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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Paterson, NJ: $53.46

Avg. Paid

$53.46

Range

$0.00 – $205.48

Total Claims

1,424,514

Providers

271

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 Paterson, NJ

Provider Avg. Paid Claims Patients
St Josephs University Medical Center Inc.

703 Main St

$52.13 111,780 99,264
Gammal A Hassanien

606 Broadway

$44.76 63,661 53,024
Jose Batista

156 Market St

$72.40 62,142 54,196
Samir H Haddad

606 Broadway

$42.28 47,977 39,369
Imad Khodor Saedeldine

1029 Main St

$68.29 46,508 37,385
Fred Revoredo

425 15Th Ave

$44.21 41,770 34,111
Luis F Luna

185 6Th Ave Fl 1Er

$35.25 40,528 33,827
Mohamed Dahhan

606 Broadway

$44.63 39,281 33,321
Denia M. Perez

32 Hine St Ste 103

$24.89 37,724 28,215
Edgar Rafael Mejia

760 Market St.

$56.92 34,149 30,542
Samir Zaina

991 Main St Apt 2A

$66.84 32,568 27,341
Abraham Thomas

675 Broadway

$73.71 30,992 27,545
Gloria Maria Mejia

534 - 21St Avenue

$55.99 27,349 25,033
Michelle Susan Vitale

154 Union Ave

$52.40 26,018 22,357
Marcela C. Marani-Dicovskiy

681 Broadway

$38.66 22,578 19,919
Lowell T Taclob

100 Main St

$25.41 20,947 16,207
Juan Armando Desueza

416 Park Ave

$35.67 19,141 17,786
Ramon Antonio Sandoval

416 Park Ave

$36.21 19,056 17,857
Mahmoud Bader Aqel

37 Crooks Ave # 1A

$34.52 18,519 16,020
Janardhan Bollu

32 Hine St

$40.96 18,181 15,314
Roger C Tengson

32 Hine St Ste 210

$66.07 18,148 15,642
Mathias Zemel

675 Broadway

$80.65 17,195 16,766
Parvin P Naficy

665 Broadway

$62.52 17,185 15,237
Douaa Khalil

703 Main St

$77.87 15,592 14,350
Planned Parenthood Of Metropolitan Nj

680 Broadway

$66.82 15,386 15,147
Esther Faye Feinstein

660 Broadway

$64.85 15,214 14,817
Naser Hendi

1040 Main St

$53.25 14,742 14,217
Erlinda V Taclob

100 Main St

$35.33 14,387 11,129
Community Urgent Care Nj Pa

714 Broadway Ste 1

$20.35 14,037 12,151
Yaira Michelle Valdivieso

703 Main Street

$74.04 13,784 12,421
Vijay Pendse

293 Broadway

$61.73 13,392 10,058
Mercedes Lesesne

625 Broadway

$45.43 10,049 9,378
Nadia Hamdi

703 Main St

$66.64 10,033 9,463
Jose R Sanchez-Pena

583 Broadway

$43.41 9,554 7,336
Hasna Kazmouz

7 Lee Pl

$71.70 9,474 8,404
Amal A Al-Shrouf

355 21St Ave

$39.19 9,413 8,977
Juanita Valdes Camacho

703 Main St

$81.04 9,299 7,970
Emmanuel Amilcar Gachette

473 Main St

$48.02 9,232 6,076
True Care Mental Health Clinic Llc

675 Broadway

$123.17 9,173 8,457
Yilenny Dejesus Duran

936 E 23Rd St

$64.26 8,505 7,533
Mohammed M Alnakeeb

991 Main St Unit 2B

$65.14 8,445 7,302
Mohammed Amer Moughrabi

91 Main St

$33.53 8,071 7,127
Daniel Waltuch

265 E 33Rd St

$66.56 8,001 7,440
Ifrah A Syed

1044 Main St

$37.40 7,889 4,485
Ashoke Agarwal

715 Broadway

$28.06 7,831 7,592
Carlos R Perez

534 21St Ave

$56.21 7,732 7,050
Ramazan Bahar

59 Birch St

$86.42 7,539 2,809
Henry Slomowitz

265 E 33Rd Street

$57.21 7,317 6,895
Ylonka Garcia-Marotta

363 21St Ave

$55.15 6,574 5,653
Waldemar Emilio Silva

32 Clinton St

$16.54 6,514 6,171

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 Paterson, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Paterson, NJ is $53.46 per claim, based on 1,424,514 claims from 271 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 Paterson, NJ?

There are 271 Medicaid providers offering Office Visit related services in Paterson, NJ according to public payment data.

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

Medicaid reimbursement for Office Visit in Paterson, NJ ranges from $0.00 to $205.48 per claim, with an average of $53.46. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Paterson, NJ