Average Medicaid Office Visit Payments in Washington, NJ: $70.82
Avg. Paid
$70.82
Range
$3.81 – $112.12
Total Claims
38,914
Providers
16
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 Washington, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brielle Gomez
6 Clubhouse Drive |
$67.67 | 158 | 147 |
|
Mary Ruth Buchness
279 Nj Route 31 |
$87.91 | 243 | 243 |
|
Planned Parenthood Of Northern, Central, And Southern New Jersey, Inc.
66 E Washington Ave |
$112.12 | 378 | 368 |
|
Ryan Emmert
6 Club House Dr Ste 102 |
$78.26 | 396 | 374 |
|
Jeanette Diane Paterno
315 Route 31 South |
$3.81 | 561 | 493 |
|
Heather C Mctigue
315 State Route 31 S |
$15.79 | 763 | 717 |
|
Arif Hafeez
6 Club House Dr Ste 102 |
$75.55 | 799 | 682 |
|
Center For Family Services, Inc.
492 Route 57 W |
$89.27 | 896 | 850 |
|
Timothy Richard Vollaro
315 State Route 31 S |
$12.36 | 914 | 801 |
|
Mitzi Fulk Pfendt
6 Club House Dr Ste 102 |
$63.70 | 1,540 | 1,423 |
|
Oksana Yevdokimova
315 Route 31 South |
$6.83 | 1,580 | 1,468 |
|
Anil Garg
173 E Washington Ave |
$42.62 | 1,651 | 1,424 |
|
Heather Wise
6 Club House Dr Ste 102 |
$84.23 | 2,050 | 1,847 |
|
Katrina Sabates Arnesen
315 State Route 31 S |
$5.71 | 2,410 | 2,067 |
|
Ian Martinez
6 Club House Dr |
$80.51 | 7,037 | 6,515 |
|
Family Guidance Center Of Warren County
492 Route 57 W |
$88.53 | 17,538 | 16,598 |
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 Washington, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Washington, NJ is $70.82 per claim, based on 38,914 claims from 16 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 Washington, NJ?
There are 16 Medicaid providers offering Office Visit related services in Washington, NJ according to public payment data.
What is the price range for Office Visit in Washington, NJ?
Medicaid reimbursement for Office Visit in Washington, NJ ranges from $3.81 to $112.12 per claim, with an average of $70.82. 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 Washington, NJ
Non-Emergency Medical Transportation
Avg $19.23
81,784 claims
Psychiatric Evaluation
Avg $79.18
59,769 claims
Dental Cleaning & Exam
Avg $32.00
27,473 claims
Behavioral & Mental Health Therapy
Avg $79.48
23,733 claims
Ambulance Transport
Avg $10.30
18,042 claims
Substance Abuse Treatment
Avg $47.17
14,543 claims
Dental Filling
Avg $53.75
6,292 claims
Home Health Visit
Avg $51.39
6,283 claims