Average Medicaid Office Visit Payments in Scotch Plains, NJ: $56.62
Avg. Paid
$56.62
Range
$8.75 – $80.20
Total Claims
15,206
Providers
13
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 Scotch Plains, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark Y. Kharkover
1608 E 2Nd St |
$74.58 | 5,635 | 4,992 |
|
Josephine Simpson
1625 Saint Ann St |
$55.94 | 2,679 | 2,509 |
|
David Adam Loewinger
7 Ditzel Farm Rd |
$15.66 | 1,593 | 1,423 |
|
Rehman Madraswala
551 Park Ave Ste 3C |
$55.57 | 1,512 | 1,490 |
|
Ismail A Alhamrawy
1814 East 2Nd Street |
$57.61 | 1,239 | 1,066 |
|
Edred V Shen
2253 South Ave |
$38.23 | 685 | 655 |
|
Judith Llenos Cebedo
1517 Front St |
$28.04 | 531 | 465 |
|
Alyssa Kate Hernandez
1801 E 2Nd St |
$53.35 | 455 | 429 |
|
Payal Joshi
1801 E 2Nd St |
$80.20 | 436 | 391 |
|
Irina Kravetskaya
12 Happel Ct. |
$8.75 | 215 | 187 |
|
Lara Kozin
2265 South Ave |
$29.78 | 132 | 108 |
|
Marsha K Cill
1610 Raritan Rd |
$32.10 | 52 | 52 |
|
Melvin Rubenstein
1801 E 2Nd St |
$64.74 | 42 | 37 |
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 Scotch Plains, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Scotch Plains, NJ is $56.62 per claim, based on 15,206 claims from 13 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 Scotch Plains, NJ?
There are 13 Medicaid providers offering Office Visit related services in Scotch Plains, NJ according to public payment data.
What is the price range for Office Visit in Scotch Plains, NJ?
Medicaid reimbursement for Office Visit in Scotch Plains, NJ ranges from $8.75 to $80.20 per claim, with an average of $56.62. 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 Scotch Plains, NJ
Behavioral & Mental Health Therapy
Avg $191.56
74,199 claims
Psychiatric Evaluation
Avg $98.19
48,760 claims
Vaccines & Immunizations
Avg $24.02
3,202 claims
Non-Emergency Medical Transportation
Avg $35.61
2,894 claims
Speech Therapy
Avg $24.79
2,807 claims
Eye Exam
Avg $17.02
2,555 claims
Nursing Facility Care
Avg $10.11
2,238 claims
Physical Therapy
Avg $9.60
2,013 claims