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
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 Passaic, NJ
Home Health Visit
Avg $81.90
1,067,909 claims
Blood Work & Lab Tests
Avg $4.44
275,093 claims
Vaccines & Immunizations
Avg $15.55
269,477 claims
Dental Cleaning & Exam
Avg $18.93
229,427 claims
Physical Therapy
Avg $12.22
129,019 claims
Urinalysis & Urine Tests
Avg $2.32
128,261 claims
Psychiatric Evaluation
Avg $82.30
109,834 claims
Emergency Room Visit
Avg $193.49
106,833 claims