Average Medicaid Office Visit Payments in Plainsboro, NJ: $36.75
Avg. Paid
$36.75
Range
$0.00 – $168.15
Total Claims
52,773
Providers
38
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 Plainsboro, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shao Zheng
666 Plainsboro Rd Ste 1H |
$44.72 | 9,844 | 8,608 |
|
Xiaomei Chen
5 Schalks Crossing Rd |
$30.91 | 8,274 | 6,852 |
|
Meha Patel
1 Plainsboro Rd |
$38.47 | 8,205 | 7,769 |
|
Tahir Raza
1 Plainsboro Rd |
$3.80 | 7,926 | 6,518 |
|
Zhuping Chang
3 Market St |
$37.42 | 2,662 | 2,285 |
|
Ronak Dilip Patel
666 Plainsboro Rd Ste 100 |
$83.58 | 2,313 | 2,222 |
|
Joan M Markison
1 Plainsboro Rd |
$32.83 | 1,974 | 1,787 |
|
Manamadurai Somasundaram
666 Plainsboro Rd |
$48.60 | 1,625 | 1,374 |
|
Kathleen Beyer
4 Schalks Crossing Rd |
$29.79 | 1,592 | 1,453 |
|
Zufall Health Center, Inc
1 Plainsboro Rd |
$0.00 | 1,271 | 1,153 |
|
Anupa Sharma
5 Plainsboro Road |
$168.15 | 760 | 732 |
|
Ashraf Samir Bakry Aly
1 Plainsboro Rd |
$78.30 | 741 | 707 |
|
Rafia Qandeel Baloch
1 Plainsboro Rd |
$58.67 | 726 | 718 |
|
Princeton Healthcare System, A New Jersey Non-Profit Corporation
1 Plainsboro Rd |
$40.64 | 689 | 583 |
|
Rameck R Hunt
5 Plainsboro Road, Suite 300 |
$10.24 | 631 | 533 |
|
Barbara R. Edwards
5 Plainsboro Rd. |
$7.74 | 594 | 559 |
|
Sudha Kamath
666 Plainsboro Rd |
$35.82 | 448 | 445 |
|
Sean Thomas Mcginley
5 Plainsboro Rd |
$83.93 | 423 | 405 |
|
Ron Yks Suzuki
5 Schalks Crossing Road |
$136.02 | 318 | 308 |
|
Zoequi Lesa Witherspoon
4 Schalks Crossing Rd |
$11.77 | 315 | 303 |
|
Kusum Lata Kumar
1 Plainsboro Rd |
$22.35 | 167 | 166 |
|
Chan Chen
1 Plainsboro Road |
$56.21 | 164 | 157 |
|
Maria Victoria Regencia
1 Plainsboro Rd |
$26.17 | 158 | 149 |
|
Shailja Patel
1 Plainsboro Rd |
$57.34 | 129 | 112 |
|
Kathryn J Robison
5 Plainsboro Road |
$13.54 | 119 | 116 |
|
Aruna Chakrala
666 Plainsboro Rd |
$27.19 | 112 | 84 |
|
Ryan P Johnson
5 Plainsboro Rd |
$2.51 | 97 | 94 |
|
Danielle Julia Hill
5 Plainsboro Road |
$32.44 | 92 | 89 |
|
Farhan Malik
1 Plainsboro Rd |
$7.44 | 86 | 85 |
|
Lena Gottesman-Katz
101 Plainsboro Rd |
$134.57 | 66 | 65 |
|
Sara Jane Plehn
1 Plainsboro Rd |
$14.07 | 64 | 60 |
|
Leema Mathews
4 Schalks Crossing Rd |
$10.43 | 57 | 56 |
|
Ronnen Abramov
5 Plainsboro Rd |
$7.74 | 31 | 26 |
|
Siddiq A Faisal
5 Plainsboro Road |
$87.88 | 31 | 29 |
|
Aubrie Jacobson Nagy
5 Plainsboro Rd |
$16.70 | 26 | 26 |
|
Samuel Scott Becker
5 Plainsboro Rd Ste 360 |
$24.74 | 17 | 15 |
|
Qian Wang
5 Plainsboro Rd, Suite 300 |
$5.42 | 13 | 13 |
|
Christopher Naraine
1 Plainsboro Rd |
$40.00 | 13 | 13 |
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 Plainsboro, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plainsboro, NJ is $36.75 per claim, based on 52,773 claims from 38 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 Plainsboro, NJ?
There are 38 Medicaid providers offering Office Visit related services in Plainsboro, NJ according to public payment data.
What is the price range for Office Visit in Plainsboro, NJ?
Medicaid reimbursement for Office Visit in Plainsboro, NJ ranges from $0.00 to $168.15 per claim, with an average of $36.75. 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 Plainsboro, NJ
Blood Work & Lab Tests
Avg $5.92
137,516 claims
Emergency Room Visit
Avg $320.09
62,326 claims
Urinalysis & Urine Tests
Avg $2.25
31,135 claims
Physical Therapy
Avg $14.17
29,968 claims
EKG / ECG (Electrocardiogram)
Avg $14.67
20,538 claims
Vaccines & Immunizations
Avg $12.03
19,016 claims
X-Ray
Avg $24.11
15,185 claims
Dental Cleaning & Exam
Avg $27.52
15,178 claims