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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Verona, NJ: $57.79

Avg. Paid

$57.79

Range

$0.00 – $131.83

Total Claims

79,633

Providers

47

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 Verona, NJ

Provider Avg. Paid Claims Patients
Daniel S Groisser

60 Pompton Ave

$65.46 11,871 11,275
Anita Fox

60 Pompton Ave

$62.84 10,349 10,092
Marie Chen

60 Pompton Ave

$70.04 10,272 9,479
Thomas P Mccarrick

271 Grove Ave

$46.69 4,640 4,188
Justin Yucht

271 Grove Ave Ste A

$84.40 4,437 4,265
Jennie Chau

22 Hemlock Dr

$19.92 4,359 4,172
Sweety Samuel

84 Claremont Ave

$56.08 3,764 3,546
Everett Schlam

799 Bloomfield Ave

$52.33 3,433 3,072
Justin Brown

60 Pompton Ave

$52.66 2,978 2,899
Andrew Scott Boxer

799 Bloomfield Ave Ste 111

$47.32 2,534 2,408
Carmine A Mazzella

271 Grove Ave Ste A

$36.31 2,249 2,129
Valery Vera-Connolly

799 Bloomfield Ave Ste 201

$57.55 2,070 1,932
Michael R. Bilkis

60 Pomton Avenue

$49.08 1,712 1,645
Shannon L Welner

60 Pompton Ave

$50.48 1,452 1,385
Beqir M Sopi

799 Bloomfield Ave

$131.83 1,247 1,244
Michele Moscato

271 Grove Ave Ste A

$44.64 1,244 1,146
Mindy Parisi

50 Pompton Ave

$47.05 1,207 1,031
Karen Ann Gordon

60 Pompton Ave

$56.09 993 967
Sally A. Mravcak

271 Grove Ave Ste A

$41.92 984 861
George Walter Miller

799 Bloomfield Ave Ste 201

$44.54 956 931
Robert T Gorman

271 Grove Ave

$42.72 880 799
Richard S Murray

271 Grove Ave

$43.30 805 759
Natalie Lau

60 Pompton Ave

$81.78 734 693
Frederic R Rothman

60 Pompton Ave

$47.17 670 655
Evelyn C Lopez

96 Pompton Ave Ste 101

$100.76 648 526
Kevin James Berg

799 Bloomfield Ave

$42.42 548 511
Lucila Angeli

799 Bloomfield Ave Ste 201

$8.22 529 526
Jennifer Crayner-Aryee

271 Grove Ave

$36.06 458 424
Manish Vallabhdas Bhalodia

825 Bloomfield Ave

$15.75 329 327
Rondi A. Stires

1 Ann St

$42.92 306 253
David A Fost

197 Bloomfield Ave

$34.10 192 100
Julie David Mathew

271 Grove Ave

$30.29 118 108
Marcelo Gabriel Horenstein

60 Pompton Ave

$87.53 103 103
Richard Cirello

271 Grove Ave

$46.34 99 98
Roger Philip Diruggiero

271 Grove Ave Ste A

$76.92 87 83
Antonio A De La Cruz

197 Bloomfield Ave

$63.14 83 79
Maria Rita Anache Tempera

799 Bloomfield Ave Ste 201

$7.37 66 63
Gabriela P Plesek Andia

60 Pompton Ave

$40.07 41 39
Simone Alicia Douge

271 Grove Ave Ste A

$33.66 34 32
Montclair Hospital Llc

799 Bloomfield Ave

$0.00 30 29
Sara B. Thompson

28 Brookdale Ave

$27.25 29 28
Oleg Shulik

799 Bloomfield Ave Ste 102

$96.02 19 17
Andrew Seise

271 Grove Ave Ste A

$32.11 18 16
Bernadette Baronia-White

799 Bloomfield Ave

$10.69 16 14
Kennedy Palwasha Fazli Daftani

271 Grove Ave Ste A

$35.00 16 14
Anthony J. Piccolo

197 Bloomfield Ave

$59.45 12 12
Philip Ofosu-Mensah

25 Pompton Ave Ste 101

$19.73 12 12

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 Verona, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Verona, NJ is $57.79 per claim, based on 79,633 claims from 47 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 Verona, NJ?

There are 47 Medicaid providers offering Office Visit related services in Verona, NJ according to public payment data.

What is the price range for Office Visit in Verona, NJ?

Medicaid reimbursement for Office Visit in Verona, NJ ranges from $0.00 to $131.83 per claim, with an average of $57.79. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Verona, NJ