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 |
|---|---|---|---|
|
Michelle Elena Blumberg Weiner
7600 River Road |
$39.68 | 12 | 12 |
|
Ahmad Rana
7600 River Rd |
$81.89 | 12 | 12 |
|
Carlos E Alcorta
1009 79Th St |
$44.84 | 13 | 13 |
|
Nalini Prasad Md Pc
8103 Bergenline Ave |
$5.30 | 13 | 13 |
|
Alvin Goldberg
7600 River Road |
$41.97 | 13 | 13 |
|
Frank Lopez
7600 River Rd |
$82.56 | 14 | 13 |
|
Carmela P. Lapenna
7600 River Rd |
$39.44 | 16 | 13 |
|
Garita Vision Center, Llc
7418 Bergenline Ave |
$24.63 | 16 | 15 |
|
Pablo Vazquez
8901 Kennedy Blvd |
$1.47 | 23 | 15 |
|
Ruchi S Mehta
7600 River Rd |
$84.40 | 29 | 28 |
|
Zachary Quinn Wismer
7600 River Rd |
$64.66 | 34 | 31 |
|
Ridgefield Medical Services Llc
8915 Bergenwood Ave |
$44.95 | 36 | 33 |
|
Ferheen Shamim
7650 River Rd Ste 100 |
$84.63 | 38 | 38 |
|
Jeffrey Mark Raskin
9225 Kennedy Blvd |
$25.04 | 38 | 37 |
|
Fahad Sheckley
7650 River Rd |
$1.76 | 42 | 40 |
|
Alex Fu
7650 River Rd Ste 300 |
$59.17 | 55 | 50 |
|
Veer Patel
7600 River Rd |
$103.84 | 57 | 57 |
|
Ivelca Rodriguez
8901 Kennedy Blvd Ste 4S |
$29.43 | 67 | 66 |
|
Simcha Weissman
7600 River Rd |
$19.45 | 73 | 55 |
|
Andrea Witter
7600 River Rd |
$35.51 | 92 | 82 |
|
Haidy Awad
7600 River Rd |
$58.04 | 93 | 91 |
|
Heidy Martinez-Avila
7650 River Rd Ste 230 |
$46.21 | 105 | 97 |
|
Melba E Octaviani-Reyes
7224 Bergenline Ave |
$16.02 | 123 | 115 |
|
Randa Hussein-Badawy
7600 River Rd |
$13.82 | 130 | 50 |
|
Qiyun Jennifer Jiang
6301 Kennedy Blvd |
$13.17 | 141 | 123 |
|
Summit Medical Arts Associates, Llc
9225 Kennedy Blvd |
$0.58 | 155 | 131 |
|
Jane Park
7600 River Rd |
$107.46 | 166 | 164 |
|
Alina Urman
7600 River Rd |
$68.38 | 237 | 220 |
|
Ashraf Shaker
7600 River Road |
$9.30 | 240 | 201 |
|
David Lee Dahill
7600 River Rd |
$20.79 | 251 | 245 |
|
Smrita Sinha
9226 Kennedy Blvd |
$123.07 | 263 | 248 |
|
Jeffrey Greenblatt Fein
7650 River Rd Ste 300 |
$89.21 | 285 | 257 |
|
Sadhna Rastogi
8306 Kennedy Blvd |
$24.47 | 298 | 265 |
|
Adriana I Suarez-Ligon
7650 River Rd |
$106.33 | 320 | 303 |
|
Anjeza Victory
7600 River Rd |
$57.27 | 354 | 350 |
|
Rodolfo L. Rodriguez, O.D., P.A.
7922 Kennedy Blvd |
$29.94 | 394 | 379 |
|
Stuart Leigh Goldberg
7650 River Rd |
$41.43 | 488 | 401 |
|
Casey Cresbaugh
7600 River Rd |
$64.98 | 499 | 493 |
|
Idir Saradouni
1 Marine Plz Ste 306 |
$94.76 | 552 | 522 |
|
Hmh Hospitals Corporation
7600 River Rd |
$10.34 | 552 | 323 |
|
Marianne Stern
8100 Kennedy Blvd |
$34.55 | 586 | 554 |
|
Marc Goldstein
8100 Kennedy Blvd |
$16.30 | 592 | 524 |
|
Rajdeep K Saini
7601 River Rd Apt 723 |
$29.60 | 683 | 578 |
|
Stephanie Li Vuong
7600 River Rd |
$19.56 | 687 | 667 |
|
Santa Clara Pediatric Corporation
7524 Kennedy Blvd |
$40.51 | 690 | 601 |
|
Maria Purita Yballe
8100 John F. Kennedy Blvd |
$31.73 | 765 | 715 |
|
Jacinto B Ferrer
7600 River Rd |
$34.88 | 784 | 723 |
|
Armina Eana
7650 River Rd Ste 230 |
$60.95 | 933 | 888 |
|
Caroline Jensen
6045 Kennedy Blvd |
$77.48 | 945 | 926 |
|
Felix Lee
7500 Bergenline Ave Fl 2 |
$47.16 | 955 | 803 |
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