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 |
|---|---|---|---|
|
Ahs Hospital Corp.
99 Beauvoir Ave |
$63.95 | 17,961 | 14,700 |
|
Abu S Alam
779 Springfield Ave |
$57.91 | 12,872 | 10,657 |
|
Jon E Hershkowitz
120 Summit Ave |
$67.21 | 6,631 | 3,572 |
|
Joanne Erin Davine-Reicher
11 Overlook Rd |
$63.34 | 4,409 | 3,800 |
|
Mikel Jadyne Pride
11 Overlook Rd |
$60.11 | 3,423 | 3,091 |
|
Jennifer Lisa Sayanlar
11 Overlook Rd |
$55.46 | 3,182 | 2,851 |
|
Christina Nicole Johnson
99 Beauvoir Ave |
$47.23 | 3,031 | 2,603 |
|
Elise Butkiewicz
33 Overlook Rd |
$58.34 | 2,939 | 2,631 |
|
Sharon M Smith
99 Beauvoir Ave |
$49.08 | 2,731 | 2,144 |
|
Krissy Choi
33 Overlook Rd Ste L01 |
$63.09 | 2,679 | 2,463 |
|
Kathryn Elizabeth Grant
33 Overlook Rd Ste 101 |
$51.95 | 2,604 | 2,552 |
|
Seth R Stoller
11 Overlook Road |
$85.68 | 2,583 | 2,400 |
|
Lara Von Berg
11 Overlook Rd Ste 100 |
$64.88 | 2,120 | 1,923 |
|
Federico Cerrone
1 Springfield Ave |
$63.89 | 1,744 | 1,641 |
|
Judy Washington
33 Overlook Rd |
$58.02 | 1,727 | 1,646 |
|
Nicole Rohinton Daver
33 Overlook Rd |
$48.10 | 1,699 | 1,526 |
|
James Kostek
99 Beauvoir Ave |
$58.98 | 1,632 | 1,278 |
|
Javier Torrens
11 Overlook Rd Ste 195 |
$91.17 | 1,463 | 1,392 |
|
Danhua Xiao
33 Overlook Rd |
$55.98 | 1,439 | 1,286 |
|
Robert A. Restifo
1 Springfield Ave |
$48.64 | 1,385 | 1,177 |
|
Bhanu Iyer
99 Beauvoir Ave |
$60.50 | 1,323 | 1,154 |
|
Paul Markowski
99 Beauvoir Ave |
$43.38 | 1,290 | 958 |
|
Elfie Wegner
33 Overlook Rd |
$42.67 | 1,243 | 1,146 |
|
Bonni Lee Guerin
99 Beauvoir Ave |
$62.66 | 1,215 | 894 |
|
Emmanuel Apor
99 Beauvoir Avenue |
$54.72 | 1,139 | 961 |
|
Amy Elizabeth Schram
11 Overlook Rd |
$64.17 | 1,124 | 1,038 |
|
Susan D Seeger
99 Beauvoir Ave |
$37.11 | 1,054 | 928 |
|
Sheetal Patel
33 Overlook Rd |
$59.97 | 1,004 | 982 |
|
Evangelos Christodoulou
19 Prospect St |
$36.70 | 850 | 684 |
|
William Edward Weber
1 Springfield Ave |
$89.70 | 837 | 748 |
|
Rozana Rab Alam
99 Beauvoir Ave |
$34.44 | 818 | 283 |
|
James Chen
99 Beauvoir Avenue |
$59.73 | 798 | 730 |
|
Jeffrey Steven Nahmias
1 Springfield Ave |
$47.68 | 756 | 740 |
|
Kalyani Theivanayagam
276 Woodland Ave |
$38.20 | 721 | 679 |
|
Neil Morganstein
99 Beauvoir Ave |
$50.28 | 707 | 546 |
|
Nora Ramos Mangunay
19 Prospect Street |
$16.57 | 681 | 606 |
|
Shannon E Brophy
99 Beauvoir Ave |
$21.62 | 616 | 543 |
|
Erwin J Oei
1 Springfield Ave |
$44.07 | 576 | 505 |
|
Ching Yen Tsao
99 Beauvoir Ave Fl 5 |
$71.45 | 572 | 562 |
|
Rujuta Saksena
99 Beauvoir Ave |
$52.41 | 524 | 425 |
|
Anjali Patel
99 Beauvoir Ave |
$66.79 | 516 | 493 |
|
Sarah Lillian Levy
99 Beauvoir Ave |
$65.21 | 507 | 446 |
|
Michael Stephen Schwartz
33 Overlook Rd |
$82.86 | 494 | 488 |
|
Chaitali Rajan Gupte
1 Springfield Ave |
$47.94 | 493 | 409 |
|
Ari Samuel Young
33 Overlook Rd Ste 210 |
$68.03 | 477 | 427 |
|
Edward A Dimitry
1 Springfield Ave |
$48.99 | 471 | 397 |
|
Emre Kayaalp
99 Beauvoir Ave Fl 6 |
$99.40 | 468 | 412 |
|
Frederic J Scoopo
1 Springfield Ave |
$40.48 | 441 | 378 |
|
John M. Hanna
99 Beauvoir Ave |
$56.05 | 423 | 407 |
|
Manoj M Trivedi
802 Old Springfield Ave |
$47.00 | 420 | 373 |
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.
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 Summit, NJ
Blood Work & Lab Tests
Avg $6.27
296,227 claims
Emergency Room Visit
Avg $189.96
254,659 claims
Physical Therapy
Avg $32.10
163,478 claims
X-Ray
Avg $21.86
120,146 claims
Urinalysis & Urine Tests
Avg $2.56
95,847 claims
CT Scan (Computed Tomography)
Avg $134.58
54,860 claims
Ultrasound
Avg $91.91
48,993 claims
EKG / ECG (Electrocardiogram)
Avg $45.62
45,296 claims