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 |
|---|---|---|---|
|
Shah Anuj Md Pc
293 Passaic St |
$22.15 | 14 | 14 |
|
Natalie Velazquez Od And Associates Inc
222 Main Ave |
$26.40 | 15 | 15 |
|
Doors Into The Future, Inc
823 Main Ave |
$79.80 | 30 | 29 |
|
Melissa Shapiro Steinberg
212 Main Ave |
$83.55 | 31 | 28 |
|
Randi Blitz
188 Passaic St |
$6.58 | 38 | 27 |
|
Cheryl Blumenfrucht
110 Main Ave |
$64.87 | 46 | 43 |
|
Cheryl Ann Ziemba
394 Broadway Ste 100 |
$198.98 | 67 | 65 |
|
Dennis Hoon Kwon
350 Boulevard |
$25.91 | 104 | 101 |
|
Motria O Ukrainskyj
350 Boulevard |
$48.16 | 136 | 133 |
|
Natalie Velazquez
222 Main Ave |
$45.33 | 146 | 134 |
|
Michelle Marion D'Amato
335 Passaic St |
$69.56 | 219 | 189 |
|
Ahkami Medical Group
110 Passaic Ave |
$78.23 | 267 | 248 |
|
Passaic Pediatrics Ii Pa
913 Main Ave |
$0.00 | 292 | 169 |
|
Benjamin Kashan
350 Boulevard |
$47.38 | 305 | 287 |
|
Maria Josefina Sharma
63 Central Avenue |
$93.01 | 356 | 314 |
|
Doors Into The Future, Inc.
831 Main Ave |
$65.06 | 426 | 384 |
|
Elliott Samet Md, Pc
160 Pennington Ave |
$20.56 | 429 | 352 |
|
Andres Vega
916-922 Main Ave |
$68.87 | 525 | 502 |
|
Cassandra Vincent
350 Boulevard |
$118.60 | 569 | 556 |
|
James Brief
298 Passaic St |
$86.79 | 640 | 599 |
|
A&E Advanced Foot And Ankle Care, Llc
916 Main Ave Ste 2A |
$13.61 | 640 | 543 |
|
Shree Ganesh Pharmacy Llc
625 Main Ave |
$2.24 | 804 | 362 |
|
Northeast Life Skills Associates Inc
121 Howe Avenue |
$71.66 | 873 | 827 |
|
Heather King
110 Park Ave |
$82.22 | 883 | 773 |
|
Steven S Winfield
200 Gregory Ave |
$84.25 | 970 | 896 |
|
Pamela Yvette Williams
111 Lexington Ave |
$29.44 | 1,082 | 1,043 |
|
Thomas Joseph Sidoti
180 Lexington Ave |
$32.53 | 1,085 | 1,051 |
|
Orli Langer
363 Boulevard # 1R |
$38.52 | 1,352 | 1,155 |
|
Carmen M Garmendia
121 Prospect St |
$40.30 | 1,378 | 1,205 |
|
Suprema Dancel Naim
148 8Th St. |
$62.53 | 1,446 | 1,418 |
|
Sheyda Makui
110 Main Ave |
$30.88 | 2,168 | 2,100 |
|
Christian Gonzalez
293 Passaic St |
$25.41 | 2,224 | 1,879 |
|
Yenny Reynoso
335 Passaic St |
$24.65 | 2,358 | 2,025 |
|
Kevin Suttles
293 Passaic St |
$31.67 | 2,544 | 2,085 |
|
Nicole Yael Merensztein
293 Passaic St |
$38.76 | 2,561 | 2,385 |
|
Esther Krupka
327 Terhune Ave |
$106.23 | 2,773 | 2,666 |
|
James V Abraham
124 Gregory Ave |
$20.26 | 2,827 | 2,664 |
|
Paul Demuro
338 Chestnut St |
$34.19 | 2,968 | 2,769 |
|
Adina Rudman
35 Ascension St Apt 16 |
$77.19 | 3,116 | 2,749 |
|
Jewish Family Service & Children'S Center Of Clifton/Passaic, Inc.
110 Main Ave |
$91.87 | 3,213 | 2,950 |
|
Joseph Schuld
293 Passaic St |
$20.36 | 3,724 | 3,320 |
|
Evann T Sidoti
180 Lexington Ave |
$34.12 | 3,779 | 3,657 |
|
Puneet Babbar
394 Broadway Ste 100 |
$23.96 | 4,380 | 3,852 |
|
Ryan Murray
80 Passaic Ave |
$31.15 | 4,444 | 3,362 |
|
Kendra Moore
350 Boulevard |
$63.19 | 4,674 | 4,507 |
|
Karen Giraldo
913 Main Ave |
$42.88 | 5,446 | 5,120 |
|
Sarina Sachdev
293 Passaic St |
$34.69 | 5,825 | 5,170 |
|
Elka Epstein
215 Aycrigg Ave Apt 2J |
$72.57 | 7,943 | 7,475 |
|
North Hudson Community Action Corporation
148 - 8Th Street |
$0.18 | 8,726 | 7,226 |
|
William A Freundlich
203 Passaic Avenue |
$21.72 | 8,872 | 7,750 |
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