Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Phillipsburg, NJ: $43.59

Avg. Paid

$43.59

Range

$0.00 – $131.17

Total Claims

90,294

Providers

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
John Wick Mcilvain St. Luke'S Coventry Family Practice	$51.03	12	12
Adrienne Smith 114 S 2Nd St	$3.14	12	12
Marc Neal Abo 100 Coventry Dr	$32.27	15	14
Freedom House Inc 427 S Main St	$131.17	15	14
Nada Farooqui 185 Roseberry St	$25.88	17	12
Peter Everett Sugarbaker 222 Red School Ln	$22.59	22	13
Vijay Rastogi 755 Memorial Pkwy Ste 105	$58.12	41	36
Regina T Sullivan 985 Belvidere Rd	$0.56	43	42
Nancy J Gilliam 755 Memorial Pkwy Ste 106	$11.07	43	32
James Henry Reid 222 Red School Ln	$15.01	44	41
Arthur H Popkave 1000 Coventry Dr	$16.56	47	46
Star Community Health, Inc 755 Memorial Pkwy Ste 300	$0.00	54	43
Subhashchandra J. Javia 300 Coventry Dr	$8.36	54	48
Bonny Lee 755 Memorial Pkwy Ste 202A	$28.71	57	52
Ila A Shah 311 Baltimore St	$37.26	58	58
Bryn Olivia Griffith 755 Memorial Pkwy Ste 115	$0.37	64	53
Sara Branco 185 Roseberry St	$13.91	66	50
Dieynaba Toure 755 Memorial Pkwy Ste 300	$25.35	85	85
Bonnie Sarno 224 Roseberry St	$23.28	92	84
Rachel Liebman 400 Coventry Dr	$10.10	94	87
Pooja Raju 123B Roseberry St	$56.76	110	96
Center For Family Services, Inc. 370 Memorial Pkwy	$79.84	114	104
Andrea C Moore 755 Memorial Pkwy Ste 201	$27.22	127	118
Shane Michelle Bartholomew 59 Roseberry St	$17.77	128	116
Chuying Luo 755 Memorial Pkwy	$48.62	132	123
Armi T Sion 755 Memorial Pkwy	$41.07	136	119
Chatargy S Kaza 755 Memorial Pkwy Ste 102	$70.17	144	138
St. Luke'S Warren Hospital, Inc. 185 Roseberry St	$4.51	160	123
Molly Sawares 755 Memorial Pkwy Ste 300	$14.08	211	185
Savion D'Vontai Johnson 185 Roseberry St	$57.88	229	206
Ishita Singh 755 Memorial Pkwy Ste 302A	$26.80	240	224
Priyanka Nellori 755 Memorial Pkwy Ste 302	$49.23	250	240
Melissa Grillo 755 Memorial Pkwy Ste 201	$24.48	257	256
Taryn Thomas 755 Memorial Pkwy Ste 300	$1.44	266	259
Tracy L Lee 755 Memorial Pkwy	$20.36	267	251
Charles Evans 755 Memorial Pkwy	$5.64	269	235
Amit Prasad 755 Memorial Pkwy	$30.29	307	294
Ileana Ortiz-Evans 1205 Us Route 22	$70.92	313	278
Michael G Nekoranik 123B Roseberry St	$23.99	328	299
Svetlana Fomin 755 Memorial Pkwy Ste 302A	$71.73	390	378
Pinnacle Treatment Centers Nj-Ii Llc 590 Marshall St	$54.72	440	366
John E Smith 755 Memorial Parkway Suite 102	$27.76	476	463
Victor R Rodriguez 755 Memorial Pkwy	$19.95	506	463
Adam D Sadler 755 Memorial Pkwy Ste 201	$42.55	535	489
Navtej S Brar 755 Memorial Pkwy	$20.39	572	507
Ryan Mark O'Donnell 755 Memorial Pkwy Ste 201	$32.06	587	532
Thomas Mcginley 755 Memorial Pkwy	$5.50	623	610
Catholic Charities, Diocese Of Metuchen 700 Sayre Ave	$57.97	667	624
Narpinder Singh 755 Memorial Pkwy Ste 106	$20.68	675	651
Helaine Levine 755 Memorial Pkwy	$5.51	750	729

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.

Average Medicaid Office Visit Payments in Phillipsburg, NJ: $43.59

Providers Offering Office Visit in Phillipsburg, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Phillipsburg, NJ

Dental Cleaning & Exam

Blood Work & Lab Tests

Physical Therapy

Emergency Room Visit

Psychiatric Evaluation

Dental Filling

X-Ray

Urinalysis & Urine Tests