Average Medicaid Office Visit Payments in Pompton Plains, NJ: $52.33
Avg. Paid
$52.33
Range
$3.25 – $120.42
Total Claims
74,026
Providers
29
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 Pompton Plains, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ahs Hospital Corp.
97 West Parkway |
$24.88 | 21,671 | 19,134 |
|
Uma Duvvuri
637 Route 23 South |
$72.30 | 15,705 | 14,022 |
|
Nj Doctors Urgent Care Llc
620 Route 23 |
$82.34 | 12,314 | 11,421 |
|
Simarjit Singh
620 State Rt 23 |
$41.94 | 5,249 | 4,700 |
|
Rotanna I Adefowokan
97 W Parkway |
$50.47 | 3,215 | 2,645 |
|
Krishna Duvvuri
476 Newark Pompton Turnpike |
$34.83 | 2,857 | 2,613 |
|
Uzma Zohra Shafqat
242 W Parkway |
$69.97 | 2,671 | 2,513 |
|
Kyung Min Lee
230 W Parkway |
$65.58 | 2,313 | 2,013 |
|
Sapna V. Shah
901 Rte 23 |
$59.98 | 1,368 | 1,210 |
|
Ibijoke Alade
1 Cedar Crest Village Dr |
$36.42 | 920 | 914 |
|
Nora Dahbur
97 W Parkway |
$33.96 | 763 | 727 |
|
Waina Cheng
97 W Parkway |
$50.51 | 712 | 565 |
|
Anirudh Kapoor
97 W Parkway |
$55.73 | 626 | 615 |
|
Kelly Anne Walsh
28 Jackson Ave |
$18.69 | 616 | 602 |
|
Helen Lin Yuan
97 W Parkway |
$47.45 | 571 | 553 |
|
Chrisann Palmieri
901 Route 23 Ste 202 |
$31.64 | 563 | 376 |
|
Habib Habib
637 Route 23 Ste 100 |
$37.21 | 507 | 483 |
|
Raffaella Linda Kalishman
1 Cedar Crest Village Dr |
$28.09 | 426 | 396 |
|
Zuhal Gokturk
97 W Parkway |
$94.22 | 425 | 362 |
|
Chitharanjan V Rao
242 W Parkway |
$53.51 | 143 | 122 |
|
Shannon Theresa Bailey
562 Nj - 23 |
$57.68 | 142 | 115 |
|
Christopher Biggiani
637 Route 23 Ste 100 |
$3.25 | 61 | 61 |
|
Martin Yaron Tabaksblat
242 W Parkway |
$46.71 | 44 | 40 |
|
Brandon William Calenda
242 W Parkway |
$50.63 | 43 | 42 |
|
Martin J Frank
97 W Parkway |
$46.32 | 43 | 36 |
|
Gautami Kondamodi Rao
242 W Parkway |
$21.46 | 16 | 13 |
|
Nicole Marie Vitrone
242 W Parkway |
$48.80 | 16 | 14 |
|
Michelle C Azu
97 W Parkway |
$120.42 | 14 | 13 |
|
Gennaro Joseph Marino
97 West Parkway |
$15.00 | 12 | 12 |
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 Pompton Plains, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pompton Plains, NJ is $52.33 per claim, based on 74,026 claims from 29 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 Pompton Plains, NJ?
There are 29 Medicaid providers offering Office Visit related services in Pompton Plains, NJ according to public payment data.
What is the price range for Office Visit in Pompton Plains, NJ?
Medicaid reimbursement for Office Visit in Pompton Plains, NJ ranges from $3.25 to $120.42 per claim, with an average of $52.33. 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 Pompton Plains, NJ
Blood Work & Lab Tests
Avg $5.94
131,988 claims
Physical Therapy
Avg $26.46
74,385 claims
Emergency Room Visit
Avg $250.10
66,165 claims
Pathology & Lab Services
Avg $43.72
41,417 claims
Urinalysis & Urine Tests
Avg $3.04
29,068 claims
EKG / ECG (Electrocardiogram)
Avg $22.48
26,130 claims
X-Ray
Avg $26.30
24,331 claims
Vaccines & Immunizations
Avg $10.98
19,366 claims