Average Medicaid Office Visit Payments in Princeton, NJ: $56.28
Avg. Paid
$56.28
Range
$0.00 – $187.97
Total Claims
55,812
Providers
71
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 |
|---|---|---|---|
|
Melissa Ackerman
253 Witherspoon St |
$54.61 | 12 | 12 |
|
Sima Christina Paul
248 Moore St |
$78.42 | 12 | 12 |
|
Douglas P Corazza
727 State Rd |
$0.00 | 14 | 12 |
|
Jennifer H Lee
59 Paul Robeson Pl |
$23.48 | 17 | 16 |
|
Neha Atyam
4491 Route 27 |
$22.48 | 19 | 17 |
|
Genpsych Pc Princeton
932 State Rd |
$107.87 | 20 | 12 |
|
Amber Stephanie Macfarlane
325 Princeton Ave |
$153.23 | 20 | 16 |
|
Sumra Tayebaly
419 N Harrison St Ste 201 |
$50.38 | 25 | 24 |
|
Lorna Stanley
905 Herrontown Rd |
$0.00 | 26 | 26 |
|
Steven P Fries
325 Princeton Ave |
$30.33 | 27 | 17 |
|
Laura Hildebrant
727 State Rd |
$48.38 | 27 | 26 |
|
Brandon Daigle
Washington Road |
$131.18 | 30 | 28 |
|
Kimberly Poplaski
731 Alexander Rd Ste 200 |
$15.90 | 37 | 37 |
|
Marcelle S. Zebuhr
325 Princeton Ave |
$20.09 | 39 | 30 |
|
Lauri Diane Mulvey
213 Nassau Street |
$78.91 | 50 | 50 |
|
Christine Lynch
325 Princeton Ave |
$89.24 | 55 | 48 |
|
Savneet Kaur Chattha
727 State Rd |
$64.45 | 80 | 75 |
|
Christabelle D'Souza
905 Herrontown Rd |
$37.12 | 82 | 77 |
|
Jewish Family & Children'S Service Of Greater Mercer County
707 Alexander Rd |
$104.09 | 95 | 88 |
|
Joanne B Kalish
863 State Rd |
$3.47 | 115 | 112 |
|
Princeton/Corner House
1 Monument Dr |
$87.37 | 133 | 108 |
|
Alpesh B Patel
211 Commons Way |
$27.28 | 139 | 121 |
|
Abigail L Rose
300 Witherspoon St |
$78.30 | 149 | 136 |
|
Daniel Lee
419 N Harrison St Ste 104 |
$27.45 | 150 | 147 |
|
Paul C. Frake
256 Bunn Drive |
$105.13 | 157 | 147 |
|
Christopher Glenn Schwizer
325 Princeton Ave |
$61.08 | 157 | 150 |
|
Shaila Maddaiah Maddaiah
120 John Street |
$1.92 | 164 | 160 |
|
Christine Deluca
727 State Rd |
$61.40 | 168 | 160 |
|
Srinivas Mendu
10 Jefferson Plz |
$35.24 | 168 | 151 |
|
Laura Wieber
510 Carnegie Ctr Ste 600 |
$62.26 | 170 | 124 |
|
Kevin Zhang
46 Nassau St |
$24.29 | 171 | 171 |
|
Adam Brett Naddelman
301 N Harrison St |
$46.51 | 190 | 165 |
|
Sola Choi
419 N Harrison St |
$57.67 | 198 | 196 |
|
Naba Sharif
601 Ewing St |
$101.90 | 200 | 194 |
|
Nirmal I. Trivedi
905 Herrontown Rd |
$67.67 | 202 | 161 |
|
Esperanza Guillermety
79 Bayard Ln |
$31.26 | 208 | 194 |
|
Ernest De La Cruz
727 State Rd |
$58.87 | 217 | 197 |
|
Esther Anna Kuffour
101 College Rd E Fl 1 |
$4.47 | 225 | 184 |
|
Jordana Nicole Hastings
Mccosh Health Center |
$58.42 | 244 | 244 |
|
Ahmad Mohamed Hassan
905 Herrontown Rd |
$42.50 | 253 | 190 |
|
Rahul Singh Tonk
419 N Harrison St |
$20.60 | 256 | 190 |
|
Karen Rossi
281 Witherspoon St Ste 200 |
$41.70 | 275 | 266 |
|
Emily Kossow Sandberg
731 Alexander Rd Ste 201 |
$39.06 | 278 | 254 |
|
Kathleen O'Day Riewe
301 N Harrison St |
$8.28 | 321 | 297 |
|
Scott Evan Eder
2 Belleview Ter |
$37.62 | 502 | 486 |
|
Kunal Shah
419 N Harrison St |
$187.97 | 604 | 592 |
|
Sanya Naware
419 N Harrison St |
$106.59 | 629 | 605 |
|
Morgan Paige Abasolo
311 Commons Way |
$103.10 | 647 | 627 |
|
Genpsych Princeton
932 State Rd |
$85.23 | 677 | 556 |
|
Bruce T. Rose
811 Executive Dr |
$58.02 | 695 | 639 |
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.
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 Princeton, NJ
Behavioral & Mental Health Therapy
Avg $183.16
212,926 claims
Psychiatric Evaluation
Avg $84.07
54,573 claims
Non-Emergency Medical Transportation
Avg $11.42
54,248 claims
Dental Cleaning & Exam
Avg $29.17
48,308 claims
Home Health Visit
Avg $85.50
34,293 claims
Nursing Facility Care
Avg $10.10
32,175 claims
Substance Abuse Treatment
Avg $81.36
31,896 claims
Ambulance Transport
Avg $7.17
30,051 claims