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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
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

Other Procedures in Trenton, NJ