Average Medicaid Office Visit Payments in South Plainfield, NJ: $45.92
Avg. Paid
$45.92
Range
$0.84 – $108.92
Total Claims
187,380
Providers
47
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 Plainfield, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Healthcare Md Llc
904 Oak Tree Ave Ste J |
$17.23 | 14 | 12 |
|
Madhu B Goyal
904 Oak Tree Ave |
$33.61 | 14 | 14 |
|
Tina Bijlani
25 Holly Park Dr |
$48.72 | 15 | 15 |
|
Thomas Leopold
1511 Park Ave |
$15.47 | 20 | 12 |
|
Harpreet Kaur
608 Kenneth Ave |
$4.85 | 20 | 16 |
|
Lior Koppel
911 Oak Tree Ave Ste C |
$37.21 | 29 | 27 |
|
Kimberly Sage
1511 Park Ave |
$16.29 | 39 | 33 |
|
Gurpreet Manko
2509 Park Ave Ste 1A |
$34.77 | 39 | 38 |
|
Arvind Doshi, Md.,Pa.,
906 Oak Tree Ave Ste J |
$19.69 | 42 | 40 |
|
Avery F Browne
907 Oak Tree Ave Ste H |
$48.82 | 65 | 62 |
|
Meet Parikh
285 Durham Ave Ste 1A |
$51.02 | 67 | 58 |
|
Richard Zaki Andraws
1511 Park Avenue |
$42.72 | 102 | 94 |
|
David M Richmand
1511 Park Ave |
$32.80 | 128 | 114 |
|
Sanjay V Deshpande
285 Durham Ave Ste 2 |
$19.94 | 144 | 141 |
|
Edwin Blumberg
1511 Park Ave |
$42.64 | 209 | 179 |
|
Robert E Noh
904 Oak Tree Ave |
$46.44 | 257 | 232 |
|
Clear Conscience Counseling, Llc
2509 Park Ave Ste 2B |
$81.01 | 314 | 77 |
|
Jagpal Rana
906 Oak Tree Ave |
$77.66 | 316 | 316 |
|
Gerald Ngo
902 Oak Tree Ave Ste 400 |
$27.49 | 376 | 346 |
|
Lizeth C Ordonez
2509 Park Ave Ste 1A |
$21.53 | 411 | 367 |
|
Geoffrey Wong
1511 Park Ave |
$25.57 | 549 | 456 |
|
Mohammad Shafi
1907 Park Ave |
$15.37 | 877 | 824 |
|
Joseph Njoroge Kimani
123 Lexington Ave |
$75.69 | 990 | 269 |
|
Shabnam Khety
906 Oak Tree Ave Ste K |
$49.89 | 1,003 | 873 |
|
Alok Goyal, M.D.
2509 Park Ave Ste 1A |
$49.58 | 1,016 | 900 |
|
Nripen Chakravarthy Dontineni
904 Oak Tree Ave Ste M |
$48.02 | 1,194 | 1,063 |
|
Younus A. Rakla
902 Oak Tree Ave |
$31.79 | 1,203 | 1,133 |
|
Joel B. Rose
1510 Park Ave |
$42.50 | 1,438 | 1,406 |
|
Shobana Natarajan
904 Oak Tree Ave |
$38.69 | 1,536 | 1,324 |
|
Gary B Breitbart
1511 Park Ave |
$31.45 | 1,712 | 1,054 |
|
Kalpana Kumari
904 Oak Tree Ave Ste P |
$52.48 | 2,164 | 1,839 |
|
Madhu Goyal
2509 Park Ave |
$44.81 | 2,902 | 2,533 |
|
Accurate Diagnostics Labs, Inc.
3000 Hadley Rd |
$0.84 | 2,973 | 2,811 |
|
Jilma Patricia Dicarlo
2110 Maple Ave |
$40.19 | 4,732 | 3,719 |
|
Durga C Gaviola
1550 Park Ave |
$62.80 | 5,213 | 4,769 |
|
Harish B Kothari
906 Oak Tree Road |
$50.25 | 5,373 | 4,909 |
|
Meeta Parashar Kashyap
908 Oak Tree Ave Ste H |
$68.10 | 5,741 | 3,147 |
|
Radha Vinnakota
2013 Park Ave |
$85.47 | 6,012 | 5,541 |
|
Antonio Thomas
1907 Park Ave |
$46.82 | 6,369 | 5,705 |
|
Richard S Lebovicz
908 Oak Tree Road |
$108.92 | 6,825 | 5,988 |
|
Huifang Cheng
1511 Park Ave |
$19.48 | 7,696 | 2,772 |
|
Jyotsna Thapar
908 Oak Tree Ave |
$33.55 | 10,281 | 7,588 |
|
Arvind K Doshi
906 Oak Tree Ave |
$34.61 | 13,080 | 11,989 |
|
Priti J Mehta
904 Oak Tree Ave Ste J |
$28.49 | 14,993 | 12,239 |
|
Browne Medical, Llc
907 Oak Tree Ave Ste H |
$46.27 | 19,352 | 11,978 |
|
Rao V Vinnakota
2013 Park Ave |
$50.40 | 20,570 | 17,130 |
|
Alok Goyal
2509 Park Ave |
$44.42 | 38,965 | 33,056 |
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 Plainfield, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Plainfield, NJ is $45.92 per claim, based on 187,380 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 South Plainfield, NJ?
There are 47 Medicaid providers offering Office Visit related services in South Plainfield, NJ according to public payment data.
What is the price range for Office Visit in South Plainfield, NJ?
Medicaid reimbursement for Office Visit in South Plainfield, NJ ranges from $0.84 to $108.92 per claim, with an average of $45.92. 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 Plainfield, NJ
Blood Work & Lab Tests
Avg $4.03
1,712,627 claims
Home Health Visit
Avg $65.74
1,178,659 claims
Urinalysis & Urine Tests
Avg $1.76
259,319 claims
Behavioral & Mental Health Therapy
Avg $194.17
90,913 claims
Physical Therapy
Avg $5.97
48,961 claims
Eye Exam
Avg $10.72
44,479 claims
Psychiatric Evaluation
Avg $97.20
38,733 claims
Vaccines & Immunizations
Avg $12.64
29,399 claims