Average Medicaid Office Visit Payments in Riverdale, NJ: $64.94
Avg. Paid
$64.94
Range
$27.30 – $85.30
Total Claims
14,002
Providers
10
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 Riverdale, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey G Weiss
44 State Rt 23 |
$74.23 | 6,936 | 6,408 |
|
Edward Jung Kyun Lee
51 Route 23 South |
$46.11 | 3,064 | 2,719 |
|
Katie Bogusz
44 State Rt 23 |
$53.66 | 989 | 909 |
|
Melissa Sabari
44 Route 23 North |
$80.38 | 979 | 926 |
|
Stephanie Smith
72 Hamburg Tpke Ste B |
$44.58 | 603 | 554 |
|
Lauren Dietz
44 Route 23 North |
$74.36 | 587 | 583 |
|
Bharat Dasani
44 Route 23 North |
$73.19 | 456 | 429 |
|
Andrew M Bernstein
18 Newark Pompton Tpke |
$27.30 | 219 | 155 |
|
Pamela Baladi
44 Nj-23 |
$85.30 | 116 | 108 |
|
Kristina Conklin
72 Hamburg Tpke |
$29.96 | 53 | 45 |
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 Riverdale, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Riverdale, NJ is $64.94 per claim, based on 14,002 claims from 10 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 Riverdale, NJ?
There are 10 Medicaid providers offering Office Visit related services in Riverdale, NJ according to public payment data.
What is the price range for Office Visit in Riverdale, NJ?
Medicaid reimbursement for Office Visit in Riverdale, NJ ranges from $27.30 to $85.30 per claim, with an average of $64.94. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Riverdale, NJ
Dental Cleaning & Exam
Avg $30.28
31,458 claims
Dental Filling
Avg $49.52
7,346 claims
Allergy Testing
Avg $125.40
3,334 claims
Pulmonary Function Test
Avg $26.79
1,822 claims
Dental Crown
Avg $572.92
1,216 claims
Blood Work & Lab Tests
Avg $2.33
1,174 claims
Hearing Test (Audiometry)
Avg $16.62
293 claims
Root Canal
Avg $501.97
259 claims