Average Medicaid Office Visit Payments in Pleasantville, NJ: $31.02
Avg. Paid
$31.02
Range
$0.03 – $87.48
Total Claims
174,018
Providers
34
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 Pleasantville, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Abdul Qadir
1004 S New Rd |
$41.60 | 22,606 | 20,544 |
|
Jacob Franklin Cogen
22 N Franklin Blvd |
$12.59 | 21,803 | 20,726 |
|
Zubeda I Rajput
258 N New Rd |
$38.85 | 21,665 | 18,761 |
|
Rafat S Choudhry
1004 S New Rd |
$38.99 | 12,343 | 10,247 |
|
Katherine S. Yon
932 S Main St |
$14.12 | 11,555 | 10,889 |
|
Enza P Caputo
22 N Franklin Blvd |
$51.62 | 10,683 | 10,022 |
|
Ilyas A Rajput
258 N New Road |
$34.83 | 9,621 | 9,207 |
|
Sujood Ahmed
258 N New Rd |
$29.80 | 8,507 | 7,172 |
|
Kelsey Pomeroy
932 S Main St |
$16.20 | 7,993 | 7,445 |
|
Gary Hymes
214 S Main St |
$37.04 | 5,952 | 5,506 |
|
Katherine Lovell Williams
932 S Main St |
$15.85 | 5,751 | 5,181 |
|
Joseph Chiong
932 S Main St |
$33.99 | 5,498 | 4,034 |
|
Olanda R Dreher
400 W Black Horse Pike |
$48.03 | 4,073 | 3,602 |
|
Krista Tkacz
932 S Main St |
$26.41 | 3,945 | 3,582 |
|
Southern Jersey Family Medical Centers, Inc
932 S Main St |
$0.03 | 3,908 | 3,509 |
|
Teresa Martone
8025 Black Horse Pike Ste 501 |
$30.73 | 2,581 | 2,514 |
|
Anthony Joseph Abbruzzi
8025 Black Horse Pike Ste 501 |
$25.63 | 2,201 | 2,131 |
|
Barbara Arnold
22 N Franklin Blvd |
$47.56 | 2,048 | 1,858 |
|
John Brooks Recovery Center , A New Jersey Nonprofit Corporation
660 Black Horse Pike |
$61.82 | 1,871 | 1,804 |
|
Laura J Bonaker
22 N Franklin Blvd |
$2.85 | 1,864 | 1,760 |
|
Shekila Thomas
932 S Main St |
$15.54 | 1,767 | 1,609 |
|
Egidio Migioia
22 N Franklin Blvd |
$25.81 | 1,615 | 1,093 |
|
Ellen D Doyle
1420 S New Rd Unit 9 |
$87.48 | 1,562 | 957 |
|
Janet Gibson
8025 Black Horse Pike Ste 501 |
$5.78 | 1,048 | 1,009 |
|
Nancy P To
1004 S New Rd |
$60.15 | 761 | 726 |
|
Laverne Graves-Washington
268 North New Rd. |
$22.18 | 283 | 233 |
|
Cathy Anderson
1004 S New Rd |
$0.65 | 188 | 178 |
|
Lloyd Marc Pritz
921 Black Horse Pike |
$40.00 | 88 | 76 |
|
Rosemarie Zantua
258 N New Rd |
$24.93 | 77 | 76 |
|
Drs. Pritz & Gray Eyecare
921 Black Horse Pike |
$24.63 | 52 | 44 |
|
John Brooks Recovery Center
660 Black Horse Pike |
$16.00 | 47 | 39 |
|
Jancy Civichan
258 N New Rd |
$44.54 | 25 | 25 |
|
Scott Fuerman
55 E Black Horse Pike |
$40.00 | 24 | 24 |
|
Jon W Slotoroff
48 Ansley Blvd |
$35.78 | 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 Pleasantville, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pleasantville, NJ is $31.02 per claim, based on 174,018 claims from 34 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 Pleasantville, NJ?
There are 34 Medicaid providers offering Office Visit related services in Pleasantville, NJ according to public payment data.
What is the price range for Office Visit in Pleasantville, NJ?
Medicaid reimbursement for Office Visit in Pleasantville, NJ ranges from $0.03 to $87.48 per claim, with an average of $31.02. 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 Pleasantville, NJ
Non-Emergency Medical Transportation
Avg $54.41
1,075,446 claims
Ambulance Transport
Avg $161.92
179,363 claims
Substance Abuse Treatment
Avg $67.37
156,440 claims
Home Health Visit
Avg $0.04
46,817 claims
Dental Cleaning & Exam
Avg $39.38
33,692 claims
Vaccines & Immunizations
Avg $11.73
31,454 claims
Nursing Facility Care
Avg $32.87
21,110 claims
Physical Therapy
Avg $0.62
18,832 claims