Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Princeton, NJ: $56.28

Avg. Paid

$56.28

Range

$0.00 – $187.97

Total Claims

55,812

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 Princeton, NJ

Provider	Avg. Paid	Claims	Patients
Association For Advancement Of Mental Health 819 Alexander Rd	$76.53	8,452	7,932
Kanan H. Bhatt 29 Rutgers Ln	$13.17	6,405	5,813
Ivy L Pearlstein 21 Wiggins St	$9.89	6,205	5,845
Paul W. Codjoe 731 Alexander Rd Ste 200	$129.30	3,663	3,307
Jaishree Ramachandran 1 Bellaire Dr	$60.63	2,452	2,292
Jared Winikor 301 N Harrison St	$63.24	2,374	2,319
Sonia Deora 10 Jefferson Plz	$46.19	2,096	1,881
Martha E Funkhouser 208 Bunn Dr	$45.37	1,948	1,833
Sachin Patel 11 N Harrison St	$20.97	1,501	1,230
Sarah Shami 800 Bunn Dr Ste 202	$34.12	1,284	1,139
Stephanie Lyn Horling 325 Princeton Ave	$32.25	1,103	991
Ewa Ruel 601 Ewing St Ste C8	$72.14	1,023	970
Fernando Andres Pinero 325 Princeton Ave	$20.58	1,021	887
Lee Shearer 300 Witherspoon St	$48.28	1,012	916
Deborah S Siegel-Robles 811 Executive Dr	$62.42	990	904
Hend Abdelwahab 727 State Rd Ste 1	$118.33	984	951
Kelsey Arce 3626 Us Highway 1	$25.61	872	802
Liana Alam 235 Mather Ave	$123.90	835	706
Dhyani Shah 300 Witherspoon St	$49.34	787	740
Jennifer Marie Edwards 800 Bunn Dr Ste 201	$80.51	744	679
Ziva Petrin 256 Bunn Dr Ste B	$150.98	712	643
Bruce T. Rose 811 Executive Dr	$58.02	695	639
Genpsych Princeton 932 State Rd	$85.23	677	556
Morgan Paige Abasolo 311 Commons Way	$103.10	647	627
Sanya Naware 419 N Harrison St	$106.59	629	605
Kunal Shah 419 N Harrison St	$187.97	604	592
Scott Evan Eder 2 Belleview Ter	$37.62	502	486
Kathleen O'Day Riewe 301 N Harrison St	$8.28	321	297
Emily Kossow Sandberg 731 Alexander Rd Ste 201	$39.06	278	254
Karen Rossi 281 Witherspoon St Ste 200	$41.70	275	266
Rahul Singh Tonk 419 N Harrison St	$20.60	256	190
Ahmad Mohamed Hassan 905 Herrontown Rd	$42.50	253	190
Jordana Nicole Hastings Mccosh Health Center	$58.42	244	244
Esther Anna Kuffour 101 College Rd E Fl 1	$4.47	225	184
Ernest De La Cruz 727 State Rd	$58.87	217	197
Esperanza Guillermety 79 Bayard Ln	$31.26	208	194
Nirmal I. Trivedi 905 Herrontown Rd	$67.67	202	161
Naba Sharif 601 Ewing St	$101.90	200	194
Sola Choi 419 N Harrison St	$57.67	198	196
Adam Brett Naddelman 301 N Harrison St	$46.51	190	165
Kevin Zhang 46 Nassau St	$24.29	171	171
Laura Wieber 510 Carnegie Ctr Ste 600	$62.26	170	124
Christine Deluca 727 State Rd	$61.40	168	160
Srinivas Mendu 10 Jefferson Plz	$35.24	168	151
Shaila Maddaiah Maddaiah 120 John Street	$1.92	164	160
Paul C. Frake 256 Bunn Drive	$105.13	157	147
Christopher Glenn Schwizer 325 Princeton Ave	$61.08	157	150
Daniel Lee 419 N Harrison St Ste 104	$27.45	150	147
Abigail L Rose 300 Witherspoon St	$78.30	149	136
Alpesh B Patel 211 Commons Way	$27.28	139	121

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 Princeton, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Princeton, NJ is $56.28 per claim, based on 55,812 claims from 71 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 Princeton, NJ?

There are 71 Medicaid providers offering Office Visit related services in Princeton, NJ according to public payment data.

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

Medicaid reimbursement for Office Visit in Princeton, NJ ranges from $0.00 to $187.97 per claim, with an average of $56.28. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Princeton, NJ: $56.28

Providers Offering Office Visit in Princeton, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Princeton, NJ

Behavioral & Mental Health Therapy

Psychiatric Evaluation

Non-Emergency Medical Transportation

Dental Cleaning & Exam

Home Health Visit

Nursing Facility Care

Substance Abuse Treatment

Ambulance Transport