Average Medicaid Office Visit Payments in South Orange, NJ: $43.53
Avg. Paid
$43.53
Range
$2.62 – $119.43
Total Claims
86,688
Providers
24
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 South Orange, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nneka Chikodili Oraedu
211 Irvington Ave |
$41.24 | 20,522 | 19,111 |
|
Ramesh L Patel
707 So Orange Ave |
$30.58 | 20,059 | 18,008 |
|
Anthony Christopher Albanese
20 Valley St |
$22.26 | 8,506 | 7,407 |
|
Debra N Goldson-Prophete
20 Valley Road |
$50.34 | 7,511 | 6,364 |
|
Catherine Trossello
14 Vose Avenue |
$82.04 | 4,675 | 2,042 |
|
Michael T Dresdner
106 Valley St |
$75.55 | 4,570 | 3,263 |
|
Katheryn Grajales
400 S Orange Ave |
$17.67 | 3,673 | 3,401 |
|
Sulakshana Gandhi
707 S Orange Ave |
$34.58 | 3,117 | 2,889 |
|
Cynthia A Galeota
110 Rynda Rd |
$40.45 | 2,987 | 2,151 |
|
Patrick St. George Anderson
120 Irvington Ave |
$95.34 | 2,260 | 2,088 |
|
Youn Hee Cho
7 Vose Ave |
$48.04 | 2,144 | 1,799 |
|
Pooja Malhotra
707 S Orange Ave |
$51.80 | 1,872 | 1,588 |
|
Sejal Jain
7 Vose Ave |
$71.65 | 1,648 | 1,413 |
|
Beth L Sosin
South Orange Ob/Gyn & Infertility Group |
$83.10 | 1,075 | 840 |
|
Bernard C Spier
71 2Nd St |
$37.10 | 790 | 768 |
|
Dinesh R Patel
707 S Orange Ave |
$27.72 | 507 | 450 |
|
Crystal L Jackson
61 1St St |
$93.69 | 386 | 377 |
|
Neil Ellis Goldberg
228 S Orange Ave |
$27.93 | 80 | 73 |
|
Charles J Crane
71 2Nd St |
$49.33 | 75 | 74 |
|
Brittany Baptiste
14 Vose Ave |
$81.40 | 64 | 62 |
|
Javier Ferrandiz
199 N Wyoming Ave |
$119.43 | 54 | 54 |
|
Mary Daisy Cantey Md Carolina Medical Associates Llc
312 S Orange Ave |
$43.53 | 52 | 52 |
|
Champaklal K Gandhi
707 S Orange Ave |
$41.95 | 48 | 42 |
|
Diane Lynch
400 S Orange Ave |
$2.62 | 13 | 13 |
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 South Orange, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Orange, NJ is $43.53 per claim, based on 86,688 claims from 24 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 South Orange, NJ?
There are 24 Medicaid providers offering Office Visit related services in South Orange, NJ according to public payment data.
What is the price range for Office Visit in South Orange, NJ?
Medicaid reimbursement for Office Visit in South Orange, NJ ranges from $2.62 to $119.43 per claim, with an average of $43.53. 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 South Orange, NJ
Home Health Visit
Avg $80.38
357,038 claims
Vaccines & Immunizations
Avg $15.24
37,891 claims
Behavioral & Mental Health Therapy
Avg $74.35
27,658 claims
Eye Exam
Avg $25.83
20,989 claims
Blood Work & Lab Tests
Avg $5.90
9,784 claims
Psychiatric Evaluation
Avg $75.45
5,219 claims
Dialysis
Avg $62.13
5,189 claims
Hearing Test (Audiometry)
Avg $8.62
5,181 claims