Average Medicaid Office Visit Payments in Ocean, NJ: $77.41
Avg. Paid
$77.41
Range
$0.92 – $131.69
Total Claims
167,998
Providers
59
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 Ocean, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Central Jersey Urgent Care
731 Highway 35 |
$96.08 | 71,351 | 66,525 |
|
Olukemi Yetunde Omotoso
1405 Highway 35 |
$36.11 | 12,125 | 9,916 |
|
Moty Nachum Tal
1300 Highway 35 |
$78.95 | 10,355 | 8,008 |
|
Lawrence J Menditto
3200 Sunset Ave Ste 201 |
$36.95 | 8,301 | 7,607 |
|
Jacqueline D Roman
1300 Highway 35 # Ii |
$78.58 | 8,021 | 6,486 |
|
Christopher Michael Collins
1200 Eagle Ave |
$131.69 | 6,340 | 6,167 |
|
Ellen E Setton
804 W Park Ave |
$66.61 | 5,457 | 5,274 |
|
Cristina Nicole Cashin
804 W Park Ave |
$56.43 | 4,962 | 4,787 |
|
Paul Thomas Haynes
1200 Eagle Ave |
$124.71 | 3,974 | 3,870 |
|
Evan Paul Adler
301 Bingham Ave |
$52.08 | 3,861 | 2,674 |
|
Jonathon Marc Lentz
1200 Eagle Ave |
$126.54 | 3,731 | 3,554 |
|
Martha Oates
731 Nj Route 35 |
$20.64 | 3,623 | 3,234 |
|
Rebecca Lea Woolweaver
804 W Park Ave |
$46.01 | 3,188 | 3,056 |
|
Elias Sasson
804 W Park Ave |
$64.19 | 3,074 | 2,993 |
|
Gold Chris Associates, Llc
1 Centre St. |
$13.27 | 2,484 | 2,375 |
|
Rebecca Reiff
301 Bingham Ave |
$0.92 | 1,647 | 638 |
|
Gary Lance Gross
802 W Park Ave |
$87.58 | 1,553 | 1,460 |
|
Trusha Mukeshkumar Patel
804 W Park Ave Bldg B |
$2.85 | 1,552 | 1,466 |
|
Alexander Jordan Schosheim
1300 Route 35 Unit 204 |
$95.58 | 1,368 | 1,324 |
|
Ian R Hersh
1200 Eagle Ave |
$37.60 | 1,228 | 897 |
|
Megan Edwards
804 W Park Ave |
$99.13 | 1,106 | 1,003 |
|
Thomas K O'Brien
804 W Park Ave |
$60.48 | 917 | 902 |
|
Jacqueline G Brunetto
804 W Park Ave |
$16.51 | 913 | 835 |
|
Jacqueline Ross
802 W Park Ave |
$76.90 | 891 | 788 |
|
Maria Doreen Alne
1300 Highway 35 Ste 205 |
$55.52 | 826 | 777 |
|
Rachel Hollywood
1400 Highway 35 Ste 1 |
$57.70 | 725 | 702 |
|
Adam Matthew Meyers
1200 Eagle Avenue |
$12.73 | 625 | 561 |
|
Rany Samir Al Haj
1500 Allaire Ave |
$69.60 | 533 | 499 |
|
Gagan Deep Beri
3200 Sunset Ave |
$90.46 | 404 | 389 |
|
Bear Foot And Ankle Llc
301 Bingham Ave |
$27.44 | 273 | 239 |
|
Saverio Francis Conca
731 Hwy 35 Unit G |
$102.80 | 269 | 258 |
|
Irving Edelsberg
3331 Sunset Ave |
$36.90 | 259 | 226 |
|
Randy Rowlands
3200 Sunset Ave Ste 107 |
$41.25 | 248 | 238 |
|
Arthur Kong Chow Mark
1200 Eagle Ave. |
$11.85 | 210 | 185 |
|
Aron Michael Green
1200 Eagle Ave |
$24.85 | 179 | 153 |
|
Nader Nagy Habib
731 Rte 35 |
$35.72 | 175 | 166 |
|
Kelly Ann Byrnes
3200 Sunset Ave |
$75.17 | 172 | 168 |
|
Bertrand W Parcells
1200 Eagle Ave |
$10.85 | 150 | 133 |
|
Laura Magnhild Francis
1200 Eagle Ave |
$44.09 | 127 | 125 |
|
Paul Rocco Allegra
1200 Eagle Ave |
$72.10 | 83 | 82 |
|
Jack Gould
804 W Park Ave |
$48.55 | 80 | 76 |
|
Kevin Christian Mcdaid
1200 Eagle Ave |
$4.32 | 79 | 72 |
|
Cynthia Meiling Mclaughlin
804 W Park Ave |
$49.35 | 63 | 63 |
|
David Chalnick
1200 Eagle Ave |
$40.01 | 60 | 60 |
|
Hoan-Vu Tran Nguyen
1200 Eagle Ave. |
$9.81 | 53 | 47 |
|
Kenneth Yu-Dau Chern
1200 Eagle Ave. |
$5.37 | 50 | 50 |
|
Christopher John Spagnuola
1200 Eagle Ave. |
$5.44 | 45 | 29 |
|
Martik Tahmasian
1200 Eagle Ave |
$99.67 | 45 | 45 |
|
Sunil R Thacker
1200 Eagle Ave |
$19.70 | 42 | 41 |
|
Denise Siwinski
731 Highway 35 Unit G |
$124.81 | 39 | 39 |
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 Ocean, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ocean, NJ is $77.41 per claim, based on 167,998 claims from 59 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 Ocean, NJ?
There are 59 Medicaid providers offering Office Visit related services in Ocean, NJ according to public payment data.
What is the price range for Office Visit in Ocean, NJ?
Medicaid reimbursement for Office Visit in Ocean, NJ ranges from $0.92 to $131.69 per claim, with an average of $77.41. 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 Ocean, NJ
Behavioral & Mental Health Therapy
Avg $88.43
137,657 claims
Non-Emergency Medical Transportation
Avg $13.40
126,118 claims
Ambulance Transport
Avg $5.72
114,710 claims
Physical Therapy
Avg $32.93
66,489 claims
Tooth Extraction
Avg $149.69
63,359 claims
Dental Cleaning & Exam
Avg $24.87
52,431 claims
Vaccines & Immunizations
Avg $10.88
28,562 claims
Home Health Visit
Avg $52.41
12,219 claims