Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Rockaway, NJ: $50.77

Avg. Paid

$50.77

Range

$6.13 – $120.49

Total Claims

44,167

Providers

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 Rockaway, NJ

Provider	Avg. Paid	Claims	Patients
Ashley L Falis 35 Green Pond Rd	$41.85	5,751	5,582
David Saul Levine 333 Mount Hope Ave Ste 320	$54.35	4,786	4,249
Kathleen Marie Hoey 333 Mount Hope Ave	$67.71	3,617	3,401
Olympia Margaret Sophias 333 Mount Hope Ave Ste 120	$58.83	2,905	2,588
Aadya Sharma 333 Mount Hope Ave	$62.97	2,338	2,079
Andrew T Moorhouse 35 Green Pond Rd	$39.81	2,276	2,210
Beena G. Mahtani 35 Green Pond Rd Ste C	$35.12	2,196	2,120
Christopher J. Heitzman 333 Mount Hope Ave	$65.02	2,021	1,856
Irvin M Bonder 333 Mount Hope Ave	$33.72	1,581	1,356
Deeyana Dehkan 346 Us Highway 46	$79.91	1,564	1,422
Alan Vincent Puzino 333 Mount Hope Ave	$55.88	1,398	1,247
Ian Brodrick 333 Mount Hope Ave	$56.60	1,281	1,147
Adam Jay Berman 333 Mount Hope Ave	$32.91	1,240	1,049
Kamlesh M Shah 333 Mount Hope Ave Ste 350	$92.48	1,224	1,195
Fuad Bashjawish 346 Us Highway 46	$33.00	1,188	881
Michael Barth 333 Mount Hope Ave	$54.01	1,131	1,036
Christopher M Horn 66 East Main Street	$6.13	1,124	975
Kristofer K Steingall 333 Mount Hope Ave Ste 320	$34.46	1,018	936
Madhavi L Annavajjula 333 Mount Hope Ave	$54.53	895	840
Saman Moazami 333 Mount Hope Ave	$36.68	851	726
Erika A Peereboom 35 Green Pond Rd	$35.21	780	743
Pamela Rita Wohlgemuth 20 Mohawk Ave	$27.23	593	549
Lawrence Friedman 333 Mount Hope Ave	$36.86	552	454
Otter Quaking Aspen 35 Green Pond Rd	$49.06	388	361
Oluwatoyin T Fapohunda-Adekola 333 Mount Hope Ave Ste 120	$82.52	355	347
Kylie Ann Jimenez 333 Mount Hope Ave	$36.25	323	286
Michael Lawrence Feld 126 W Main St	$49.12	227	220
Christopher Tait 333 Mount Hope Ave Ste 350	$63.52	211	182
Labrini Stathopoulos 3 Carleys Way	$76.34	168	163
Robert Feld 126 W Main St	$36.54	79	78
Kavitha Bathini 607 Parkview Ln	$120.49	71	44
Shivangi Patel 333 Mount Hope Ave Ste 220/230	$16.61	20	14
Center For Family Services, Inc. 20 Vanderhoof Ave	$76.98	15	14

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 Rockaway, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rockaway, NJ is $50.77 per claim, based on 44,167 claims from 33 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 Rockaway, NJ?

There are 33 Medicaid providers offering Office Visit related services in Rockaway, NJ according to public payment data.

What is the price range for Office Visit in Rockaway, NJ?

Medicaid reimbursement for Office Visit in Rockaway, NJ ranges from $6.13 to $120.49 per claim, with an average of $50.77. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Rockaway, NJ: $50.77

Providers Offering Office Visit in Rockaway, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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