Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Somerville, NJ: $46.01

Avg. Paid

$46.01

Range

$0.00 – $131.96

Total Claims

55,224

Providers

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 Somerville, NJ

Provider	Avg. Paid	Claims	Patients
Zufall Health Center, Inc 71 4Th St	$0.00	14	13
Yuvneet Kaur Brar 110 Rehill Ave	$30.00	15	15
Veniamin Mayevskiy 110 Rehill Ave	$24.99	23	13
Rhea Thompson-Sitney 110 Rehill Ave	$131.96	30	30
Robert Jason Hamilton 315 E Main St	$38.91	63	50
Aysha Azam 110 Rehill Ave	$23.46	68	66
Guided Life Structures 50 Division St Fl 3	$112.82	71	49
Verity Kate Johnson 110 Rehill Ave	$8.28	72	68
Alicia Kevette Rogers 128 Rehill Ave Ste 1100	$18.04	78	73
Jeffrey S Unger 286 E Main St	$37.54	86	76
Henry Kim 110 Rehill Ave	$120.16	90	89
Maria T Federico 30 Rehill Ave Ste 2500	$51.55	94	81
Sean Patrick Riley 128 Rehill Ave Ste 1100	$40.66	109	107
Mary Cuellari Molisso 110 Rehill Ave	$43.19	111	93
Melissa Ann Snow 71 4Th St	$13.49	115	109
Melissa Rivers-Richardson 110 Rehill Ave	$47.19	149	141
Sunu Alexander 110 Rehill Ave	$125.16	175	164
Zhanna Ivanov 110 Rehill Ave	$5.98	183	183
Kathleen Clare Toomey 30 Rehill Ave	$64.46	194	152
Neel Praful Shah 453 William St	$47.99	199	173
Christa M. Wightman 110 Rehill Ave	$93.90	219	214
Sameh Abdelaal 128 Rehill Ave Ste 1100	$33.24	247	210
Logithya Subendra-Konini 110 Rehill Ave	$36.60	333	321
Ali Arshad 110 Rehill Ave	$43.84	381	367
Samret Olivette Perry 110 Rehill Ave	$4.95	403	353
Shunli Hou 110 Rehill Ave	$76.89	486	414
Margaret Guyton 110 Rehill Ave	$48.07	629	609
Nimer Mian 310 E Main St	$62.30	664	574
Benjamin Hunter 110 Rehill Ave	$58.77	690	646
Eshan Patel 30 Rehill Ave Ste 2500	$58.92	884	777
Somerset Treatment Services, Inc. 118 West End Ave	$50.70	892	747
Ahmed M Abdel-Megid 56 Union Ave	$88.50	965	866
Laura A Micek-Galinat 110 Rehill Ave	$52.18	973	924
Nancy Patel 46 E Main St	$34.75	1,124	1,073
Jasmeen Kaur 110 Rehill Ave	$61.65	1,140	1,066
Robert S Wiesen 286 E Main St	$55.47	1,187	1,140
Bilal Mian 310 E Main St	$61.28	1,220	1,062
Stella Opara 110 Rehill Ave Fl 4	$33.98	1,456	1,242
John Bucek 110 Rehill Ave	$50.64	1,560	1,440
Fern Elyse Kopp Mulberg 110 Rehill Ave	$33.68	2,013	1,887
Doreen F. Sperber-Weiss 110 Rehill Ave	$35.50	2,172	1,255
Joanne Katherine Lundholm 110 Rehill Ave	$45.81	2,242	2,083
Frances Wu 110 Rehill Ave	$38.86	2,677	2,530
Lalitha Therese Waldron Hansch 110 Rehill Ave	$61.37	2,712	2,538
Brandis Belt 110 Rehill Ave	$38.32	2,923	2,759
Robert Wood Johnson University Hospital Inc 100 Rehill Ave	$16.41	4,204	3,006
Amanda Marino 110 Rehill Ave	$48.71	18,889	17,309

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 Somerville, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Somerville, NJ is $46.01 per claim, based on 55,224 claims from 47 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 Somerville, NJ?

There are 47 Medicaid providers offering Office Visit related services in Somerville, NJ according to public payment data.

What is the price range for Office Visit in Somerville, NJ?

Medicaid reimbursement for Office Visit in Somerville, NJ ranges from $0.00 to $131.96 per claim, with an average of $46.01. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Somerville, NJ: $46.01

Providers Offering Office Visit in Somerville, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Somerville, NJ

Blood Work & Lab Tests

Emergency Room Visit

Non-Emergency Medical Transportation

Psychiatric Evaluation

Physical Therapy

Ambulance Transport

Urinalysis & Urine Tests

X-Ray