Average Medicaid Office Visit Payments in Phillipsburg, NJ: $43.59
Avg. Paid
$43.59
Range
$0.00 – $131.17
Total Claims
90,294
Providers
78
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 Phillipsburg, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
George Mina
409 Coventry Dr |
$75.68 | 13,427 | 8,987 |
|
Marc Jason Berman
409 Coventry Dr |
$57.93 | 9,855 | 8,660 |
|
Chibuzo U Emenari
200 Strykers Rd |
$24.26 | 4,596 | 4,437 |
|
Gerard J Delmonico
200 Strykers Rd |
$7.75 | 4,151 | 3,913 |
|
Alan Remde
755 Memorial Pkwy Ste 300 |
$9.79 | 3,475 | 3,200 |
|
Omni Health Services Inc
430 Memorial Pkwy |
$67.34 | 3,316 | 3,036 |
|
Dilipkumar M Bera
39 Roseberry St Ste B |
$32.98 | 3,277 | 3,001 |
|
Nicholas J Avallone
755 Memorial Pkwy |
$44.95 | 3,227 | 2,966 |
|
Center For Family Services, Inc.
370 Memorial Pkwy |
$83.20 | 2,666 | 2,531 |
|
Mark T Grusso
409 Coventry Dr |
$27.62 | 2,523 | 2,383 |
|
Gianna Davanzo
200 Strykers Rd |
$12.98 | 2,411 | 2,269 |
|
Ebere N Ezeanya
445 Marshall St |
$100.50 | 2,227 | 1,990 |
|
Eugene M Decker
755 Memorial Pkwy |
$28.61 | 2,171 | 2,098 |
|
Brett Keller
755 Memorial Pkwy |
$37.62 | 1,923 | 1,812 |
|
Lian Jie Li
755 Memorial Pkwy |
$39.28 | 1,895 | 1,681 |
|
Joseph M Antario
388 Memorial Pkwy |
$53.61 | 1,839 | 1,665 |
|
James Andrews
200 Strykers Rd |
$18.45 | 1,779 | 1,714 |
|
Raymond S Buch
755 Memorial Pkwy |
$8.33 | 1,762 | 1,705 |
|
Heeral J Mehta
59 Roseberry St |
$31.14 | 1,735 | 1,683 |
|
Mohamed Sohail Durrani
222 Red School Ln |
$29.62 | 1,725 | 1,309 |
|
Anna Uson
755 Memorial Pkwy |
$72.03 | 1,551 | 1,479 |
|
Mary Siciliano
755 Memorial Pkwy |
$5.73 | 1,523 | 1,473 |
|
Ajaz Siddiqui
755 Memorial Pkwy |
$66.95 | 1,302 | 1,268 |
|
Kim Donaldson
185 Roseberry St |
$40.17 | 1,017 | 833 |
|
Nandhini Veeraraghavan
755 Memorial Pkwy Ste 300 |
$7.00 | 973 | 947 |
|
Raghuveer Annam
461 Corliss Ave |
$23.02 | 963 | 883 |
|
Majed Dayoub
755 Memorial Pkwy Ste 300 |
$19.93 | 922 | 835 |
|
Elyse Morel
755 Memorial Pkwy |
$57.58 | 919 | 890 |
|
Helaine Levine
755 Memorial Pkwy |
$5.51 | 750 | 729 |
|
Narpinder Singh
755 Memorial Pkwy Ste 106 |
$20.68 | 675 | 651 |
|
Catholic Charities, Diocese Of Metuchen
700 Sayre Ave |
$57.97 | 667 | 624 |
|
Thomas Mcginley
755 Memorial Pkwy |
$5.50 | 623 | 610 |
|
Ryan Mark O'Donnell
755 Memorial Pkwy Ste 201 |
$32.06 | 587 | 532 |
|
Navtej S Brar
755 Memorial Pkwy |
$20.39 | 572 | 507 |
|
Adam D Sadler
755 Memorial Pkwy Ste 201 |
$42.55 | 535 | 489 |
|
Victor R Rodriguez
755 Memorial Pkwy |
$19.95 | 506 | 463 |
|
John E Smith
755 Memorial Parkway Suite 102 |
$27.76 | 476 | 463 |
|
Pinnacle Treatment Centers Nj-Ii Llc
590 Marshall St |
$54.72 | 440 | 366 |
|
Svetlana Fomin
755 Memorial Pkwy Ste 302A |
$71.73 | 390 | 378 |
|
Michael G Nekoranik
123B Roseberry St |
$23.99 | 328 | 299 |
|
Ileana Ortiz-Evans
1205 Us Route 22 |
$70.92 | 313 | 278 |
|
Amit Prasad
755 Memorial Pkwy |
$30.29 | 307 | 294 |
|
Charles Evans
755 Memorial Pkwy |
$5.64 | 269 | 235 |
|
Tracy L Lee
755 Memorial Pkwy |
$20.36 | 267 | 251 |
|
Taryn Thomas
755 Memorial Pkwy Ste 300 |
$1.44 | 266 | 259 |
|
Melissa Grillo
755 Memorial Pkwy Ste 201 |
$24.48 | 257 | 256 |
|
Priyanka Nellori
755 Memorial Pkwy Ste 302 |
$49.23 | 250 | 240 |
|
Ishita Singh
755 Memorial Pkwy Ste 302A |
$26.80 | 240 | 224 |
|
Savion D'Vontai Johnson
185 Roseberry St |
$57.88 | 229 | 206 |
|
Molly Sawares
755 Memorial Pkwy Ste 300 |
$14.08 | 211 | 185 |
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 Phillipsburg, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Phillipsburg, NJ is $43.59 per claim, based on 90,294 claims from 78 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 Phillipsburg, NJ?
There are 78 Medicaid providers offering Office Visit related services in Phillipsburg, NJ according to public payment data.
What is the price range for Office Visit in Phillipsburg, NJ?
Medicaid reimbursement for Office Visit in Phillipsburg, NJ ranges from $0.00 to $131.17 per claim, with an average of $43.59. 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 Phillipsburg, NJ
Dental Cleaning & Exam
Avg $27.46
145,792 claims
Blood Work & Lab Tests
Avg $3.85
139,881 claims
Physical Therapy
Avg $28.56
118,660 claims
Emergency Room Visit
Avg $265.62
101,867 claims
Psychiatric Evaluation
Avg $94.95
81,199 claims
Dental Filling
Avg $54.61
54,756 claims
X-Ray
Avg $15.59
48,348 claims
Urinalysis & Urine Tests
Avg $2.08
35,837 claims