Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Plainfield, NJ: $41.78

Avg. Paid

$41.78

Range

$2.22 – $103.42

Total Claims

223,505

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 Plainfield, NJ

Provider	Avg. Paid	Claims	Patients
Samantha Sheppard 1250 Park Ave	$42.38	13	13
Julie Gbogi 951 Park Ave	$3.11	14	12
Arvind Patel 1700 Myrtle Ave	$20.58	21	21
Kamalakar Vanam 1200 Park Ave	$50.10	31	31
David Barry Levine 451 Terrill Rd	$59.41	35	31
Andrew Salinas 451 Terrill Rd	$42.78	40	36
Sveta T. Gajria 1200 Park Ave	$36.69	54	50
George Andrew Hermann 212 Park Ave	$5.95	80	71
Scott Rufolo 160 East Second St	$60.47	98	97
Govidammal Subramanian 1700 Myrtle Ave	$22.16	118	117
Shaheda Ali 1700 Myrtle Ave	$17.29	143	137
Susan Kadlec 1700 Myrtle Ave	$42.60	178	169
Mohsin Ali 1132 Park Ave	$103.42	191	134
Mattoo Pediatrics 201 E Front St	$21.71	205	183
Lokhat Physicians Group Llc 1416 Park Ave	$6.69	232	208
Scott Rufolo, O.D., P.C. 160 East Second St.	$60.67	248	248
Bhupendra C. Patel 1200 Park Ave	$15.92	418	418
Shanda Johnson 120 W 7Th St	$46.93	541	526
Emad Adly Fakhoury Barsoum 1314 Park Ave Ste 9	$73.78	605	579
Robin J Bocra 1024 Park Ave	$30.12	662	598
Sebika Basu 1700 Myrtle Ave	$18.00	815	786
Lizbeth Barba 1700 Myrtle Ave # 58	$10.70	817	530
Kathleen Grady Waldron 117 - 119 Roosevelt Ave.	$11.33	1,050	948
Tatiana S. Delaurentiis 969 Woodland Ave	$6.89	1,068	830
Fatima Ababon 1314 Park Ave Ste 1	$39.30	1,147	1,080
Michael Charles Kaminsky 1250 Park Ave	$41.79	1,185	1,043
Elrick A Murray 1314 Park Ave	$60.14	1,208	856
Carlene P. Green 1416 Park Ave	$11.06	1,244	979
Sireesha Aleti 201 E Front St	$46.56	1,286	1,174
Harsha Tripathi 1700 Myrtle Ave	$18.85	1,290	1,198
Henrietta Ifeoma Obidigbo 944 Cushing Pl	$26.58	1,456	1,347
Johnson Babayemi 33 Andover Ave	$38.26	2,048	1,982
Alka J Patel 1700 Myrtle Ave	$44.28	2,631	2,496
Victor Patrick Gutierrez 525 Park Ave	$38.53	2,674	2,385
Joyce Nkwonta 1314 Park Ave	$42.51	3,818	3,512
Rajesh T Patel 1416 Park Ave	$34.40	4,737	4,055
Neighborhood Health Services Corporation 1700-58 Myrtle Avenue	$2.22	5,142	4,425
Saleem Husain 1314 Park Ave	$41.41	6,157	5,920
Anil Khandelwal 451 Terrill Rd	$23.57	6,771	6,502
Waheda Davis 1349 Sloane Blvd	$20.35	6,823	6,318
Centerpath Wellness, Inc 117 Roosevelt Ave	$65.82	9,165	8,378
Karl Everton Russell-Brown 203 W 9Th St	$24.43	10,888	9,747
Claudio Gomez 120 W 7Th St	$28.58	11,318	10,510
Organization For Recovery,Inc. 519 North Ave	$55.73	14,286	13,304
Nazima Abrarova 1700-58 Myrtle Ave.	$47.77	14,410	9,496
Joanne Marie Morin 939 Park Ave	$46.28	15,759	14,580
Padmaja Isukapalli 1024 Park Ave	$39.31	24,768	21,758
Svetlana Zonn 1024 Park Ave Ste 6C	$49.67	65,617	55,371

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 Plainfield, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plainfield, NJ is $41.78 per claim, based on 223,505 claims from 48 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 Plainfield, NJ?

There are 48 Medicaid providers offering Office Visit related services in Plainfield, NJ according to public payment data.

What is the price range for Office Visit in Plainfield, NJ?

Medicaid reimbursement for Office Visit in Plainfield, NJ ranges from $2.22 to $103.42 per claim, with an average of $41.78. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Plainfield, NJ: $41.78

Providers Offering Office Visit in Plainfield, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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