Average Medicaid Office Visit Payments in Totowa, NJ: $63.21
Avg. Paid
$63.21
Range
$4.10 – $108.00
Total Claims
130,167
Providers
23
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 Totowa, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Krishna Kant Pandey
142 Totowa Rd |
$61.74 | 27,377 | 22,883 |
|
Maurice Elias
290 Union Blvd |
$67.49 | 20,630 | 19,318 |
|
Pratibha Sarjerao Deshmukh
142 Totowa Rd # 8 |
$55.28 | 17,028 | 13,757 |
|
Yousef Abdulmasih
290 Union Blvd |
$66.45 | 15,660 | 14,932 |
|
Christine Michelle Sticco
825 Riverview Dr |
$64.25 | 14,378 | 13,008 |
|
Brian Todd Day
525 Union Blvd |
$71.96 | 5,949 | 4,692 |
|
Mervet Asfour
650 Union Blvd Unit 16 |
$67.43 | 5,774 | 5,072 |
|
Maria Teresa Bitar
547 Union Blvd. |
$86.14 | 4,861 | 3,839 |
|
Jon Ian Heller
384 Union Blvd |
$63.72 | 4,557 | 4,239 |
|
John Massey
515 Union Blvd |
$49.75 | 3,797 | 3,557 |
|
Irene Wong
650 Union Blvd Unit 16 |
$67.03 | 3,688 | 3,265 |
|
Nicholas Alfred Marino
525 Union Blvd |
$30.00 | 1,936 | 1,670 |
|
Natalia Karpova
142 Totowa Rd |
$54.32 | 1,593 | 1,403 |
|
Yasmeen Z Nazli
650 Union Blvd Ste 16 |
$39.25 | 1,390 | 1,121 |
|
Ivan Jakimovski
225 Minnisink Road |
$64.47 | 598 | 459 |
|
Michelle Mesiano
650 Union Blvd Ste 16 |
$35.62 | 576 | 526 |
|
Stefanie Sciacca
225 Minnisink Rd |
$27.49 | 122 | 111 |
|
Christopher Feng Wu
650 Union Blvd Ste 16 |
$63.91 | 93 | 82 |
|
Tamir Ahmed Tawfik
825 Riverview Dr |
$88.98 | 50 | 50 |
|
Eugene A Batelli
195 Us Highway 46 |
$4.10 | 40 | 29 |
|
Scott L Coleman
160 Union Blvd |
$52.62 | 26 | 25 |
|
Jon I.Heller ,Inc
384 Union Blvd |
$51.41 | 24 | 24 |
|
Bettina George
225 Us Highway 46 |
$108.00 | 20 | 20 |
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 Totowa, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Totowa, NJ is $63.21 per claim, based on 130,167 claims from 23 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 Totowa, NJ?
There are 23 Medicaid providers offering Office Visit related services in Totowa, NJ according to public payment data.
What is the price range for Office Visit in Totowa, NJ?
Medicaid reimbursement for Office Visit in Totowa, NJ ranges from $4.10 to $108.00 per claim, with an average of $63.21. 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 Totowa, NJ
Non-Emergency Medical Transportation
Avg $45.52
132,938 claims
Vaccines & Immunizations
Avg $13.54
60,001 claims
Tooth Extraction
Avg $187.25
39,945 claims
Dental Cleaning & Exam
Avg $36.69
37,692 claims
Ambulance Transport
Avg $44.76
35,190 claims
Hearing Test (Audiometry)
Avg $15.98
13,822 claims
Urinalysis & Urine Tests
Avg $2.76
12,300 claims
Eye Exam
Avg $6.39
12,246 claims