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 |
|---|---|---|---|
|
Anjali Bhandarkar
321 N Warren St |
$92.67 | 12 | 12 |
|
Uzma Chaudhry
1725 Klockner Rd |
$32.81 | 12 | 12 |
|
Nrupa Shah
601 Hamilton Ave |
$29.64 | 12 | 12 |
|
Palakkummar Ganpatbhai Patel
2312 Whitehorse Mercerville Rd Ste 105 |
$109.19 | 12 | 12 |
|
Henry J Austin Health Center, Inc
317 Chambers St |
$0.00 | 12 | 12 |
|
Uma R. Panganamamula
433 Bellevue Ave |
$91.53 | 12 | 12 |
|
Lawrence Greenstein
635 S Clinton Ave |
$25.61 | 13 | 12 |
|
Stephanie L Yanni
321 N Warren St |
$0.30 | 14 | 14 |
|
Ellen Baffour-Arhin
112 Ewing St |
$138.88 | 18 | 14 |
|
Anthony C Mackaronis
433 Bellevue Ave Fl 3 |
$61.70 | 18 | 18 |
|
Barry H. Cohen
40 Fuld St. |
$45.72 | 18 | 17 |
|
Inaisha Marie Jackson
Rutgers, University Behavioral Health Care |
$0.00 | 22 | 16 |
|
Alfredo Ramon Abud
832 Brunswick Ave |
$60.31 | 24 | 24 |
|
Lisa G Tufankjian
1 Hamilton Health Pl |
$104.44 | 25 | 24 |
|
Michael E. Omoh
601 Hamilton Ave |
$93.12 | 26 | 25 |
|
Gopi Rana Rana Mukkavilli
601 Hamilton Ave |
$36.54 | 26 | 25 |
|
Lisa Granderson
433 Bellevue Ave |
$70.29 | 27 | 27 |
|
Hina S. Ahmad
433 Bellevue Ave |
$64.31 | 30 | 30 |
|
Shazia Shah
750 Brunswick Ave |
$6.48 | 33 | 29 |
|
Sara L Wallach
601 Hamilton Ave |
$4.96 | 33 | 32 |
|
Michael B Resnick
1 Hamilton Health Pl |
$32.94 | 40 | 39 |
|
Asher Ferjad Hussain
40 Fuld St Ste 401 |
$18.11 | 41 | 40 |
|
Caroline Washington
832 Brunswick Ave |
$8.57 | 42 | 41 |
|
Iron Recovery And Wellness Center, Inc.
132 Perry Street |
$54.01 | 50 | 47 |
|
Twin Oaks Community Services Inc
1320 N Willow St |
$70.68 | 54 | 37 |
|
Olasinbo Atinuke Olukoya
433 Bellevue Ave |
$55.80 | 64 | 61 |
|
Erin V.W. Andrew
433 Bellevue Ave |
$58.78 | 66 | 62 |
|
Lauren Alexandra Bauma
40 Fuld St Ste 400 |
$1.07 | 67 | 35 |
|
Boima Sarnor Gobah
626 New Willow St |
$5.25 | 73 | 58 |
|
Ralynne Elizabeth Maitland
750 Brunswick Ave |
$95.54 | 73 | 70 |
|
Nahid Memon
735 Hamilton Ave |
$11.83 | 76 | 73 |
|
Syed Asim Ali
2333 Whitehorse Mercerville Rd |
$21.60 | 76 | 49 |
|
Monica Joshi
1700 Whitehorse Hamilton Square Rd |
$22.40 | 88 | 81 |
|
Jonathan Melius
750 Brunswick Ave |
$38.09 | 92 | 91 |
|
Amritpal Kaur
3458 Neely Rd |
$56.27 | 93 | 89 |
|
Sivan Veksler
433 Bellevue Ave Fl 3 |
$68.04 | 93 | 91 |
|
Scott Kenneth Kindsfather
408 Bellevue Ave |
$46.53 | 103 | 93 |
|
Josuane Hilaire
321 N Warren St |
$16.18 | 103 | 97 |
|
Marc S Whitman
40 Fuld St |
$41.50 | 104 | 97 |
|
Dawn M Liberto
433 Bellevue Ave Fl 3 |
$45.41 | 107 | 101 |
|
Jeffrey M. Thomas
849 W State St |
$37.86 | 109 | 99 |
|
David Iorio
866 State Highway 33 |
$22.65 | 114 | 71 |
|
Ranjodh Singh
1700 Whitehorse Hamilton Square Rd |
$0.61 | 116 | 97 |
|
Katherine Nahas
433 Bellevue Ave Fl 3 |
$71.88 | 121 | 104 |
|
Moizah Saad
2279 Highway 33 Ste 505 |
$17.40 | 130 | 112 |
|
John Wonkook Chung
1450 Parkside Avenue |
$83.31 | 137 | 135 |
|
Rashidah Moriselade Afolarin
515 S Broad St |
$21.88 | 152 | 119 |
|
Suzanne Margarita Palinski
321 N Warren St |
$6.54 | 159 | 154 |
|
Kirtana Subramanian
521 S Broad St |
$21.15 | 164 | 160 |
|
Pavela Saha
650 Brunswick Ave |
$78.27 | 170 | 155 |
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