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
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 Paterson, NJ
Home Health Visit
Avg $92.04
1,062,162 claims
Blood Work & Lab Tests
Avg $7.64
891,306 claims
Emergency Room Visit
Avg $222.35
847,120 claims
X-Ray
Avg $15.56
373,046 claims
Dental Cleaning & Exam
Avg $19.93
370,627 claims
Urinalysis & Urine Tests
Avg $2.98
321,288 claims
Vaccines & Immunizations
Avg $11.24
317,325 claims
Psychiatric Evaluation
Avg $95.58
299,850 claims