Average Medicaid Office Visit Payments in Rutherford, NJ: $53.24
Avg. Paid
$53.24
Range
$2.01 – $150.83
Total Claims
55,451
Providers
39
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 Rutherford, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jaroslaw S Pondo
71 Union Ave |
$37.77 | 9,718 | 7,966 |
|
Barbara Katarzyna Pieczuro
17 Sylvan St |
$38.67 | 7,500 | 6,459 |
|
Amit Tailor
455 Union Ave |
$28.37 | 4,985 | 4,484 |
|
Aanand Navin Geria
75 Orient Way Ste 204 |
$81.70 | 3,271 | 1,565 |
|
Sandra M. Esteves
338 Union Ave |
$39.95 | 3,206 | 3,048 |
|
Jasmin Harounian
201 Route 17 Fl 1202 |
$74.59 | 3,100 | 2,846 |
|
Christopher Hauglid
201 Route 17 Fl 1202 |
$71.58 | 2,489 | 2,309 |
|
Padma Chava
128 Union Ave |
$12.32 | 2,290 | 1,952 |
|
Brett Bielory
201 17 North |
$70.12 | 2,103 | 1,883 |
|
Jennifer Hashem
201 Route 17 Fl 11 |
$69.81 | 1,870 | 1,854 |
|
Grace Catena
71 Union Ave Ste 108 |
$84.62 | 1,752 | 1,653 |
|
Stefano M Stella
71 Union Ave |
$44.86 | 1,481 | 1,259 |
|
Kenneth Zierer
71 Union Ave Ste 201 |
$63.20 | 1,376 | 1,288 |
|
Vittorio Mena
31 Park Ave |
$24.81 | 1,352 | 1,246 |
|
Mostafa Aly El Khashab
201 Route 17 |
$138.34 | 1,236 | 1,174 |
|
Adriana Girard
71 Union Ave Ste 108 |
$81.03 | 1,199 | 1,120 |
|
Oren Feder
201 Route 17 |
$99.97 | 857 | 832 |
|
Arno H Fried
201 Route 17 North |
$150.83 | 740 | 688 |
|
Theodore Oswald Witter
17 Sylvan St Ste 201 |
$42.39 | 636 | 565 |
|
Steven N. Poling
240 Park Ave |
$35.34 | 607 | 484 |
|
Wayne J Altman
85 Orient Way |
$86.65 | 574 | 551 |
|
Falguni Patel
201 Route 17 Fl 1202 |
$62.38 | 480 | 422 |
|
Christina Marie Onorato
185 Vanderburgh Ave |
$71.01 | 472 | 448 |
|
Kanchana Balasubramanian
6 Walter Ct |
$47.68 | 465 | 420 |
|
Angelo Anthony Caprio
71 Union Ave Ste 210 |
$2.51 | 365 | 200 |
|
John J Digioia
240 Park Ave |
$25.31 | 294 | 267 |
|
George J Lubertazzo
39 Meadow Rd |
$2.01 | 177 | 163 |
|
Consetta Mae Cheatam
22 Sylvan St Ste 300 |
$70.57 | 173 | 164 |
|
Jin S Lee
201 Route 17 Fl 11 |
$30.47 | 156 | 135 |
|
Nicole Mendia
71 Union Ave |
$41.14 | 123 | 85 |
|
Maria Elizabeth Strangie
75 Orient Way |
$100.71 | 95 | 93 |
|
Brian Lilien
31 Park Ave |
$20.55 | 88 | 68 |
|
Divina Elizabeth Lopez
338 Union Ave |
$69.45 | 80 | 80 |
|
Marieanne Giardina-Beckett
71 Union Ave |
$68.22 | 39 | 38 |
|
Meleine Michelle Martinez-Sosa
201 State Rt 17 |
$142.73 | 31 | 24 |
|
Stephanie Acevedo
201 Route 17 Fl 1202 |
$41.30 | 31 | 31 |
|
Navjot Khinda
221 Park Ave |
$50.27 | 14 | 13 |
|
Renata V Weber
201 Route 17 |
$37.74 | 14 | 14 |
|
Suzanne Valerie Cohen
75 Orient Way Ste 204 |
$66.60 | 12 | 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 Rutherford, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rutherford, NJ is $53.24 per claim, based on 55,451 claims from 39 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 Rutherford, NJ?
There are 39 Medicaid providers offering Office Visit related services in Rutherford, NJ according to public payment data.
What is the price range for Office Visit in Rutherford, NJ?
Medicaid reimbursement for Office Visit in Rutherford, NJ ranges from $2.01 to $150.83 per claim, with an average of $53.24. 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 Rutherford, NJ
Home Health Visit
Avg $112.12
123,375 claims
Non-Emergency Medical Transportation
Avg $70.61
107,829 claims
Eye Exam
Avg $13.96
46,536 claims
Ambulance Transport
Avg $143.92
31,071 claims
Chiropractic Care
Avg $21.44
14,924 claims
Dental Cleaning & Exam
Avg $28.44
8,308 claims
MRI (Magnetic Resonance Imaging)
Avg $374.45
5,879 claims
Vaccines & Immunizations
Avg $15.62
4,110 claims