Average Medicaid Office Visit Payments in Warren, NJ: $35.14
Avg. Paid
$35.14
Range
$7.75 – $179.12
Total Claims
70,910
Providers
41
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 Warren, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tiffany Lynn Scott
76 Stirling Rd. |
$12.44 | 6,658 | 6,146 |
|
Joseph A Clemente
23 Mountain Blvd |
$14.78 | 6,322 | 5,414 |
|
Rosaline A Ahkami
122 Mt Bethel Rd Ste 1 |
$58.39 | 5,782 | 5,593 |
|
Kenneth James Donovan
9 Mount Bethel Rd |
$38.53 | 5,485 | 4,478 |
|
Jeffrey M Eng
76 Stirling Rd |
$15.31 | 5,181 | 4,755 |
|
Donna Marie Koward
76 Stirling Rd |
$10.91 | 3,857 | 3,513 |
|
Bonita D Gillard
76 Stirling Rd |
$10.96 | 3,279 | 3,049 |
|
Elaine Sanjuan-Saleh
76 Stirling Rd Ste 201 |
$7.75 | 3,140 | 2,911 |
|
Daniel Abraham
65 Mountain Blvd Ext |
$64.95 | 2,789 | 2,665 |
|
Sarah Rachel Berg Kramer
76 Stirling Rd |
$14.50 | 2,532 | 2,446 |
|
Susan Barasch
76 Stirling Rd |
$12.25 | 2,482 | 2,352 |
|
Andrea G Ploshnick
76 Stirling Road |
$15.94 | 2,029 | 1,914 |
|
Amy Michelle Provenzano
67A Mountain Boulevard Ext |
$26.42 | 1,865 | 1,006 |
|
Priscilla Miguez
34 Mountain Blvd Ste C |
$72.38 | 1,713 | 1,547 |
|
Andrzej Peter Torbus
23 Mountain Blvd |
$68.71 | 1,708 | 1,521 |
|
Dharti Vaghela
23 Mountain Blvd |
$29.94 | 1,701 | 1,591 |
|
Anita Patel
34 Mountain Blvd Ste C |
$28.12 | 1,579 | 1,399 |
|
Clement A. Maccia
65 Mountian Blvd. |
$136.92 | 1,518 | 1,442 |
|
Michelle Phi Hoang
23 Mountain Blvd |
$65.79 | 1,348 | 1,213 |
|
Eric Joseph Brezina
8 Mountain Blvd |
$50.04 | 1,304 | 1,230 |
|
Melissa Woods Bouffard
122 Mount Bethel Rd Ste 1 |
$53.30 | 1,301 | 987 |
|
Sharon Filler
65 Mountain Blvd Ext |
$69.82 | 1,057 | 1,000 |
|
Gerard Fritz
65 Mountain Blvd Ext |
$60.81 | 1,052 | 1,006 |
|
Lavinia D. Stoicescu
266 King George Rd |
$179.12 | 973 | 912 |
|
Andrea G Katz
76 Stirling Rd |
$12.59 | 950 | 869 |
|
Stephen Posluszny
67A Mountain Blvd Ext 1St Floor |
$51.13 | 747 | 727 |
|
Rekha Agrawal
6 Orchard Way |
$42.12 | 701 | 654 |
|
Cristina Maria Maiorana
177 Washington Valley Rd |
$23.89 | 367 | 341 |
|
George Tweddel
27 Mountain Blvd |
$80.70 | 347 | 307 |
|
Michael P Bagley
122 Mt Bethel Rd Ste 1 |
$62.54 | 158 | 154 |
|
Manuela Belda Hamaoui
34 Mountain Blvd Bldg C |
$79.17 | 148 | 136 |
|
Norman Li
9 Mount Bethel Rd # 209 |
$29.80 | 134 | 118 |
|
Kathleen M Carstens
23 Mountain Blvd |
$26.03 | 134 | 108 |
|
Michael P Willemse
2 Old Church Rd |
$29.27 | 129 | 82 |
|
Vinod J Abraham
27 Mountain Blvd |
$43.37 | 102 | 81 |
|
Thomas De Angelis
27 Mountain Blvd |
$61.78 | 94 | 90 |
|
Jerry O Batley
34 Mountain Blvd Ste 203 |
$88.30 | 79 | 68 |
|
Oxana Ovakimyan
266 King George Rd Ste I |
$65.39 | 72 | 69 |
|
Aprille Palac Mangalonzo
14 Hillcrest Blvd |
$45.62 | 39 | 30 |
|
Joel Pierre
53 Mountain Blvd Ste 200 |
$36.81 | 38 | 30 |
|
Douglas Ashinsky
31 Mountain Blvd Bldg J |
$31.50 | 16 | 14 |
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 Warren, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Warren, NJ is $35.14 per claim, based on 70,910 claims from 41 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 Warren, NJ?
There are 41 Medicaid providers offering Office Visit related services in Warren, NJ according to public payment data.
What is the price range for Office Visit in Warren, NJ?
Medicaid reimbursement for Office Visit in Warren, NJ ranges from $7.75 to $179.12 per claim, with an average of $35.14. 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 Warren, NJ
Blood Work & Lab Tests
Avg $40.20
269,757 claims
Vaccines & Immunizations
Avg $6.44
27,909 claims
X-Ray
Avg $8.24
14,919 claims
Dental Cleaning & Exam
Avg $25.37
11,292 claims
Chiropractic Care
Avg $5.62
9,426 claims
Emergency Room Visit
Avg $72.39
8,054 claims
Hearing Test (Audiometry)
Avg $1.79
7,143 claims
EKG / ECG (Electrocardiogram)
Avg $3.90
5,289 claims