Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Summit, NJ: $59.31

Avg. Paid

$59.31

Range

$0.00 – $199.57

Total Claims

108,125

Providers

102

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 Summit, NJ

Provider	Avg. Paid	Claims	Patients
Mirtha J Macri 99 Beauvoir Ave	$86.54	13	13
Rodrigo Castro 33 Overlook Rd	$53.36	13	13
Andrew Toscano 1 Springfield Ave	$77.04	13	12
Daria Sergeevna Yunina 33 Overlook Rd Ste 201	$48.84	14	12
Melissa Mascaro 33 Overlook Rd	$0.75	16	15
Robert Sussman 1 Springfield Ave	$62.22	26	25
Asma Jafri 99 Beauvoir Ave	$0.00	27	27
Mary Hewitt 33 Overlook Rd	$55.77	27	27
Hugh David Snyder 11 Overlook Rd	$56.75	29	28
Carina Vincenza Betz 33 Overlook Rd Ste 301	$30.87	30	28
Sydney Michelle Kessler 11 Overlook Rd Ste 230	$1.17	33	30
Mina Botros 99 Beauvoir Ave	$80.62	42	42
Francisco Silva 33 Overlook Rd	$58.94	42	38
Saima Shafiq 11 Overlook Rd Ste 200	$15.23	43	42
Karen Ann Olden 33 Overlook Rd	$6.19	46	41
Darnell Hassan Stith 99 Beauvoir Ave	$25.00	52	40
Samantha Brooke Pozner 11 Overlook Rd	$55.90	53	53
Susan T Kaye 33 Overlook Rd	$62.84	58	53
James Gardner 33 Overlook Rd	$51.01	61	55
Ondrea Mckay 11 Overlook Rd Ste B110	$153.47	65	64
Aristea Sideri Gugger 11 Overlook Rd Bldg Suite195	$60.05	77	70
Jeanne Horsey 33 Overlook Rd	$43.43	88	75
Arshish Dua 33 Overlook Rd Ste 201	$92.82	93	93
Matthew David Williams 99 Beauvoir Avenue	$53.60	95	91
Claudine T Pierre 99 Beauvoir Ave	$60.88	104	101
Christopher Lee Decotiis 1 Springfield Avenue	$50.51	106	93
Shivani Sethi 33 Overlook Rd	$15.76	114	114
Sweta Patel 99 Beauvoir Ave	$30.97	123	100
Alma Yum 99 Beauvoir Ave Fl 5	$31.79	135	114
Morsal N. Mohammadi 33 Overlook Rd Ste 201	$32.02	144	121
Andrew Tyler Robinson 11 Overlook Rd Ste 160	$88.19	146	133
Chirag V Shah 1 Springfield Ave	$38.35	150	111
Stephen Wong 99 Beauvoir Ave Fl 5	$153.13	157	155
Daniel J Markley 1 Springfield Ave	$45.03	167	135
Sophie D Morse 99 Beauvoir Ave	$50.23	174	131
Adam Craig Ganzman 99 Beauvoir Ave	$38.74	179	169
Amy Lynne Ishak 99 Beauvoir Ave	$94.35	179	167
Anthony Richard Lutz 33 Overlook Rd Ste 301	$94.85	192	187
John Halperin 99 Beauvoir Ave	$62.52	196	182
Kim Marie Mydosh 48 Maple St	$43.20	202	156
Jillian Canton Alderson 99 Beauvoir Ave Fl 5	$71.59	217	192
Megan Moran Leitch 99 Beauvoir Ave Fl 5	$199.57	220	216
Nisha Suresh Kotecha 1 Springfield Ave	$55.18	224	184
Gary H Belt 99 Beauvoir Ave	$44.57	258	220
Anita Gill 11 Overlook Rd Ste B110	$47.92	279	270
Joseph Michael Caputo 33 Overlook Rd Ste 201	$57.79	303	257
Jane Sofair 597 Springfield Ave	$34.09	344	288
Joy C Sawicki 1 Springfield Ave Fl 3	$28.77	360	329
Marek Belz 19 Prospect St	$58.80	377	312
Steven Marc Levine 33 Overlook Rd Ste 103	$57.72	397	387

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 Summit, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Summit, NJ is $59.31 per claim, based on 108,125 claims from 102 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 Summit, NJ?

There are 102 Medicaid providers offering Office Visit related services in Summit, NJ according to public payment data.

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

Medicaid reimbursement for Office Visit in Summit, NJ ranges from $0.00 to $199.57 per claim, with an average of $59.31. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Summit, NJ: $59.31

Providers Offering Office Visit in Summit, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Summit, NJ

Blood Work & Lab Tests

Emergency Room Visit

Physical Therapy

X-Ray

Urinalysis & Urine Tests

CT Scan (Computed Tomography)

Ultrasound

EKG / ECG (Electrocardiogram)