Average Medicaid Office Visit Payments in Union City, NJ: $41.85
Avg. Paid
$41.85
Range
$0.00 – $102.74
Total Claims
571,711
Providers
95
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 Union City, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pearl Cenon
511 22Nd St |
$43.89 | 60,545 | 36,927 |
|
Wilson Eduardo Delgado
4201 New York Ave |
$73.19 | 39,479 | 37,138 |
|
Deepak K Amin
4522 Kennedy Blvd |
$39.23 | 35,873 | 27,744 |
|
Diligent Urgent Care Llc
3807 Bergenline Ave |
$62.65 | 31,762 | 28,184 |
|
Gilberto Gastell
408 37Th St |
$26.67 | 24,243 | 22,513 |
|
Hector Jacob Leon-Wong
410 22Nd St |
$32.02 | 21,430 | 16,639 |
|
Raashan Carlos Williams
120 48Th St |
$31.02 | 18,165 | 17,631 |
|
Mohammad A Chaudhry
570 32Nd St |
$42.72 | 17,979 | 16,883 |
|
Rosa Calderon
3196 Kennedy Blvd |
$26.85 | 17,210 | 15,008 |
|
Sameh Elias
1610 Summit Ave |
$38.14 | 14,994 | 12,638 |
|
Jerry L Jurado
2401 Palisade Ave |
$23.05 | 14,894 | 13,723 |
|
Maria A Campoalegre
407 39Th St |
$28.17 | 14,833 | 13,991 |
|
Mount Carmel Guild Behavioral Health System
2201 Bergenline Ave |
$74.05 | 13,961 | 13,418 |
|
Jonathan Grecia Purisima
1005 New York Ave |
$34.59 | 13,687 | 12,145 |
|
Francisco D Gonzalez
420 38Th St |
$22.00 | 11,571 | 10,549 |
|
Paresh Parashar Shukla
316 Monastery Pl Ste A |
$30.98 | 11,234 | 10,626 |
|
Nagesh B. Krish
727 1Oth Street |
$48.33 | 10,898 | 10,439 |
|
Jose R Fragoso
4808 Bergenline Ave |
$51.94 | 10,598 | 9,406 |
|
Sreeram Grandhi
500 Summit Ave |
$50.14 | 9,031 | 8,432 |
|
Thomas Henry Debenedictis
4808 Bergenline Ave |
$26.00 | 8,647 | 7,996 |
|
Ruben Perez
525 42Nd Street |
$45.67 | 8,551 | 6,977 |
|
Bhavna Gupta
2000 West St Ste 205 |
$64.64 | 8,083 | 7,397 |
|
Leslie Simonson
415 43Rd St |
$39.31 | 7,004 | 6,250 |
|
Aurora Dalisay
4522 Kennedy Blvd |
$39.18 | 6,951 | 5,407 |
|
Margaret Portela
4808 Bergenline Ave |
$17.71 | 6,737 | 6,228 |
|
Corazon Morales Veloso
714 31St St |
$51.20 | 6,300 | 5,798 |
|
Sanitas Medical Center Of New Jersey Pc
3196 Kennedy Blvd |
$102.74 | 6,224 | 5,925 |
|
North Hudson Community Action Corporation
714 31St St |
$0.12 | 6,033 | 4,611 |
|
Acenet Torres
408 37Th St |
$29.03 | 6,021 | 5,345 |
|
Kevin Joseph Mcdonough
511 22Nd St |
$56.82 | 5,932 | 5,405 |
|
Enrique D Chappilliquen Lucio
3916 Kennedy Blvd |
$21.61 | 5,751 | 4,891 |
|
Pragnesh H Gadhvi
Pragnesh Gadhvi Barnabas Health Medical Group |
$43.82 | 4,687 | 4,469 |
|
Cataldo Cacace
1815 Summit Ave |
$49.42 | 4,633 | 4,352 |
|
Jose Pinal
526 42Nd St |
$31.47 | 4,139 | 3,887 |
|
Freedom Of Choice Heathcare, Inc
533 32Nd Street |
$77.88 | 4,101 | 1,572 |
|
Sam Hajal
510 31St Street |
$14.02 | 4,035 | 3,301 |
|
Noha Polack
3196 Kennedy Blvd |
$70.36 | 3,926 | 3,660 |
|
Rashi Sharma
3196 Kennedy Blvd |
$58.25 | 3,785 | 3,494 |
|
Marisa Mendes
3196 Jfk Boulevard |
$50.75 | 3,646 | 3,208 |
|
Anthony Inguaggiato
4302 Palisade Ave |
$21.43 | 3,480 | 2,394 |
|
Alejandro Presilla
322 49Th St |
$18.37 | 3,385 | 2,391 |
|
Manuel Casulla Hugo
2009 Palisade Ave |
$38.84 | 3,263 | 2,875 |
|
Mariell E Dominguez German
3196 Kennedy Blvd |
$25.01 | 3,184 | 2,146 |
|
Diligent Medical Care Pc
570 32Nd St |
$24.69 | 3,157 | 2,933 |
|
Jose Enrique Valdor Marin
408 37Th St |
$19.53 | 3,057 | 2,708 |
|
Holger G Armas
2911 Summit Ave |
$30.73 | 2,921 | 2,733 |
|
Maria Paschalidis
3196 Kennedy Blvd Ste 3 |
$35.65 | 2,764 | 2,557 |
|
Osvaldo Cortina
322 38Th St |
$34.04 | 2,737 | 2,337 |
|
Hector Tomas Rubinstein
4512 Kennedy Blvd |
$24.37 | 2,415 | 2,270 |
|
Amy Y Park
714 31St St |
$15.10 | 2,409 | 1,869 |
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 Union City, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Union City, NJ is $41.85 per claim, based on 571,711 claims from 95 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 Union City, NJ?
There are 95 Medicaid providers offering Office Visit related services in Union City, NJ according to public payment data.
What is the price range for Office Visit in Union City, NJ?
Medicaid reimbursement for Office Visit in Union City, NJ ranges from $0.00 to $102.74 per claim, with an average of $41.85. 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 Union City, NJ
Home Health Visit
Avg $81.64
581,974 claims
Dental Cleaning & Exam
Avg $20.92
280,286 claims
Physical Therapy
Avg $3.01
213,208 claims
Vaccines & Immunizations
Avg $15.98
82,384 claims
Dental Filling
Avg $41.15
80,759 claims
Psychiatric Evaluation
Avg $96.24
69,164 claims
Substance Abuse Treatment
Avg $110.07
59,030 claims
EKG / ECG (Electrocardiogram)
Avg $9.48
45,451 claims