |
|
Mathew Varghese
8901 Kennedy Blvd Ste 4Sw |
$49.37 | 5,859 | 4,943 |
|
John Sotiriadis
9226 Kennedy Blvd |
$42.44 | 5,643 | 5,333 |
|
Nalini Prasad
8103 Bergenline Ave |
$17.73 | 5,486 | 5,252 |
|
Marcia M Gonzalez
8100 Kennedy Blvd |
$59.41 | 5,097 | 4,400 |
|
Flordeliz Panem
1116 43Rd St |
$31.14 | 4,999 | 4,759 |
|
Sonal Pathak
6045 Kennedy Blvd |
$54.79 | 4,872 | 4,644 |
|
Ketan D. Shah
9234 Kennedy Blvd |
$32.38 | 4,669 | 3,795 |
|
Monzur Morshed
1009 79Th St Ste 1 |
$59.86 | 4,609 | 4,321 |
|
Jonathan Manuel Dominguez
7919 Kennedy Blvd |
$26.11 | 4,599 | 3,935 |
|
Aqsa Tariq Khan
7600 River Rd |
$65.91 | 4,497 | 3,986 |
|
Surender M Rastogi
8306 Kennedy Blvd |
$13.96 | 4,093 | 3,742 |
|
Cecilia J Trujillo-Carvalho
7650 River Rd |
$35.00 | 3,958 | 3,335 |
|
Caridad Manuela Iparraguirre
7919 Kennedy Blvd |
$18.91 | 3,880 | 3,097 |
|
Luis Enrique Vazquez Falcon
7225 Bergenline Ave |
$46.11 | 3,878 | 3,635 |
|
Natasha A Cuffee
6045 Kennedy Blvd Ste B |
$69.37 | 3,329 | 3,285 |
|
Rodolfo L. Rodriguez
7922 Kennedy Blvd |
$34.23 | 2,980 | 2,787 |
|
Mark S Gabelman
1 Marine Plz |
$65.08 | 2,969 | 2,881 |
|
Peter Caride
9226 Kennedy Blvd |
$36.64 | 2,915 | 2,818 |
|
Aida Pilar Capo
700 79Th St |
$53.68 | 2,786 | 2,654 |
|
Demetrios S Econopouly
9226 Kennedy Blvd |
$36.13 | 2,765 | 2,480 |
|
Harold George Tepler
9225 Kennedy Blvd |
$43.63 | 2,702 | 2,625 |
|
Biljana Scopulovic-Nikolic
8100 Kennedy Blvd |
$30.70 | 2,602 | 2,334 |
|
Gregory Alexander Pappas
7650 River Rd Ste 300 |
$44.73 | 2,529 | 2,365 |
|
Christi Young-Ah Kim
7650 River Road |
$53.77 | 2,511 | 2,130 |
|
Sandra Giron
7500 Bergenline Ave Fl 2 |
$45.72 | 2,282 | 2,197 |
|
Tanmay Pradip Gosalia
9225 John F Kennedy Boulevard |
$32.48 | 2,201 | 1,774 |
|
Jose Antonio Badia
7919 John F. Kennedy Blvd |
$15.69 | 2,153 | 1,698 |
|
Jenny Akpe
7650 River Rd Ste 230 |
$82.75 | 2,071 | 1,868 |
|
Jeannette A. Sujovolsky
1116 43Rd St |
$22.60 | 1,884 | 1,739 |
|
Samone Desai
9225 Kennedy Blvd Ste B |
$93.87 | 1,857 | 1,741 |
|
Samirlal Amin
9245 Kennedy Blvd |
$37.09 | 1,778 | 1,585 |
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 North Bergen, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Bergen, NJ is $47.13 per claim, based on 428,138 claims from 106 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 North Bergen, NJ?
There are 106 Medicaid providers offering Office Visit related services in North Bergen, NJ according to public payment data.
What is the price range for Office Visit in North Bergen, NJ?
Medicaid reimbursement for Office Visit in North Bergen, NJ ranges from $0.58 to $123.07 per claim, with an average of $47.13. 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 North Bergen, NJ
Blood Work & Lab Tests
Avg $5.33
291,676 claims
Physical Therapy
Avg $26.34
269,704 claims
Emergency Room Visit
Avg $207.49
223,041 claims
Vaccines & Immunizations
Avg $12.85
79,814 claims
X-Ray
Avg $18.79
68,626 claims
EKG / ECG (Electrocardiogram)
Avg $14.06
67,952 claims
Dental Cleaning & Exam
Avg $23.71
60,890 claims
Urinalysis & Urine Tests
Avg $2.82
57,372 claims