Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Nutley, NJ: $49.06

Avg. Paid

$49.06

Range

$0.29 – $88.08

Total Claims

69,464

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 Nutley, NJ

Provider	Avg. Paid	Claims	Patients
Barry Stuart Prystowsky 562 Kingsland St	$35.23	11,314	10,268
Dominick Ligresti 175 Franklin Ave Ste 103	$61.97	10,704	10,062
Jan Samir Youssef 115 Franklin Ave	$66.79	8,370	8,194
Edward J Vecchione 181 Franklin Ave	$31.04	7,157	6,447
Joseph J Brignola 181 Franklin Ave	$31.65	3,513	3,298
Majid Sasanpour 181 Franklin Ave	$35.56	3,112	2,123
Bhoomi D Thakkar 88 Park Ave Ste 2A	$79.51	2,973	2,756
Michael Raymond Gentile 655 Franklin Ave	$37.48	2,772	2,441
Nj Doctors Urgent Care Llc 124 Washington Ave	$77.49	2,346	2,224
Michele Robyn Segal 187 Washington Ave	$50.50	2,341	2,087
Steven T Sekiya 175 Franklin Ave Ste 103	$55.48	2,158	2,031
Nicole Sunga 591 Franklin Ave	$35.75	1,853	1,483
Melissa Stephanie Velasquez 591 Franklin Ave	$28.14	1,658	1,409
Lisa Endanattu 88 Park Ave Ste 2A	$80.58	1,490	1,390
Amanda Cox 591 Franklin Ave	$23.75	934	827
Raphael Oluseun Odekunle 181 Franklin Ave Ste 301	$25.66	931	810
Carl Costanza 187 Chestnut St	$25.75	890	642
Louis D Fusilli 181 Franklin Ave	$48.92	768	718
Robert Drazic 185 Kingsland St	$65.71	649	626
Anne Kristin Daniels 88 Park Ave Ste 2A	$57.90	574	556
Jill Garripoli Pedalino 675 Franklin Ave	$59.83	480	423
John Milici 229 High St	$74.62	416	285
Nutley Family Service Bureau, Inc. 155 Chestnut St	$82.27	361	325
Marina A Alexandrova 460 Franklin Ave	$47.29	318	286
Abigail Linda Pumm 123 Metro Blvd	$88.08	309	287
Ernest Defazio 181 Franklin Ave	$23.55	292	288
Pradosh Varghese 124 Washington Ave	$49.42	182	174
Barry Prystowsky, Md Llc 562 Kingsland St	$40.56	174	145
Claire Annia Datus 550 Centre St Apt A9	$0.29	139	121
Paul Vincent Dell'Aquila 339 Passaic Ave	$42.74	95	82
Tina Romaniello 591 Franklin Ave	$19.37	75	57
Angela M Ryerson 88 Park Ave Ste 2A	$86.16	64	62
Melissa Dawn Algieri 242 Washington Ave	$41.11	34	33
Hari Om Sharma 181 Franklin Ave Ste 205	$22.17	18	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 Nutley, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Nutley, NJ is $49.06 per claim, based on 69,464 claims from 34 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 Nutley, NJ?

There are 34 Medicaid providers offering Office Visit related services in Nutley, NJ according to public payment data.

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

Medicaid reimbursement for Office Visit in Nutley, NJ ranges from $0.29 to $88.08 per claim, with an average of $49.06. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Nutley, NJ: $49.06

Providers Offering Office Visit in Nutley, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Nutley, NJ

Ambulance Transport

Psychiatric Evaluation

Non-Emergency Medical Transportation

X-Ray

Physical Therapy

Nursing Facility Care

Ultrasound

EKG / ECG (Electrocardiogram)