Average Medicaid Office Visit Payments in Somerset, NJ: $56.75
Avg. Paid
$56.75
Range
$0.00 – $186.67
Total Claims
214,420
Providers
102
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 Somerset, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Homer L Nelson
2 Kasey Ct |
$46.91 | 17,458 | 12,084 |
|
Richard C Angrist
1527 State Route 27 |
$47.89 | 12,854 | 12,413 |
|
Omar Noor
1 Worlds Fair Dr |
$69.37 | 11,617 | 9,117 |
|
Barbara Anne Etheridge
27 Clyde Rd Ste 102 |
$45.57 | 9,301 | 7,900 |
|
Jersey Behavioral Care Llc
220 Davidson Ave Ste 306 |
$99.80 | 9,053 | 7,004 |
|
Stress Care Of New Jersey, Llc
61 Veronica Ave |
$95.16 | 8,196 | 6,864 |
|
Aziz Sadiq
120 Cedar Grove Lane |
$17.68 | 7,874 | 6,878 |
|
Azuka Ofodike
220 Davidson Ave Ste 306 |
$32.46 | 7,854 | 7,063 |
|
Mohammad Azeem Bhatti
1205 Easton Ave |
$36.25 | 7,373 | 5,952 |
|
Robert Martin Schaefer
680 Easton Ave Ste 2 |
$45.47 | 5,916 | 4,993 |
|
Prakasham Parsi
1323 State Route 27 Unit C |
$36.60 | 5,893 | 5,158 |
|
Irving Henry Kaufman
1303 State Route 27 |
$28.63 | 5,732 | 4,370 |
|
Nazia Rizvi
1543 State Route 27 |
$31.76 | 5,654 | 4,613 |
|
Manish Gopal
49 Veronica Ave |
$52.60 | 5,459 | 4,802 |
|
La-Toya Juanita Newsome
14 Mariano Ct |
$14.41 | 4,827 | 4,215 |
|
Cindy Wassef
1 Worlds Fair Dr Ste 2400 |
$165.13 | 4,584 | 4,475 |
|
Mukesh K Singh
81 Veronica Ave Ste 207 |
$26.78 | 4,259 | 3,399 |
|
Prajakta V Avhad
51 Veronica Ave |
$47.32 | 4,111 | 3,831 |
|
Tasneem F Shamim
1283 Route 27 |
$55.64 | 4,066 | 3,878 |
|
Dvinder Kaur
49 Veronica Ave Ste 201 |
$33.83 | 3,995 | 3,649 |
|
Catvan Le
33 Clyde Rd |
$72.56 | 3,547 | 3,394 |
|
Michael Seth Goldrich
1543 Route 27 |
$82.99 | 3,531 | 3,357 |
|
Felix Urman
75 Veronica Ave |
$115.05 | 3,452 | 2,015 |
|
Amy S Pappert
1 Worlds Fair Dr |
$155.87 | 3,278 | 3,156 |
|
Jonathan George Tardos
75 Veronica Ave |
$33.28 | 3,086 | 2,862 |
|
Emanuel Lerner
1 Worlds Fair Dr |
$94.88 | 3,057 | 2,977 |
|
Aparna Arun
1 Worlds Fair Dr |
$8.31 | 2,998 | 2,003 |
|
Sadhana Pari
49 Veronica Ave |
$42.56 | 2,658 | 2,473 |
|
Elsie Roca-Piccini
1 Worlds Fair Dr |
$107.78 | 2,453 | 2,363 |
|
Shoshana Zitter
1 Worlds Fair Dr |
$117.86 | 2,171 | 2,097 |
|
Esha Shah
1 Worlds Fair Dr |
$117.59 | 2,128 | 1,919 |
|
Syed Qaiser Shamim
1283 State Route 27 |
$37.46 | 2,091 | 1,956 |
|
Andrew K. Ankamah
New Jersey Sports & Spine Medicine, Pc |
$36.96 | 1,878 | 1,708 |
|
Manju Misra
1553 State Route 27 Ste 2500 |
$58.53 | 1,817 | 1,484 |
|
Jayantiilal P Dadhania
1303 Route 27 |
$73.93 | 1,675 | 1,486 |
|
Jawaun Wynn
178 Kingsberry Dr |
$44.83 | 1,640 | 1,516 |
|
Noel Ilogu
33 Clyde Rd |
$38.13 | 1,594 | 1,137 |
|
Art Heinrich
6 Hawthorne Dr |
$53.59 | 1,571 | 1,395 |
|
Himanshu Patel
1527 State Route 27 |
$52.91 | 1,504 | 1,234 |
|
Sameer P Desai
75 Veronica Ave |
$23.00 | 1,437 | 1,272 |
|
Demetria Pennington
1553 State Route 27 |
$16.00 | 1,360 | 1,293 |
|
Yumi Kim
107 Cedar Grove Ln |
$95.56 | 1,217 | 1,152 |
|
Arvind K Das
81 Veronica Ave |
$29.10 | 1,156 | 927 |
|
Siddharth Kudav
81 Veronica Ave Ste 205 |
$90.48 | 981 | 905 |
|
Khadija Fofana
122 Girard Ave |
$11.93 | 948 | 886 |
|
Princess Maria Curtis
1 Worlds Fair Dr Ste 2400 |
$62.14 | 917 | 902 |
|
Anthony C Monteiro
379 Campus Dr Fl 4 |
$34.11 | 904 | 740 |
|
Elizabeth Ifeyinwa Ilukwe
37 Gifford Rd |
$29.41 | 856 | 629 |
|
Lawrence D Davanzo
49 Veronica Ave |
$31.57 | 854 | 763 |
|
Marcus Peter Porcelli
75 Veronica Ave |
$18.55 | 801 | 716 |
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 Somerset, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Somerset, NJ is $56.75 per claim, based on 214,420 claims from 102 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 Somerset, NJ?
There are 102 Medicaid providers offering Office Visit related services in Somerset, NJ according to public payment data.
What is the price range for Office Visit in Somerset, NJ?
Medicaid reimbursement for Office Visit in Somerset, NJ ranges from $0.00 to $186.67 per claim, with an average of $56.75. 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 Somerset, NJ
Home Health Visit
Avg $133.06
104,520 claims
Physical Therapy
Avg $7.23
90,947 claims
Psychiatric Evaluation
Avg $112.85
85,116 claims
Dental Cleaning & Exam
Avg $26.78
48,993 claims
Eye Exam
Avg $29.17
34,349 claims
Emergency Room Visit
Avg $68.00
30,793 claims
Vaccines & Immunizations
Avg $18.04
25,975 claims
Blood Work & Lab Tests
Avg $5.63
20,964 claims