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Based on public Medicaid payment data.

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

Other Procedures in Trenton, NJ