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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Passaic, NJ: $54.64

Avg. Paid

$54.64

Range

$0.00 – $198.98

Total Claims

944,779

Providers

85

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 Passaic, NJ

Provider Avg. Paid Claims Patients
Mario Mico

913 Main Ave

$57.41 70,530 63,624
Raul Almanzar

913 Main Ave

$57.53 68,902 62,827
Yocasta Fernandez

287 Monroe St

$54.04 62,885 50,012
Carlos Alberto Tejeda

916 Main Ave

$50.76 56,415 51,637
Evelyn Ventura

913 Main Ave

$59.84 38,917 35,347
Holanda P Bravo

913 Main Ave

$58.88 37,511 34,644
Joey S Chui

913 Main Avenue

$70.46 30,306 27,676
Anuj Raju Shah

293 Passaic St

$38.15 29,936 26,742
Anas Khoury

235 Main Ave

$39.61 28,580 26,857
Judelka Japa Camilo

80 Passaic Avenue

$73.30 27,511 25,321
Ennid Xiomara Gonzalez

913 Main Ave

$59.97 26,540 24,408
Ishak G Soliman

140 Passaic Ave

$44.11 26,087 21,067
Yassel Marie Legoff

913 Main Ave

$69.31 25,128 23,614
Vanessa D Montanez

298 Passaic Street

$70.60 20,843 19,640
Kimberly Sanchez-Aguayo

913 Main Ave

$54.84 20,532 18,829
Angel Ferrer

913 Main Ave

$70.38 19,987 18,686
Hayde Maricruz Bolanos

401 Howe Ave Apt A9

$40.47 18,566 15,074
Crystabel Polanco

63 Central Ave

$59.76 18,021 14,620
Jessica Rosales

913 Main Ave

$63.51 17,069 16,076
Elizabeth Reyes

913 Main Avenue

$59.36 16,737 15,010
Nelson R Pichardo

80 Passaic Ave

$41.70 14,256 11,696
Diane M. Mustafa

916 Main Ave Ste 2C

$63.63 14,044 12,750
Jose M Chavez-Cacho

61 Passaic Avenue

$43.83 13,874 11,419
Amarnath Avancha

124 Gregory Ave

$24.92 13,761 12,931
Joanna Deborah Iskowitz

221 Howard Ave

$66.35 12,942 10,836
Antonio Camilo

80 Passaic Ave

$70.97 12,268 11,460
Prime Healthcare Services - St. Mary'S Passaic Llc

350 Boulevard

$81.60 12,130 11,012
Yokaira A. Espiritusanto

916 Main Ave Ste 2A

$25.96 12,076 10,918
Tin M Chen

913 Main Ave

$67.15 12,066 11,296
Kunal Brahmbhatt

293 Passaic St

$33.52 11,946 11,008
Carlos Sacristan

17-19 Howe Ave

$39.02 11,820 10,495
Shahrokh Ahkami

110 Passaic Ave

$58.62 11,766 9,477
Mona Gothi

350 Boulevard

$70.87 11,092 10,654
Sunita Patel

350 Boulevard

$71.61 10,765 10,359
Amarilis Villanueva

913 Main Ave

$53.03 9,237 8,731
William A Freundlich

203 Passaic Avenue

$21.72 8,872 7,750
North Hudson Community Action Corporation

148 - 8Th Street

$0.18 8,726 7,226
Elka Epstein

215 Aycrigg Ave Apt 2J

$72.57 7,943 7,475
Sarina Sachdev

293 Passaic St

$34.69 5,825 5,170
Karen Giraldo

913 Main Ave

$42.88 5,446 5,120
Kendra Moore

350 Boulevard

$63.19 4,674 4,507
Ryan Murray

80 Passaic Ave

$31.15 4,444 3,362
Puneet Babbar

394 Broadway Ste 100

$23.96 4,380 3,852
Evann T Sidoti

180 Lexington Ave

$34.12 3,779 3,657
Joseph Schuld

293 Passaic St

$20.36 3,724 3,320
Jewish Family Service & Children'S Center Of Clifton/Passaic, Inc.

110 Main Ave

$91.87 3,213 2,950
Adina Rudman

35 Ascension St Apt 16

$77.19 3,116 2,749
Paul Demuro

338 Chestnut St

$34.19 2,968 2,769
James V Abraham

124 Gregory Ave

$20.26 2,827 2,664
Esther Krupka

327 Terhune Ave

$106.23 2,773 2,666

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 Passaic, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Passaic, NJ is $54.64 per claim, based on 944,779 claims from 85 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 Passaic, NJ?

There are 85 Medicaid providers offering Office Visit related services in Passaic, NJ according to public payment data.

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

Medicaid reimbursement for Office Visit in Passaic, NJ ranges from $0.00 to $198.98 per claim, with an average of $54.64. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Passaic, NJ