Average Medicaid Office Visit Payments in Pennington, NJ: $67.53
Avg. Paid
$67.53
Range
$4.25 – $156.61
Total Claims
75,303
Providers
96
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 Pennington, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eric Mayer
2 Capital Way Ste 407 |
$64.84 | 12 | 12 |
|
Jamie Kausch
2 Capital Way Ste 407 |
$15.28 | 12 | 12 |
|
Suruchi Bankim Desai
1 Capital Way |
$6.67 | 12 | 12 |
|
Satvinder K Dhillon
Two Capital Way |
$10.85 | 12 | 12 |
|
Steven A Johnson
2 Capital Way |
$61.71 | 13 | 13 |
|
Anil R Balani
2 Capital Way Ste 380 |
$147.50 | 13 | 13 |
|
Shirnett K. Williamson
1 Capital Way |
$49.61 | 13 | 12 |
|
Haley Fitzgerald Neufer
10 State Route 31 North |
$104.00 | 15 | 15 |
|
Serafym Kashkalov
2 Capital Way Ste 356 |
$57.24 | 16 | 16 |
|
Jillian Patricia Walsh
2 Capital Way Ste 356 |
$44.74 | 16 | 13 |
|
Charles F Polotti
2 Capital Way Ste 407 |
$87.52 | 17 | 15 |
|
Shannon Lynn Renitsky
2 Capital Way |
$28.92 | 26 | 25 |
|
Denise M Hare
2 Capital Way Ste 550 |
$71.34 | 27 | 25 |
|
Dolly Patel
2 Capital Way Ste 357 |
$30.25 | 30 | 26 |
|
Charles S Kososky
2 Capital Way Ste 456 |
$48.58 | 36 | 36 |
|
Lee M. Glickman
2 Capital Way Ste 385 |
$80.10 | 41 | 40 |
|
Kristina Zarkua
2 Capital Way Ste 220 |
$37.64 | 46 | 41 |
|
Daniel James Lee
2 Capital Way Ste 456 |
$45.61 | 52 | 40 |
|
Vernard Sharif Fennell
2 Capital Way Ste 456 |
$57.54 | 52 | 48 |
|
Yi Huang
2 Capital Way Ste 505 |
$52.76 | 59 | 57 |
|
Mackenzie Nutt
1 Capital Way |
$87.22 | 60 | 55 |
|
Christopher Thomas Mcandrew
2 Capital Way Ste 456 |
$41.37 | 70 | 69 |
|
Thy T Pham
2 Capital Way Ste 407 |
$10.56 | 81 | 62 |
|
Kaveh Kousari
2 Capital Way Ste 407 |
$53.93 | 87 | 82 |
|
Janine Santora
2 Capital Way |
$48.94 | 96 | 89 |
|
Khaled Rady
2 Capital Way Ste 487 |
$35.02 | 97 | 90 |
|
Joshua Matthew Eccles
2 Capital Way Ste 407 |
$75.62 | 100 | 93 |
|
Peter E Graham
2 Capital Way Ste 220 |
$31.55 | 106 | 95 |
|
Jooyeun Chung
2 Capital Way |
$64.47 | 115 | 105 |
|
Sehris Khawaja
2 Capital Way Ste 550 |
$62.40 | 115 | 107 |
|
Scott David Warren
1 Capital Way |
$4.25 | 120 | 109 |
|
Donald Christmas
1 Capital Way |
$12.87 | 121 | 94 |
|
Kristopher F Young
2 Capital Way Ste 385 |
$57.85 | 125 | 108 |
|
Suzanne Holdcraft
84 Route 31 N Ste 103 |
$84.72 | 132 | 127 |
|
Jyoti Kamlesh Bhatia
Two Capital Way |
$59.35 | 147 | 140 |
|
Kogulan Nadesakumaran
2 Capital Way Ste 456 |
$33.31 | 169 | 140 |
|
Pamela A Crilley
2 Capital Way Ste 220 |
$72.29 | 174 | 146 |
|
Miten Patel
2 Capital Way Ste 456 |
$77.47 | 176 | 167 |
|
Donald J Debrakeleer
2 Capital Way Ste 407 |
$54.61 | 183 | 166 |
|
Catherine Chaw Yang
1 Capital Way |
$24.39 | 187 | 147 |
|
Thomas Robert Drames
2 Capital Way Ste 357 |
$28.97 | 198 | 188 |
|
Louis G. Fares
1 Capital Way |
$26.34 | 245 | 162 |
|
Ravinder Dhillon
2 Capital Way |
$58.39 | 248 | 232 |
|
Eric James Williams
1 Capital Way |
$39.81 | 251 | 205 |
|
Nabil Mesiha
2 Capital Way Ste 357 |
$78.23 | 271 | 262 |
|
Sharon Deborah Gertzman
2425 Pennington Rd |
$12.97 | 289 | 270 |
|
Christine Luda Gordynskiy-Ageyev
1 Capital Way |
$35.51 | 291 | 243 |
|
Iraj Forouzan-Gandashmin
One Capital Way |
$67.30 | 305 | 295 |
|
Arnold Stewart Witte
2 Capital Way Ste 456 |
$63.80 | 307 | 271 |
|
Devdatta R Gabale
2 Capital Way |
$75.30 | 309 | 302 |
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 Pennington, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pennington, NJ is $67.53 per claim, based on 75,303 claims from 96 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 Pennington, NJ?
There are 96 Medicaid providers offering Office Visit related services in Pennington, NJ according to public payment data.
What is the price range for Office Visit in Pennington, NJ?
Medicaid reimbursement for Office Visit in Pennington, NJ ranges from $4.25 to $156.61 per claim, with an average of $67.53. 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 Pennington, NJ
Emergency Room Visit
Avg $246.65
274,846 claims
Blood Work & Lab Tests
Avg $5.92
242,171 claims
EKG / ECG (Electrocardiogram)
Avg $19.51
108,405 claims
Ultrasound
Avg $157.14
67,951 claims
Urinalysis & Urine Tests
Avg $2.52
58,813 claims
X-Ray
Avg $38.49
50,958 claims
Prescription Medications
Avg $1.73
29,737 claims
Pathology & Lab Services
Avg $62.84
27,156 claims