Average Medicaid Office Visit Payments in Tenafly, NJ: $52.09
Avg. Paid
$52.09
Range
$0.00 – $79.95
Total Claims
35,121
Providers
29
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 Tenafly, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rita Vinod Knause
49 Woodmere Ln |
$42.47 | 11,827 | 10,379 |
|
Yvette Starer
32 Franklin St |
$66.26 | 3,629 | 3,464 |
|
Aviva Beth Schein
32 Franklin St |
$68.82 | 3,339 | 3,148 |
|
Stephanie Denise Rivera-Segarra
2 Dean Dr |
$35.71 | 3,220 | 2,379 |
|
Maury Buchalter
32 Franklin St |
$65.06 | 3,025 | 2,889 |
|
Robert Jawetz
32 Franklin St |
$60.64 | 1,830 | 1,755 |
|
Emanuel Martinez
104 Columbus Dr |
$32.50 | 1,441 | 1,337 |
|
Geeeun Kim
295 Tenafly Rd |
$50.22 | 922 | 764 |
|
Lynn Sugarman
32 Franklin St |
$62.35 | 915 | 877 |
|
Daniel Parker Anderson
32 Franklin St |
$58.30 | 880 | 827 |
|
David Wisotsky
32 Franklin St |
$56.98 | 695 | 670 |
|
Joanne Aranoff
32 Franklin St |
$64.70 | 630 | 595 |
|
Russell Asnes
32 Franklin St |
$57.43 | 522 | 507 |
|
Eun-Joo Kim
32 Franklin St |
$61.32 | 521 | 509 |
|
Kagendo M Kithinji
2 Dean Dr |
$40.73 | 279 | 249 |
|
Laurence Stiefel
32 Franklin St |
$59.52 | 231 | 221 |
|
Shaikh Sultan Ahmed
40 Greentree Terrace |
$79.95 | 209 | 206 |
|
Joshua Daniel Menasha
32 Franklin St |
$63.91 | 178 | 172 |
|
Dongwoo Noh
22 Porter Ave |
$15.08 | 159 | 121 |
|
David Schaumberger
32 Franklin St |
$58.68 | 144 | 139 |
|
Darren Saks
32 Franklin St |
$59.39 | 106 | 103 |
|
Douglas Roy Fenkart
Tenafly Pediatrics, P.A. |
$46.56 | 93 | 83 |
|
Sheryl Jawetz
32 Franklin St |
$58.28 | 88 | 85 |
|
Avigayil Elkin
32 Franklin St |
$67.49 | 86 | 85 |
|
David M Subin
2 Dean Dr |
$19.45 | 61 | 60 |
|
Erin Lindenberg
32 Franklin St |
$54.98 | 43 | 41 |
|
Arturo P Archila
30 Victoria Ln |
$22.68 | 24 | 19 |
|
Hamutal Barger Amsalem
54 Norman Pl |
$0.00 | 12 | 12 |
|
Sunmee L. Kim
32 Franklin St |
$60.83 | 12 | 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 Tenafly, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tenafly, NJ is $52.09 per claim, based on 35,121 claims from 29 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 Tenafly, NJ?
There are 29 Medicaid providers offering Office Visit related services in Tenafly, NJ according to public payment data.
What is the price range for Office Visit in Tenafly, NJ?
Medicaid reimbursement for Office Visit in Tenafly, NJ ranges from $0.00 to $79.95 per claim, with an average of $52.09. 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 Tenafly, NJ
Ultrasound
Avg $51.46
16,870 claims
Dental Cleaning & Exam
Avg $25.09
16,764 claims
X-Ray
Avg $3.81
15,434 claims
Psychiatric Evaluation
Avg $93.61
13,863 claims
Vaccines & Immunizations
Avg $11.19
11,275 claims
Chiropractic Care
Avg $9.90
9,890 claims
Urinalysis & Urine Tests
Avg $1.19
8,145 claims
Physical Therapy
Avg $1.88
7,949 claims