Average Medicaid Office Visit Payments in Trenton, NJ: $42.14
Avg. Paid
$42.14
Range
$0.00 – $200.60
Total Claims
490,743
Providers
157
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 Trenton, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shahid B. Meer
1601 Whitehorse Mercerville Rd |
$52.31 | 88,831 | 58,632 |
|
Capital Health System Inc
750 Brunswick Ave |
$59.63 | 56,400 | 42,825 |
|
Vedat Obuz
515 S Broad St |
$43.50 | 35,916 | 30,851 |
|
Planned Parenthood Of Northern, Central, And Southern New Jersey, Inc.
437 E State St |
$80.38 | 17,654 | 17,316 |
|
Anusuya Jeyakumar
1330 Rev S Howard Woodson Jr Way |
$33.40 | 16,076 | 14,175 |
|
Iron Recovery And Wellness Center, Inc.
132 Perry St |
$78.37 | 14,883 | 11,753 |
|
Catholic Charities Diocese Of Trenton
10 Southard St |
$0.00 | 14,750 | 13,222 |
|
Muhammad Nasir Hussain
512 Hamilton Ave |
$11.51 | 12,044 | 11,314 |
|
Oaks Integrated Care
314 E State St |
$0.00 | 11,275 | 10,011 |
|
Sadia I Qazi
445 White Horse Ave |
$45.20 | 10,997 | 9,003 |
|
Kevin Riley
321 North Warren Street |
$16.53 | 10,204 | 7,321 |
|
Millhill Child & Family Development Corporation
101 Oakland St |
$69.42 | 9,826 | 8,978 |
|
Carmen Milagros Mercedes
321 N Warren St |
$6.44 | 7,864 | 6,888 |
|
Harry J. Mondestin
750 Brunswick Ave |
$7.65 | 7,826 | 7,556 |
|
Suhaila Siddiqi Hussain
512 Hamilton Ave |
$4.84 | 7,664 | 7,351 |
|
Clinton Hezekiah Ogolo
1457 Nottingham Way |
$17.04 | 7,286 | 6,798 |
|
Leinina Donnelly
321 N Warren St |
$19.14 | 6,722 | 6,086 |
|
Lisa Marie Grine
601 Hamilton Ave |
$90.79 | 6,716 | 6,077 |
|
Jasmine K Arora
321 N Warren St |
$11.11 | 6,374 | 5,379 |
|
Puthenmadam Radhakrishnan
416 Bellevue Ave |
$45.64 | 6,267 | 5,882 |
|
Bhanwarlal Chowdhury
1757 S Broad St |
$34.02 | 6,089 | 4,741 |
|
Sushma R Kaki
2113 Klockner Rd |
$64.11 | 5,126 | 4,505 |
|
Grace N. Tseng
601 Hamilton Ave Rm B-158 |
$14.05 | 4,400 | 4,114 |
|
Marc B Kamenitz
321 N Warren St |
$32.16 | 4,363 | 4,109 |
|
Ambreen Shariq Samad
112 Ewing St |
$7.65 | 4,275 | 4,091 |
|
Henry J Austin Health Center Inc
321 N Warren St |
$0.06 | 4,124 | 3,669 |
|
Wendy Lee Cervi
321 N Warren St |
$62.76 | 4,102 | 3,318 |
|
Bipinpreet Singh Nagra
40 Fuld St |
$36.66 | 3,814 | 3,581 |
|
Trenton Healthcare, Llc
801 New York Ave |
$61.76 | 3,787 | 2,943 |
|
Muhammad Usman Mustafa
40 Fuld St |
$33.85 | 3,629 | 3,272 |
|
Dale A Rasmussen
321 N Warren St |
$29.31 | 3,617 | 3,358 |
|
Isaak I Halegoua
601 Hamilton Ave |
$31.07 | 3,530 | 3,272 |
|
Vinod K Gupta
1871 Pennington Rd |
$22.61 | 3,102 | 2,832 |
|
Emily Q Chen
40 Fuld St Ste 404 |
$43.39 | 2,995 | 2,746 |
|
St. Francis Medical Center
601 Hamilton Ave |
$23.31 | 2,954 | 2,714 |
|
Jude Chineto Emelumba
314 E State St |
$11.49 | 2,876 | 2,636 |
|
Abdul W Mughal
40 Fuld St |
$31.46 | 2,793 | 2,551 |
|
Venkatarao Isola
416 Bellevue Ave Ste 207 |
$26.75 | 2,630 | 2,515 |
|
Cresandra Elizabeth Corbin
832 Brunswick Ave |
$60.18 | 2,626 | 2,378 |
|
Harold J Brown
1230 Parkway Ave |
$37.44 | 2,594 | 1,934 |
|
Amy J Gittell
317 Chambers St |
$5.91 | 2,560 | 2,402 |
|
Catherine Mcnamara
416 Bellevue Ave |
$48.53 | 2,497 | 2,408 |
|
Don Henry Wijaya
601 Hamilton Ave |
$40.41 | 2,093 | 1,487 |
|
Debra A. Oliver
321 N Warren St |
$18.78 | 1,876 | 1,796 |
|
Danielle Carcia
832 Brunswick Ave |
$59.86 | 1,838 | 1,651 |
|
Parvin Alizadeh
750 Brunswick Ave |
$64.41 | 1,820 | 1,728 |
|
Erin-Ellen P Dillon Fink
321 N Warren St |
$46.43 | 1,799 | 1,618 |
|
Khurram Zubair
832 Brunswick Ave |
$43.86 | 1,780 | 1,625 |
|
Rachael Blackburn Evans
321 N Warren St |
$10.64 | 1,714 | 1,533 |
|
Shodhan Patel
1450 Parkside Ave |
$42.11 | 1,677 | 1,523 |
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 Trenton, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Trenton, NJ is $42.14 per claim, based on 490,743 claims from 157 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 Trenton, NJ?
There are 157 Medicaid providers offering Office Visit related services in Trenton, NJ according to public payment data.
What is the price range for Office Visit in Trenton, NJ?
Medicaid reimbursement for Office Visit in Trenton, NJ ranges from $0.00 to $200.60 per claim, with an average of $42.14. 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 Trenton, NJ
Blood Work & Lab Tests
Avg $6.40
405,781 claims
Home Health Visit
Avg $66.64
382,226 claims
Emergency Room Visit
Avg $254.07
336,880 claims
Psychiatric Evaluation
Avg $50.43
245,605 claims
Ambulance Transport
Avg $50.90
168,523 claims
Substance Abuse Treatment
Avg $72.43
161,574 claims
X-Ray
Avg $26.40
127,831 claims
Vaccines & Immunizations
Avg $14.92
122,710 claims