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
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 Verona, NJ
Home Health Visit
Avg $78.88
204,568 claims
Blood Work & Lab Tests
Avg $0.94
32,998 claims
Psychiatric Evaluation
Avg $92.17
20,085 claims
Pathology & Lab Services
Avg $89.83
18,262 claims
Podiatry (Foot Care)
Avg $5.58
18,090 claims
Nursing Facility Care
Avg $12.32
14,831 claims
Urinalysis & Urine Tests
Avg $0.37
6,397 claims
Physical Therapy
Avg $4.67
2,166 claims