Based on public Medicaid payment data.

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
Devraj Lahiri 97 Cedar Grove Ln	$27.58	13	12
Matthew Mcdonnell 2 Worlds Fair Dr	$88.88	14	14
Belinda Kpeli 454 Elizabeth Ave Ste 210	$91.87	14	13
Robert P Fein 75 Veronica Ave	$16.67	15	13
Sudha Nahar 17 Clyde Rd	$26.16	15	13
Monika Potocki 59 Veronica Ave	$32.28	21	21
Capitol Care, Inc. 100 Randolph Rd	$81.60	24	22
Eldon Thompson 1527 Nj-27 #100	$20.50	30	29
Steven Richard Delmaestro 454 Elizabeth Ave	$97.20	30	27
Yashfi Rahman 1075 Easton Ave	$47.12	34	33
Sathesh Porur Evalappan 1553 State Route 27 Ste 2100	$18.35	36	32
Rochelle Volosov 1527 State Route 27	$40.04	37	29
Alicia Jinyoung Kim 51 Veronica Ave	$1.66	41	30
Yasunori Nagahama 379 Campus Dr Fl 4	$186.67	46	46
Franklin Gastroenterology 1283 State Route 27	$0.00	49	40
Joseph Manuel Alvaro 7 Cedar Grove Ln	$95.62	54	47
Euton Michael Laing 1303 State Route 27 Ste 2	$53.71	56	52
Xinye Wu 49 Veronica Ave	$7.28	58	43
Mei-Hui Wang 1 Clyde Rd	$86.41	59	58
Annecie Barriere 19B Dellwood Ln	$60.05	64	46
Megan Leser 888 Easton Ave	$0.00	80	78
Jayanthi Periasamy 100 Davidson Ave Ste 203	$1.97	83	54
Patricia Mullane Walsh 84 Veronica Ave	$93.47	87	83
Bahar Fatemeh Firoz 1 Worlds Fair Dr Ste 2400	$172.28	96	90
Anil Nanda 379 Campus Dr Fl 4	$45.57	115	102
Tamanna Yussouf Salim 17 Lenape Dr	$50.78	116	106
Harvey Richard Jacobs 25 Clyde Road	$36.97	127	117
Craig Lampert 75 Veronica Ave	$24.72	128	108
Seema P Dixit 51 Veronica Ave	$2.21	129	121
Donna Catanzaro 454 Elizabeth Ave	$72.62	129	121
Steven Charles San Filippo 1303 State Route 27	$63.77	137	118
Sachin K Shah 1527 Route 27	$0.23	205	132
Dinesh K Singal 51 Veronica Ave	$19.52	208	193
Moti L Tiku 1553 Hwy 27 Suite 2300	$53.82	228	223
Suzanne Margaret Mone 379 Campus Dr Fl 4	$96.44	236	231
Jennifer C Wellings 199 Pierce St Apt 422	$34.85	252	239
Chikezie Joachim Aguh 605 Franklin Blvd	$83.89	289	277
Marykutty Kuriakose 1174 Easton Ave	$57.47	306	278
Vallur Thirumavalavan 1553 State Route 27	$40.34	384	304
Fariha Saleem 29 Clyde Rd	$80.49	392	362
David A Richards 75 Veronica Ave	$34.19	393	330
Rose Ann Sameh Ghabour 84 Veronica Ave Ste B104	$81.38	409	392
Jade Gittens-Hebbon 37 Clyde Rd Ste 103	$55.31	436	307
Penelope J Cohen 1527 Route 27	$97.54	454	432
Heath Antoine 81 Veronica Ave Ste 205	$66.68	459	440
Kira Moore Saint Peters Physician Associates	$37.67	468	363
Gabrielle Frances Ambrosio 147 Pierce St	$27.94	506	461
Rey Taneo Villanobos 9 Clyde Rd Ste 102	$54.35	589	582
Joshua H Stone 35 Clyde Rd	$183.16	599	599
Sachinkumar M Patel 1323 State Route 27 Ste G	$24.65	604	453

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.

Average Medicaid Office Visit Payments in Somerset, NJ: $56.75

Providers Offering Office Visit in Somerset, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Houston, TX

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Other Procedures in Somerset, NJ

Home Health Visit

Physical Therapy

Psychiatric Evaluation

Dental Cleaning & Exam

Eye Exam

Emergency Room Visit

Vaccines & Immunizations

Blood Work & Lab Tests