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 |
|---|---|---|---|
|
Smita N Kargutkar
225 Highway 35 North |
$70.42 | 13 | 13 |
|
Jeanette Ravelo-Rodriguez
46 Newman Springs Rd E |
$77.41 | 13 | 13 |
|
Nader Anthony Bakhos
80 Oak Hill Rd |
$0.00 | 14 | 13 |
|
Visiting Nurse Association Of Central Jersey Community Health Center I
64-66 Bridge Avenue |
$2.63 | 17 | 17 |
|
Maria Theresa Micale
225 Highway 35 Ste 102 |
$73.01 | 22 | 22 |
|
Alfred A. Bradley
1 Riverview Plz |
$0.00 | 24 | 24 |
|
Jacklyn Lillian Ignizio
225 Highway 35 Ste 102 |
$78.62 | 37 | 36 |
|
Elizabeth J. Ginn-Scott
270 Highway 35 |
$3.41 | 40 | 38 |
|
Laurie Elleanore Greisch
331 Newman Springs Rd |
$9.87 | 41 | 41 |
|
Daniella E. Adler
1 Riverview Plz |
$32.31 | 51 | 50 |
|
Yuliya Tsimring
529 Hwy 35 |
$68.65 | 66 | 54 |
|
Jenna Alexandra Marchant
225 Highway 35, Suite 102 Red Bank, Nj 07701 |
$75.60 | 68 | 67 |
|
Yolanda Tammaro
200 Schulz Dr Ste 2 |
$73.15 | 71 | 58 |
|
Steven Deitch
130 Maple Avenue |
$27.31 | 115 | 106 |
|
Rosemary D Gorman
205 Rutledge Dr |
$14.47 | 137 | 121 |
|
Denise Rachel Weinreb
231 Maple Ave |
$85.10 | 145 | 137 |
|
Stephen Zigman
370 Highway 35 |
$24.63 | 147 | 135 |
|
Stephen Thomas Spang
1 Riverview Plz |
$56.04 | 162 | 158 |
|
Richard Andrew Leichter
130 Maple Ave |
$30.45 | 203 | 175 |
|
Francis L Cancellieri
1 Riverview Plz |
$35.91 | 244 | 236 |
|
Dianne C Ocampo
270 Highway 35 |
$31.20 | 246 | 170 |
|
Michael A Thomas
525 State Route 35 |
$51.02 | 257 | 240 |
|
Christine A Schruntek
7 Hendrickson Ave |
$32.96 | 260 | 227 |
|
Brett Frieman
75 W Front St |
$112.90 | 267 | 266 |
|
Thomas Theocharides
194 State Route 35 |
$45.83 | 361 | 312 |
|
Dominick A. Grosso
5 Globe Ct |
$48.76 | 434 | 392 |
|
Middletown Medical, Llc
600 Hwy 35 |
$68.31 | 448 | 392 |
|
Kelsey Lynn Donlon
1 Riverview Plz |
$32.39 | 477 | 467 |
|
Raghu Kunamneni
1 Riverview Plz |
$51.97 | 480 | 412 |
|
Vishwala Kasbekar
46 Newman Springs Rd E Ste D |
$56.21 | 482 | 467 |
|
Samantha Dicken
7 Hendrickson Ave |
$59.58 | 527 | 478 |
|
Lakshmi Manisha Mummadisingu
130 Maple Ave Ste 3B |
$25.88 | 575 | 495 |
|
Cpc Behavioral Healthcare
270 Highway 35 |
$104.64 | 692 | 562 |
|
Marie A. Garon
52 Reckless Pl |
$1.35 | 724 | 560 |
|
Brittany Mauro
46 Newman Springs Rd E |
$41.42 | 785 | 774 |
|
Peter John Litwin
331 Newman Springs Rd |
$42.17 | 839 | 682 |
|
Christina Maria Picciano
1 Riverview Plz |
$40.95 | 980 | 935 |
|
Meridian Hospitals Corporation
1 Riverview Plz |
$53.75 | 989 | 872 |
|
Priya Sai
370 Hwy 35 |
$60.13 | 1,058 | 1,015 |
|
Angela Scevola-Dattoli
176 Riverside Ave |
$17.14 | 1,224 | 1,136 |
|
Emily Abra Eyerkuss
231 Maple Ave |
$57.11 | 1,472 | 1,443 |
|
Michael Markoff
529 Highway 35 |
$67.58 | 1,647 | 1,523 |
|
Buvaneswari Sridar
27 Pinckney Rd |
$63.29 | 1,774 | 1,616 |
|
Cecelia M Smith
1 Riverview Plz |
$12.53 | 1,878 | 1,820 |
|
Mia Ortega
7 Globe Ct |
$3.25 | 1,921 | 961 |
|
Joel Barry Edman
529 State Route 35 |
$59.96 | 2,018 | 1,704 |
|
Alison Maria Pingitore
140 Water St |
$29.68 | 2,656 | 2,612 |
|
Tony Dicken
10 Drs James Parker Blvd Ste 105 |
$64.78 | 2,704 | 2,388 |
|
Cpc Behavioral Healthcare, Inc
270 State Route 35 |
$49.75 | 3,162 | 3,053 |
|
Carol Andrea Laurette Penn
72 Harrison Ave |
$13.15 | 3,613 | 3,303 |
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