Based on public Medicaid payment data.

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
Gina Cain 10 Allen St Ste 2D	$11.45	12	12
Tittymol Mathew 530 Lakehurst Rd	$42.04	12	12
Steven J. Lowry 1163 Route 37 W	$161.79	12	12
Bruce Ted Monastersky 40 Bey Lea Rd	$121.52	12	12
Gregory Marc Meli 1314 Hooper Ave	$61.56	12	12
Community Medical Center Inc 99 Route 37 W	$41.69	13	13
Christine Filippone 1870 Dino Blvd	$3.81	13	12
Shravan Savant 530 Lakehurst Rd	$87.17	13	12
Elie Joseph El-Charabaty 20 Hospital Dr Ste 18	$9.93	14	13
Shrinil Patel 20 Hospital Dr Ste 9	$61.69	14	13
Shore Medical Specialists 9 Hospital Dr Ste B1	$36.50	14	13
Jordyn Platz 99 Highway 37 W	$109.70	14	12
Mohammad K. Choudhry 477 Lakehurst Rd	$92.14	14	14
Lance Seth Berger 780 Route 37 W Ste 310	$208.77	15	14
Dane Barone 810 Hooper Ave	$5.93	15	12
Mihaela Michael 99 Highway 37 W	$114.48	16	14
William R Dilorenzo 367 Lakehurst Rd	$22.91	17	14
Renee May 1851 Hooper Ave	$97.20	18	14
Elliot Charles Semet 2446 Church Rd	$12.09	20	20
Omar A Tamimi 477 Lakehurst Rd	$17.16	24	24
Wilhelmina Azu 222 Oak Ave	$65.33	25	24
Jasrai Singh Gill 9 Mule Rd Ste E1	$8.52	27	25
Veronica T Rossetti 1268 Route 37 W	$40.73	27	26
John A Merlino 780 Route 37 W	$112.74	27	25
Jennie Boyle 970 Hooper Ave # 2	$3.27	28	25
Jenna Lee Tommas 148 Pinewood Rd	$204.29	28	26
Rocco Dipaola 633 Rte 37 W	$45.48	30	30
Anjana Mathur 20 Hospital Dr Ste 7A	$30.61	30	26
James S. Mccaughan 67 Route 37 W	$51.63	31	29
Mary O'Keefe 9 Mule Rd	$78.29	34	34
Suraj Gupta 3 Plaza Dr	$40.74	35	34
William Morris Schulman 9 Hosptial Drive	$33.95	38	37
Michael Ruggiero 970 Hooper Ave # 2	$25.59	39	39
Marissa Fernandez 99 Route 37 W	$69.44	40	40
Nikki Steidle 368 Lakehurst Rd	$28.93	41	40
Chirag M Shah 40 Bey Lea Rd	$19.07	42	39
Latisha Lenee Marshall 448 Lakehurst Rd	$16.57	42	38
Lucretia S Mongal 54 Washington St	$49.40	43	43
Luzminda Anama 1163 Rte 37 W	$61.22	44	38
Anil Kumar Sharma 3 Plaza Dr	$12.43	44	39
Kavan Girishbhai Patel 425 Lakehurst Rd	$72.68	44	44
Alexandria Vazquez 226 Route 37 W Ste 6	$5.11	46	41
Judith M. Kern 20 Hospital Drive	$7.68	47	40
Jai Mirchandani 477 Lakehurst Rd	$23.79	48	48
Chirag G Patel 99 Route 37 W	$101.09	50	49
Preferred Behavioral Health Of New Jersey, Inc. 591 Lakehurst Rd	$71.20	52	49
Lawrence W Silvers 9 Hospital Dr	$70.00	53	53
Wayne Paul Foster 500 Lakehurst Rd	$1.62	54	47
Samantha Pellechio 1851 Hooper Ave	$102.60	55	55
Crossroads Of New Jersey Management, Llc 751 Route 37 W	$21.34	55	51

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.

Average Medicaid Office Visit Payments in Toms River, NJ: $39.86

Providers Offering Office Visit in Toms River, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit

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Psychiatric Evaluation