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
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 Springfield, NJ
Non-Emergency Medical Transportation
Avg $27.62
227,862 claims
Behavioral & Mental Health Therapy
Avg $148.45
211,760 claims
Ambulance Transport
Avg $5.64
71,423 claims
Psychiatric Evaluation
Avg $91.04
69,124 claims
Eye Exam
Avg $28.38
55,499 claims
Dental Cleaning & Exam
Avg $26.44
50,547 claims
EKG / ECG (Electrocardiogram)
Avg $6.57
23,619 claims
Vaccines & Immunizations
Avg $11.76
14,452 claims