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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Springfield, NJ: $51.32

Avg. Paid

$51.32

Range

$1.69 – $105.75

Total Claims

120,383

Providers

74

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 Springfield, NJ

Provider Avg. Paid Claims Patients
Michael S Lux

211 Mountain Ave

$39.29 14 13
Jennifer Grande Chieppa

385 Morris Ave

$29.66 14 12
Daniel Joseph Preston

55 Morris Ave

$46.02 14 14
Robert Michael Greenberg

535 Morris Ave

$15.43 15 15
Akhila Anu Issac

500 Morris Ave Ste 203

$32.25 17 13
Jessica Surloff

385 Morris Ave

$31.67 20 17
Kathleen K Escobia

385 Morris Ave

$26.26 22 18
Daniella Greaves

385 Morris Ave

$35.61 23 20
Jillian Conner

385 Morris Ave Fl 2

$5.89 24 12
Michael Weinrauch

211 Mountain Ave

$34.42 33 26
Dana Lyn Mondon

385 Morris Ave Ste 100

$8.39 34 25
Kelly O'Donnell

385 Morris Ave Fl 2

$30.34 34 27
Sanjiv Prasad

211 Mountain Ave

$52.53 39 37
Kevin Michael Mcelligott

211 Mountain Ave Ste 300

$72.07 46 45
Barry Mark Cohen

211 Mountain Ave

$53.98 49 41
Leonid Schreer

433 Briant Park Dr

$19.79 55 48
Stephen Daniel Defronzo

216 Short Hills Avenue

$40.04 71 64
Karen J. M. King

178 Morris Ave

$44.42 82 82
Amrit Justin Jhauj

355 Us-22 East

$1.69 88 64
Madeline Marie Dimurro

231 Milltown Rd

$7.60 90 89
Rohan Gaurang Desai

100 Morris Ave

$23.89 96 76
Marlene Karen Schmitz

385 Morris Ave Ste 100

$33.66 106 88
Sijo Devasia

385 Morris Ave Fl 2

$23.13 144 114
Elenora Aimee Williams-Fell

251 Morris Ave Ste 201

$4.38 159 144
David Egger Powell

211 Mountain Ave

$44.56 212 189
Angela Jack Glasnapp

355 Us Highway 22 E

$105.75 298 287
Uzma Zaidi

105 Morris Ave

$53.81 303 267
Derek Lim

155 Morris Ave Ste 204

$82.57 311 291
Joel Mark Lerner

100 Morris Ave

$35.59 375 323
Agnicha Muzeau

178 Morris Ave

$34.09 395 388
Robert Daniel Fishberg

211 Mountain Ave

$55.48 401 358
Mary Odusanya

454 Morris Ave

$30.35 414 302
Daisy Seby

86 Redwood Rd

$3.49 429 386
Ann Mccune

90 Route 22

$41.64 433 403
Victoria Anne Kouanang

155 Morris Ave Ste 204

$41.24 585 540
Vance Jay Weber

211 Mountain Ave

$51.79 602 529
Ved Desai

385 Morris Ave Ste 100

$55.09 611 529
Nancy Ann Kaplan

500 Morris Avenue

$40.70 611 565
Jolly Thomas

18 Morris Ave Ste 2A

$46.29 696 567
Rhona A. Magaril

385 Morris Ave

$69.78 753 588
Social Clubhouse, Inc.

58 Brown Ave

$15.74 797 697
Neil Satish Nimkar

385 Morris Ave

$45.45 933 737
Geraldine Gabriel

200 Springfield Ave Apt 6031

$75.96 948 816
Anita Sultan

385 Morris Ave

$50.10 970 784
Brian Scott Sullivan

100 Morris Ave

$20.52 1,072 907
Maria J. Ramdial

899 Mountain Ave

$49.25 1,078 964
Trevor George Forbes

11 Dundar Rd Ste 105

$67.82 1,146 967
Jason Perry Galante

500 Morris Ave Ste 203

$41.50 1,228 1,018
Jennifer C. Lublin

385 Morris Ave

$67.78 1,265 973
Ifeoma E Iherobiem

884 S Springfield Ave Apt 18

$39.26 1,318 1,018

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 Springfield, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Springfield, NJ is $51.32 per claim, based on 120,383 claims from 74 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 Springfield, NJ?

There are 74 Medicaid providers offering Office Visit related services in Springfield, NJ according to public payment data.

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

Medicaid reimbursement for Office Visit in Springfield, NJ ranges from $1.69 to $105.75 per claim, with an average of $51.32. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Springfield, NJ