Average Medicaid Office Visit Payments in Red Bank, NJ: $45.66
Avg. Paid
$45.66
Range
$0.00 – $112.90
Total Claims
216,539
Providers
61
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 Red Bank, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cpc Behavioral Healthcare
270 Highway 35 |
$0.00 | 68,498 | 65,521 |
|
Urgent Care Physicians Of New Jersey, Llc
46 Newman Springs Rd E Ste F |
$91.11 | 62,881 | 58,435 |
|
Anthony Dimura
10 Drs James Parker Blvd Ste 105 |
$57.66 | 7,360 | 6,419 |
|
Hmh Hospitals Corporation
1 Riverview Plz |
$110.09 | 6,927 | 6,107 |
|
Luisa Rita Del Castillo
225 Route 35 Ste 102 |
$60.19 | 5,998 | 5,573 |
|
Cpc Behavioral Healthcare, Inc
270 Route 35 |
$46.15 | 5,793 | 5,502 |
|
Ugochukwu Ukonu
188 E Bergen Pl Ste 302 |
$18.89 | 5,405 | 5,033 |
|
Catherine M Donohue
141 Bodman Pl |
$46.06 | 4,631 | 4,437 |
|
Michael S Hood
65 Mechanic St Ste 105 |
$33.57 | 4,268 | 3,814 |
|
Mayur Vinod Patel
565 Highway 35 |
$37.41 | 4,163 | 3,190 |
|
Pooja Tandon
119 Maple Ave |
$45.23 | 4,035 | 3,551 |
|
Carol Andrea Laurette Penn
72 Harrison Ave |
$13.15 | 3,613 | 3,303 |
|
Cpc Behavioral Healthcare, Inc
270 State Route 35 |
$49.75 | 3,162 | 3,053 |
|
Tony Dicken
10 Drs James Parker Blvd Ste 105 |
$64.78 | 2,704 | 2,388 |
|
Alison Maria Pingitore
140 Water St |
$29.68 | 2,656 | 2,612 |
|
Joel Barry Edman
529 State Route 35 |
$59.96 | 2,018 | 1,704 |
|
Mia Ortega
7 Globe Ct |
$3.25 | 1,921 | 961 |
|
Cecelia M Smith
1 Riverview Plz |
$12.53 | 1,878 | 1,820 |
|
Buvaneswari Sridar
27 Pinckney Rd |
$63.29 | 1,774 | 1,616 |
|
Michael Markoff
529 Highway 35 |
$67.58 | 1,647 | 1,523 |
|
Emily Abra Eyerkuss
231 Maple Ave |
$57.11 | 1,472 | 1,443 |
|
Angela Scevola-Dattoli
176 Riverside Ave |
$17.14 | 1,224 | 1,136 |
|
Priya Sai
370 Hwy 35 |
$60.13 | 1,058 | 1,015 |
|
Meridian Hospitals Corporation
1 Riverview Plz |
$53.75 | 989 | 872 |
|
Christina Maria Picciano
1 Riverview Plz |
$40.95 | 980 | 935 |
|
Peter John Litwin
331 Newman Springs Rd |
$42.17 | 839 | 682 |
|
Brittany Mauro
46 Newman Springs Rd E |
$41.42 | 785 | 774 |
|
Marie A. Garon
52 Reckless Pl |
$1.35 | 724 | 560 |
|
Cpc Behavioral Healthcare
270 Highway 35 |
$104.64 | 692 | 562 |
|
Lakshmi Manisha Mummadisingu
130 Maple Ave Ste 3B |
$25.88 | 575 | 495 |
|
Samantha Dicken
7 Hendrickson Ave |
$59.58 | 527 | 478 |
|
Vishwala Kasbekar
46 Newman Springs Rd E Ste D |
$56.21 | 482 | 467 |
|
Raghu Kunamneni
1 Riverview Plz |
$51.97 | 480 | 412 |
|
Kelsey Lynn Donlon
1 Riverview Plz |
$32.39 | 477 | 467 |
|
Middletown Medical, Llc
600 Hwy 35 |
$68.31 | 448 | 392 |
|
Dominick A. Grosso
5 Globe Ct |
$48.76 | 434 | 392 |
|
Thomas Theocharides
194 State Route 35 |
$45.83 | 361 | 312 |
|
Brett Frieman
75 W Front St |
$112.90 | 267 | 266 |
|
Christine A Schruntek
7 Hendrickson Ave |
$32.96 | 260 | 227 |
|
Michael A Thomas
525 State Route 35 |
$51.02 | 257 | 240 |
|
Dianne C Ocampo
270 Highway 35 |
$31.20 | 246 | 170 |
|
Francis L Cancellieri
1 Riverview Plz |
$35.91 | 244 | 236 |
|
Richard Andrew Leichter
130 Maple Ave |
$30.45 | 203 | 175 |
|
Stephen Thomas Spang
1 Riverview Plz |
$56.04 | 162 | 158 |
|
Stephen Zigman
370 Highway 35 |
$24.63 | 147 | 135 |
|
Denise Rachel Weinreb
231 Maple Ave |
$85.10 | 145 | 137 |
|
Rosemary D Gorman
205 Rutledge Dr |
$14.47 | 137 | 121 |
|
Steven Deitch
130 Maple Avenue |
$27.31 | 115 | 106 |
|
Yolanda Tammaro
200 Schulz Dr Ste 2 |
$73.15 | 71 | 58 |
|
Jenna Alexandra Marchant
225 Highway 35, Suite 102 Red Bank, Nj 07701 |
$75.60 | 68 | 67 |
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 Red Bank, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Red Bank, NJ is $45.66 per claim, based on 216,539 claims from 61 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 Red Bank, NJ?
There are 61 Medicaid providers offering Office Visit related services in Red Bank, NJ according to public payment data.
What is the price range for Office Visit in Red Bank, NJ?
Medicaid reimbursement for Office Visit in Red Bank, NJ ranges from $0.00 to $112.90 per claim, with an average of $45.66. 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 Red Bank, NJ
Psychiatric Evaluation
Avg $34.32
150,465 claims
Behavioral & Mental Health Therapy
Avg $32.62
143,476 claims
Blood Work & Lab Tests
Avg $5.57
115,937 claims
Case Management Services
Avg $38.37
99,847 claims
Home Health Visit
Avg $124.29
73,970 claims
Emergency Room Visit
Avg $208.20
71,589 claims
Substance Abuse Treatment
Avg $13.87
36,152 claims
Urinalysis & Urine Tests
Avg $1.53
32,897 claims