Average Medicaid Office Visit Payments in Roselle Park, NJ: $53.40
Avg. Paid
$53.40
Range
$0.00 – $85.38
Total Claims
21,468
Providers
18
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 Roselle Park, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marina Velickovic
316 W Westfield Ave |
$77.97 | 4,219 | 4,057 |
|
Leonardo Saraceno
318 Chestnut St |
$60.40 | 3,818 | 3,478 |
|
Emanuel Corbo
443 E Westfield Ave |
$34.97 | 3,802 | 3,361 |
|
Crescent Medical Group Pc
141 Chestnut St Ste 202 |
$54.10 | 2,584 | 2,404 |
|
Lorna B Bayes
236 E. Westfield Ave. |
$30.30 | 2,555 | 2,408 |
|
Josephine Caggia
744 Galloping Hill Rd |
$59.21 | 868 | 814 |
|
Robert B Solomon
744 Galloping Hill Rd |
$70.98 | 832 | 783 |
|
Richard Edwin Glass
236 E Westfield Ave |
$45.54 | 592 | 568 |
|
Michele Morandi
744 Galloping Hill Rd |
$66.37 | 540 | 516 |
|
Ricardo E Rodriguez
318 E Westfield Ave |
$5.72 | 434 | 410 |
|
Pedro Evelio Cordero
236 E Westfield Ave |
$34.14 | 349 | 325 |
|
Toru Endo
318 Chestnut St |
$83.52 | 345 | 321 |
|
Oscar Castillo
181 W Roselle Ave |
$0.00 | 223 | 185 |
|
Gerald West
505 Chestnut Street |
$76.01 | 212 | 157 |
|
Adina N Alexescu
443 E Westfield Ave |
$43.98 | 38 | 38 |
|
Park Pediatrics, Pa
443 E Westfield Ave |
$34.34 | 28 | 27 |
|
Louis J Conte
505 Chestnut St |
$28.83 | 16 | 12 |
|
Richard C Scharf
505 Chestnut St |
$85.38 | 13 | 12 |
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 Roselle Park, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Roselle Park, NJ is $53.40 per claim, based on 21,468 claims from 18 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 Roselle Park, NJ?
There are 18 Medicaid providers offering Office Visit related services in Roselle Park, NJ according to public payment data.
What is the price range for Office Visit in Roselle Park, NJ?
Medicaid reimbursement for Office Visit in Roselle Park, NJ ranges from $0.00 to $85.38 per claim, with an average of $53.40. 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 Roselle Park, NJ
Dental Cleaning & Exam
Avg $34.21
32,575 claims
Nursing Facility Care
Avg $23.24
16,791 claims
Chiropractic Care
Avg $7.40
12,924 claims
Home Health Visit
Avg $53.81
10,900 claims
Eye Exam
Avg $15.13
8,318 claims
Physical Therapy
Avg $2.52
7,752 claims
Podiatry (Foot Care)
Avg $1.80
6,367 claims
Vaccines & Immunizations
Avg $17.53
3,774 claims