Average Medicaid Office Visit Payments in Toms River, NJ: $39.86
Avg. Paid
$39.86
Range
$0.00 – $233.31
Total Claims
767,181
Providers
264
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 Toms River, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Shanik
40 Bey Lea Rd |
$5.22 | 121,530 | 107,586 |
|
Immediate Care Medical Walk-In Of Toms River
1 Route 37 W |
$99.33 | 34,673 | 32,994 |
|
Sudha Kanthan
40 Bey Lea Road |
$4.98 | 33,728 | 32,140 |
|
Sarah Gelfand
40 Bey Lea Road |
$28.43 | 26,997 | 22,888 |
|
Thomas Robert Comerci
250 Washington St Ste A6 |
$67.40 | 21,997 | 10,794 |
|
Isaac Braverman
40 Bey Lea Road |
$5.61 | 21,941 | 21,140 |
|
Ira L Haimowitz
40 Bey Lea Road |
$18.89 | 21,938 | 19,467 |
|
David Brian Dickerson
780 Route 37 W Ste 330 |
$110.33 | 18,670 | 18,067 |
|
Matthew Dever
40 Bey Lea Rd |
$37.37 | 15,392 | 14,737 |
|
Matthew J Pitera
2446 Church Rd |
$107.96 | 13,972 | 12,373 |
|
Mordechai Czermak
233 Bent Hook Rd |
$39.65 | 13,502 | 12,391 |
|
Vinodrai Virji Ghetiya
1749 Hooper Ave |
$37.56 | 12,590 | 11,097 |
|
Samantha Dawn Morgan
40 Bey Lea Rd |
$9.64 | 12,430 | 12,128 |
|
Daniel Lapidus
40 Bey Lea Road |
$12.14 | 12,035 | 11,182 |
|
Bernard R Wayman
1028 Hooper Ave |
$91.69 | 9,586 | 8,731 |
|
Souhir Alturk
9 Hospital Dr |
$48.54 | 9,347 | 8,445 |
|
Mary Catherine D Kane
40 Bey Lea |
$4.21 | 9,159 | 8,983 |
|
Michelle Lee Eisenhauer
10 Stockton Dr |
$22.04 | 8,725 | 8,284 |
|
Elizabeth J Laatsch
40 Bey Lea Rd Ste B203 |
$13.21 | 8,572 | 8,323 |
|
Elizabeth Anne Mulcahy
9 Mule Rd Ste E16 |
$41.40 | 8,326 | 7,494 |
|
Hisham Mohamed Hamza
558 Commons Way |
$56.47 | 7,849 | 6,789 |
|
Vesselia Kafozoff
111 West Water Street |
$124.92 | 7,468 | 7,362 |
|
Shoshana E Weiner
40 Bey Lea Rd |
$7.08 | 7,239 | 6,955 |
|
Charles H Geneslaw
1314 Hooper Ave |
$56.68 | 6,888 | 6,107 |
|
John Joseph Intili
751 Fischer Blvd |
$15.41 | 6,871 | 6,360 |
|
Michelle Verdi
40 Bey Lea Rd |
$3.66 | 6,621 | 6,448 |
|
Ocean Health Initiatives, Inc
10 Stockton Drive |
$0.00 | 6,395 | 5,530 |
|
Shawn Alan Denning
780 Rte 37 W Ste 330 |
$91.93 | 6,191 | 5,969 |
|
Melissa K Dixon
111 W Water St |
$64.06 | 5,904 | 5,780 |
|
Jennifer Lynn Burdo
40 Bey Lea Rd Ste B203 |
$19.80 | 5,670 | 5,481 |
|
Esther Rubinfeld
168 Benjamin Street |
$55.17 | 5,528 | 5,217 |
|
John A Coccaro
300 W Water St Ste A |
$78.49 | 5,060 | 4,839 |
|
Richard M Levine
1268 Route 37 W |
$40.13 | 4,967 | 4,663 |
|
Elena Catherine Pappas
1006 Commons Way |
$42.73 | 4,947 | 4,481 |
|
Sunita Borade
1580 Lakewood Rd Ste 16A |
$48.87 | 4,851 | 4,590 |
|
Kristen Lewis
111 W Water St |
$50.19 | 4,843 | 4,716 |
|
Michael Golub
40 Bey Lea Rd |
$14.82 | 4,719 | 4,485 |
|
Sarwat S Takla
1163 Route 37 W Ste C1 |
$31.27 | 4,716 | 3,692 |
|
Elizabeth J Fiore
40 Bey Lea Rd |
$3.61 | 4,648 | 4,401 |
|
Vikram Sathyendra
1251 Route 37 W Ste 250 |
$85.57 | 4,547 | 4,208 |
|
Karen Lamoreaux Carola
1647 White Water Ct |
$61.27 | 4,536 | 3,844 |
|
Morgan Moffitt
40 Bey Lea Rd |
$9.94 | 4,423 | 4,198 |
|
Savan Ghetiya
1749 Hooper Ave Ste 203 |
$35.91 | 4,260 | 3,586 |
|
Scott Henry David
966 Riverbrook Ct |
$6.25 | 4,130 | 3,920 |
|
Ela Tenpenny
111 W Water St |
$45.66 | 4,122 | 4,029 |
|
Laurie L. Rost
111 W Water St |
$68.80 | 4,095 | 3,895 |
|
Vimax Llc
1749 Hooper Ave Ste 202 |
$79.51 | 3,798 | 3,475 |
|
Felix Aron Geller
20 Hospital Dr Ste 4 |
$35.78 | 3,622 | 2,721 |
|
Stress Care Of New Jersey, Llc
111 W Water St |
$90.02 | 3,560 | 3,079 |
|
Gerardo Dejesus Lopez
79 Route 37 W |
$59.90 | 3,393 | 2,874 |
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 Toms River, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Toms River, NJ is $39.86 per claim, based on 767,181 claims from 264 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 Toms River, NJ?
There are 264 Medicaid providers offering Office Visit related services in Toms River, NJ according to public payment data.
What is the price range for Office Visit in Toms River, NJ?
Medicaid reimbursement for Office Visit in Toms River, NJ ranges from $0.00 to $233.31 per claim, with an average of $39.86. 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 Toms River, NJ
Vaccines & Immunizations
Avg $16.36
424,620 claims
Blood Work & Lab Tests
Avg $10.60
363,597 claims
Home Health Visit
Avg $76.39
321,882 claims
Dental Cleaning & Exam
Avg $29.14
240,398 claims
Non-Emergency Medical Transportation
Avg $63.62
234,777 claims
Emergency Room Visit
Avg $231.01
206,206 claims
X-Ray
Avg $24.90
131,476 claims
Psychiatric Evaluation
Avg $83.39
128,862 claims