Average Medicaid Office Visit Payments in Oakhurst, NJ: $59.78
Avg. Paid
$59.78
Range
$1.91 – $123.49
Total Claims
46,545
Providers
22
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 Oakhurst, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eyal Schwartzman
1803 State Route 35 |
$47.64 | 14,685 | 14,214 |
|
David H Moskowitz
250 Monmouth Rd |
$80.55 | 9,789 | 7,974 |
|
Emmanuel Barias
1910 Hwy 35 |
$66.29 | 6,180 | 4,637 |
|
Aleksey Kretov
1806 Route 35 |
$26.70 | 4,782 | 3,538 |
|
Charles B Peeples
1910 Highway 35 |
$38.06 | 2,758 | 2,270 |
|
Abraham I Sinnreich
277 Lawrence Ave |
$113.50 | 2,654 | 2,560 |
|
Paulina Magdalena Sedutto
1900 Route 35 Ste 100 |
$64.98 | 1,523 | 1,337 |
|
Dharmesh H Kaswala
1912 Route 35 Ste 201 |
$113.01 | 813 | 779 |
|
Jaclyn Elizabeth Lackey
1910 Hwy 35 |
$1.91 | 782 | 774 |
|
Jeffrey M. Lin
255 Monmouth Road |
$63.15 | 747 | 744 |
|
Susan Lynn Belanger
1806 State Route 35 Ste 103 |
$39.33 | 662 | 568 |
|
Laleh Afkham Merikhi
1912 State Route 35 Ste 2 |
$87.29 | 459 | 450 |
|
Andrew Kruger
1912 State Route 35 |
$123.49 | 169 | 161 |
|
Belen F Assemu
1806 Hwy 35 Ste 102 |
$29.58 | 129 | 117 |
|
Shefali Shah
1912 State Route 35 Ste 201 |
$93.12 | 103 | 103 |
|
Erika Lee Simon
1900 Rte 35 Ste 200 |
$12.95 | 102 | 94 |
|
Aileen Joanna Almeda Vasquez
1912 Highway 35 Ste 201 |
$27.07 | 54 | 52 |
|
Sukrut Dwivedi
1912 State Route 35 |
$65.19 | 39 | 25 |
|
Ayu Kebede
1806 Hwy 35 Ste 102 |
$7.40 | 37 | 37 |
|
Ajay N Mathur
1912 State Route 35 |
$65.80 | 35 | 24 |
|
Lindsay L. Gannon
1910 Highway 35 |
$68.44 | 31 | 29 |
|
Isaac J Dweck
40 Monmouth Rd |
$61.77 | 12 | 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 Oakhurst, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oakhurst, NJ is $59.78 per claim, based on 46,545 claims from 22 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 Oakhurst, NJ?
There are 22 Medicaid providers offering Office Visit related services in Oakhurst, NJ according to public payment data.
What is the price range for Office Visit in Oakhurst, NJ?
Medicaid reimbursement for Office Visit in Oakhurst, NJ ranges from $1.91 to $123.49 per claim, with an average of $59.78. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Oakhurst, NJ
Dental Cleaning & Exam
Avg $34.28
29,822 claims
Pathology & Lab Services
Avg $56.98
17,553 claims
Culture & Microbiology Tests
Avg $20.60
14,790 claims
X-Ray
Avg $17.31
10,082 claims
Dental Filling
Avg $60.31
9,465 claims
Nursing Facility Care
Avg $7.08
8,752 claims
Bone Density Scan (DEXA)
Avg $48.21
3,348 claims
Ambulance Transport
Avg $27.93
1,232 claims