Average Medicaid Office Visit Payments in Rio Grande, NJ: $63.16
Avg. Paid
$63.16
Range
$28.34 – $119.34
Total Claims
38,418
Providers
11
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 Rio Grande, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marilee Olson
4 Willow Dr |
$28.34 | 14,563 | 12,147 |
|
Jason Christopher Graham
1304 Route Route 47 South |
$99.35 | 11,101 | 9,156 |
|
Cooperative Care Partnership, Inc
1076 Route 47 S |
$118.15 | 3,751 | 3,283 |
|
Stephanie Laverne Doyle
4011 Route 9 South |
$53.00 | 2,516 | 2,350 |
|
Denay L Marino
4011 Route 9 S |
$56.16 | 1,797 | 1,728 |
|
Avril Jonassaint-Cathie
4011 Route 9 S Ste 201 |
$51.31 | 1,325 | 1,194 |
|
Jacqueline Marie Russell
4011 Route 9 S |
$49.71 | 1,139 | 1,068 |
|
Victoria Summer Rose
1613 Route 47 Unit G |
$35.04 | 1,045 | 946 |
|
Elise Marie Rohana
4011 Route 9 S |
$40.01 | 717 | 650 |
|
Jack Facciolo
1 Secluded Ln |
$119.34 | 284 | 255 |
|
Alecia Fox
4011 Route 9 S Ste 201 |
$53.99 | 180 | 164 |
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 Rio Grande, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rio Grande, NJ is $63.16 per claim, based on 38,418 claims from 11 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 Rio Grande, NJ?
There are 11 Medicaid providers offering Office Visit related services in Rio Grande, NJ according to public payment data.
What is the price range for Office Visit in Rio Grande, NJ?
Medicaid reimbursement for Office Visit in Rio Grande, NJ ranges from $28.34 to $119.34 per claim, with an average of $63.16. 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 Rio Grande, NJ
Psychiatric Evaluation
Avg $87.34
26,156 claims
Substance Abuse Treatment
Avg $111.57
13,569 claims
X-Ray
Avg $3.97
9,715 claims
Behavioral & Mental Health Therapy
Avg $198.19
6,259 claims
Dental Cleaning & Exam
Avg $27.92
3,971 claims
CT Scan (Computed Tomography)
Avg $24.33
3,383 claims
Blood Work & Lab Tests
Avg $4.07
2,603 claims
Nursing Facility Care
Avg $2.27
860 claims