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Based on public Medicaid payment data.

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

Other Procedures in Rutherford, NJ