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
Hiren Ghanshyambhai Patel 703 Main St	$49.27	12	12
Simi Ann Philip 703 Main St	$33.02	14	14
Jalal Koj 621 Main St	$13.88	14	13
Sabin Bhagwan Motwani 703 Main St	$31.92	14	14
Kevin Vasquez St. Joseph'S University Medical Hospital 703 Main St	$205.48	14	14
Intisar Ibrahim 318 21St Ave Ste 103	$24.46	15	15
Maria Eloisa Solomon Domingo 200 Hospital Plz	$8.46	15	15
Rachel Pagan 680 Broadway	$48.56	16	13
Thomas Alexander Novack 703 Main St	$0.00	16	16
Osama Ahmed Elsawy 703 Main St	$84.84	17	13
G&S Medical Associates Llc 606 Broadway	$50.00	17	17
Jessicah Campbell Digiacomo 703 Main St	$41.83	18	15
Diane E Mcclure 703 Main St	$83.42	19	14
Eva'S Village 393 Main St	$40.00	21	17
Pharmacy Express Inc 991 Main St	$0.00	24	23
David Goldberg 703 Main St	$113.05	25	24
Walid Baddoura 703 Main St	$58.34	27	27
Turning Point, Inc. 680 Broadway Ste 104	$90.69	28	21
Angela Beltre 703 Main St	$26.50	31	19
Therese Eileen Floyd 703 Main St	$35.64	31	30
Mehjabeen Mujtaba 628 Main St	$27.49	32	30
Shivanck Upadhyay 703 Main St	$43.35	36	35
Nduka W. Onwuka Md Pc 295 Broadway	$37.43	37	32
Yuliya Dementyeva 703 Main St	$36.97	42	39
Shahreen Rafa Panarotto 703 Main St	$30.10	45	43
Helen E. Amadasu Kest 703 Main St	$77.57	47	45
David Nazmy Zaki Mikhael 703 Main St	$126.77	47	44
Bianca Rani Karmaker 265 E 33Rd St	$68.59	49	46
Maria Esther Fuentes 703 Main St	$22.95	50	43
Emily Szczech 703 Main St	$137.30	51	51
Batista Pediatrics, Llc 156 Market St	$48.07	55	43
Gail Rivera-Delvalle 703 Main St	$61.40	57	57
Jonathan Kevin Mays 333 E 39Th St	$51.41	57	44
Mifrah Safi 703 Main St	$53.89	59	56
Paul Misthos 100 Hamilton Plz	$7.94	68	68
Ali Zahran 703 Main St	$111.34	69	67
Maciej Sadowski 703 Main St	$51.78	69	68
Turning Point, Inc 680 Broadway	$63.13	77	58
Sharon Awasthi 703 Main St	$35.12	83	78
Alexis Marie Lapietra 703 Main St	$47.33	85	45
Caroline Szpalski 703 Main St	$147.72	86	85
Maria Elena Alcantara 355 Market St	$37.53	110	98
Kerly Guerrero 11 Getty Avenue	$12.00	115	70
Andrew Thomas Rizzo 703 Main St	$72.33	121	117
Carmen Rosa Mallamaci 21 Market St	$57.36	128	125
Maged Boghdady 703 Main St	$83.01	136	102
Patrick Michael 703 Main St	$61.99	138	123
Nicole Marshall 703 Main St	$40.46	142	119
Aji Inc. 1040 Main St	$6.04	159	143
Tulip Obgyn Llc 991 Main St Ste 2B	$50.76	166	147

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.

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

Providers Offering Office Visit in Paterson, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Paterson, NJ

Home Health Visit

Blood Work & Lab Tests

Emergency Room Visit

X-Ray

Dental Cleaning & Exam

Urinalysis & Urine Tests

Vaccines & Immunizations

Psychiatric Evaluation