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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

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

Other Procedures in Princeton, NJ