Average Medicaid Office Visit Payments in Sparta, NJ: $58.72
Avg. Paid
$58.72
Range
$0.00 – $92.13
Total Claims
85,200
Providers
33
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 Sparta, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christy-Lynn Kanazik
415 Glen Rd |
$92.13 | 18,150 | 13,677 |
|
Nicole Bejian
21 Mohawk Ave |
$32.97 | 8,520 | 7,843 |
|
Shashidhar Sadda Reddy
89 Sparta Ave |
$69.93 | 7,093 | 6,547 |
|
Renee Rodrigues-Thomas
328A Sparta Ave |
$33.27 | 6,349 | 6,049 |
|
Louis Robert Jacobson
106 Main St |
$74.50 | 5,110 | 4,288 |
|
Alexis Nicole Capozzoli
328A Sparta Ave |
$54.68 | 4,943 | 4,485 |
|
Carol Elizabeth Calabrese
328A Sparta Ave |
$56.08 | 4,591 | 4,248 |
|
Christian Canzoniero
89 Sparta Ave Ste 207 |
$49.08 | 4,141 | 3,636 |
|
Denise Novaes
328A Sparta Ave |
$44.60 | 3,707 | 3,416 |
|
Bernadette Marie Walsh
21 Mohawk Ave |
$69.45 | 3,327 | 3,288 |
|
Newbridge Services
70 Sparta Ave |
$81.89 | 3,008 | 2,685 |
|
Jennifer Elizabeth Horn
26 Gail Ct |
$14.78 | 2,618 | 2,344 |
|
Inna Meskin
328A Sparta Ave |
$50.22 | 2,411 | 2,289 |
|
Javier Alcid Duron Tabora
89 Sparta Ave Ste 220 |
$68.30 | 2,133 | 2,056 |
|
Jumana Chatiwala
89 Sparta Ave |
$26.80 | 1,846 | 1,312 |
|
May Abdo-Matkiwsky
89 Sparta Ave |
$37.18 | 1,501 | 1,202 |
|
Rajesh C Raman
89 Sparta Ave |
$44.50 | 1,254 | 1,160 |
|
Judith Anne Connell
25 Main St |
$1.36 | 1,063 | 506 |
|
Marie Ann Czaplicki-Margiotti
350 Sparta Ave |
$42.45 | 913 | 811 |
|
Mary Gole
376 Lafayette Rd Ste 101 |
$0.00 | 649 | 645 |
|
Amanda Marie Andrews
21 Lafayette Rd |
$37.90 | 578 | 530 |
|
Brianna Scancarella
55 Skyline Dr |
$49.61 | 361 | 318 |
|
Samantha Abend
21 Lafayette Rd |
$49.90 | 275 | 254 |
|
Joseph Steven Larena
328A Sparta Ave |
$62.42 | 175 | 158 |
|
Anandhi K Nadarajah
89 Sparta Ave |
$58.18 | 125 | 119 |
|
Satish Tadepalli
1 Wilson Dr |
$17.39 | 102 | 79 |
|
Megan Gleason
11 Theatre Ctr |
$33.75 | 98 | 95 |
|
Anissa Leeann Smith
11 Theatre Ctr |
$29.31 | 68 | 62 |
|
Joseph Anthony Liotta
25 Main St |
$34.00 | 25 | 24 |
|
Jennifer L Hart
11 Theatre Ctr |
$1.97 | 23 | 12 |
|
Frank Joseph Casella
89 Sparta Ave |
$43.58 | 15 | 13 |
|
Takako Komatsuzaki
70 Sparta Ave Ste 104 |
$14.21 | 15 | 13 |
|
Sharon St. Angelo
13A Main St |
$46.62 | 13 | 12 |
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 Sparta, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sparta, NJ is $58.72 per claim, based on 85,200 claims from 33 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 Sparta, NJ?
There are 33 Medicaid providers offering Office Visit related services in Sparta, NJ according to public payment data.
What is the price range for Office Visit in Sparta, NJ?
Medicaid reimbursement for Office Visit in Sparta, NJ ranges from $0.00 to $92.13 per claim, with an average of $58.72. 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 Sparta, NJ
Nursing Facility Care
Avg $16.56
14,900 claims
Psychiatric Evaluation
Avg $86.04
13,050 claims
Vaccines & Immunizations
Avg $17.19
12,044 claims
Blood Work & Lab Tests
Avg $4.18
9,258 claims
Substance Abuse Treatment
Avg $31.01
5,962 claims
X-Ray
Avg $3.94
5,867 claims
Ultrasound
Avg $102.26
5,410 claims
Emergency Room Visit
Avg $49.79
4,701 claims