Average Medicaid Office Visit Payments in Tinton Falls, NJ: $35.15
Avg. Paid
$35.15
Range
$2.38 – $76.43
Total Claims
29,505
Providers
28
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 Tinton Falls, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alejandro Gomez
776 Shrewsbury Ave |
$13.77 | 7,060 | 6,562 |
|
Jun Yang
55 North Gilbert Street |
$39.64 | 5,210 | 3,476 |
|
Hiten M Amin
766 Shrewsbury Ave |
$61.35 | 3,448 | 3,176 |
|
Michael Joseph De Marco
13 Blueberry Ln |
$15.37 | 2,897 | 2,210 |
|
Rebecca Perril
4000 Route 66 |
$68.23 | 2,866 | 2,489 |
|
Evelyn Aina Arigbe
66 W Gilbert St |
$11.04 | 2,499 | 1,903 |
|
Jennifer Ann Laporta
766 Shrewsbury Ave Bldg Suite101 |
$76.43 | 1,684 | 1,542 |
|
Adil Manzoor
67 Apple St |
$20.83 | 1,064 | 769 |
|
Christina Lusk-Caceres
776 Shrewsbury Ave |
$59.71 | 859 | 783 |
|
Arthur A O'Keefe
21 N Gilbert St |
$26.96 | 472 | 415 |
|
David Sikowitz
55 N Gilbert St Ste 2203 |
$22.11 | 356 | 311 |
|
Dimitri Cefalu
3000 Essex Rd |
$57.42 | 183 | 178 |
|
Nicole Barone
4 Hartford Dr |
$33.51 | 166 | 160 |
|
Ana D Vladu
43 N Gilbert St Ste 5 |
$26.26 | 165 | 157 |
|
Patrick Norris Correa
55 N Gilbert St Ste 3201 |
$8.20 | 132 | 122 |
|
Neha J Pathak
5054 Asbury Ave |
$39.93 | 96 | 96 |
|
Glenn G Gabisan
776 Shrewsbury Ave |
$5.63 | 49 | 48 |
|
Patricia Alpaugh
766 Shrewsbury Ave |
$17.78 | 47 | 41 |
|
Gregg R Foos
776 Shrewsbury Ave |
$4.82 | 44 | 44 |
|
Benjamin M. Giliberti
776 Shrewsbury Ave |
$2.38 | 35 | 33 |
|
Thaddeus J Grabowy
4 Hartford Dr |
$61.44 | 32 | 29 |
|
Mark William Gesell
776 Shrewsbury Ave Ste 201 |
$24.39 | 31 | 31 |
|
Brian M Torpey
776 Shrewsbury Ave |
$34.81 | 28 | 28 |
|
Kristina Lee Matthews
55 N Gilbert St |
$12.10 | 28 | 27 |
|
Joseph G Boak
4 Hartford Dr |
$30.29 | 15 | 14 |
|
Jason D Cohen
776 Shrewsbury Ave |
$8.86 | 13 | 13 |
|
Ryan James Plyler
776 Shrewsbury Ave |
$4.93 | 13 | 12 |
|
David R Gentile
776 Shrewsbury Ave |
$8.44 | 13 | 13 |
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 Tinton Falls, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tinton Falls, NJ is $35.15 per claim, based on 29,505 claims from 28 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 Tinton Falls, NJ?
There are 28 Medicaid providers offering Office Visit related services in Tinton Falls, NJ according to public payment data.
What is the price range for Office Visit in Tinton Falls, NJ?
Medicaid reimbursement for Office Visit in Tinton Falls, NJ ranges from $2.38 to $76.43 per claim, with an average of $35.15. 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 Tinton Falls, NJ
Non-Emergency Medical Transportation
Avg $23.84
398,798 claims
Vaccines & Immunizations
Avg $12.42
18,829 claims
Physical Therapy
Avg $30.46
16,138 claims
Nursing Facility Care
Avg $19.25
13,393 claims
Psychiatric Evaluation
Avg $82.88
8,701 claims
Substance Abuse Treatment
Avg $68.53
6,141 claims
Emergency Room Visit
Avg $58.71
4,164 claims
EKG / ECG (Electrocardiogram)
Avg $5.05
4,142 claims