Average Medicaid Office Visit Payments in Wayne, NJ: $48.44
Avg. Paid
$48.44
Range
$0.00 – $143.03
Total Claims
418,690
Providers
172
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 Wayne, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Anthony Gregg
510 Hamburg Tpke |
$32.74 | 42,627 | 24,091 |
|
Mahipa Hewa Pallimulla
220 Hamburg Tpke |
$60.51 | 32,595 | 25,741 |
|
Maria Cecilia Kitele
1594 Ratzer Rd |
$22.75 | 28,176 | 22,196 |
|
Dolan Kumar Chowdhury
510 Hamburg Tpke Ste 108 |
$35.02 | 25,494 | 21,911 |
|
Svetlana Gladoun
1680 Route 23 Ste 350 |
$74.65 | 25,279 | 21,933 |
|
David Yorio
220 Hamburg Tpke Ste 18B |
$39.83 | 19,727 | 16,776 |
|
Ashley Kim
510 Hamburg Tpke Ste 108 |
$34.20 | 14,079 | 11,770 |
|
Eugene Daniel Festa
1777 Hamburg Tpke Ste 304 |
$101.35 | 13,267 | 10,815 |
|
Zakiyyah Waters
510 Hamburg Tpke Ste 108 |
$31.96 | 11,176 | 9,250 |
|
Tahera Ali
1055 Hamburg Tpke Ste 200 |
$68.61 | 10,264 | 9,040 |
|
Michael John Stas
510 Hamburg Tpke Ste 108 |
$32.15 | 10,178 | 8,554 |
|
Lisa Melsky
87 Berdan Ave |
$39.57 | 8,866 | 7,950 |
|
Bruce Kevin Bennett
220 Hamburg Tpke |
$39.09 | 7,014 | 5,400 |
|
Omar Hisham Nabulsi
516 Hamburg Tpke Ste 5 |
$73.25 | 6,293 | 4,976 |
|
Sarah Elfanagely
55 Rande Dr |
$70.54 | 6,275 | 5,527 |
|
Russell Samofal
510 Hamburg Tpke |
$48.20 | 5,955 | 5,303 |
|
Tatyana Grinchenko
506 Hamburg Tpke Ste 201 |
$61.28 | 5,573 | 4,877 |
|
Gabrielle Patrice Hutcheson
510 Hamburg Tpke Ste 108 |
$32.26 | 5,345 | 4,294 |
|
Ghassan Louis Wardeh
342 Hamburg Tpke Ste 101 |
$49.41 | 4,905 | 4,235 |
|
Mera Belle Gamo Dumalag
510 Hamburg Tpke Ste 208 |
$57.72 | 4,717 | 3,802 |
|
Lekha Gopal
1 Corporate Dr |
$44.61 | 4,491 | 4,359 |
|
Alicia M Dias
2440 Hamburg Tpke |
$6.80 | 4,349 | 3,931 |
|
Nilesh Jariwala
150 Hinchman Ave |
$61.81 | 4,326 | 3,674 |
|
Jonathan Michael Roth
1055 Hamburg Tpke |
$79.07 | 4,235 | 4,014 |
|
Oscar A Reicher
1055 Hamburg Tpke |
$85.46 | 4,091 | 3,906 |
|
Jessica Chow
516 Hamburg Tpke Ste 5 |
$75.57 | 3,898 | 3,222 |
|
Steven M Nguyen
510 Hamburg Tpke Ste 101 |
$41.14 | 3,078 | 2,953 |
|
Manuel Joaquin Moquete
246 Hamburg Tpke Ste 207 |
$22.49 | 3,075 | 2,833 |
|
Ori Avraham Rackovsky
468 Parish Dr Ste 6 |
$81.49 | 2,939 | 2,783 |
|
Channing Yee Chin
1680 Route 23 |
$45.35 | 2,773 | 2,536 |
|
Nazifa Banu
246 Hamburg Tpke |
$39.88 | 2,754 | 2,551 |
|
Ruta Bondarenko
300 Pompton Rd |
$48.66 | 2,690 | 2,578 |
|
Jaclyn J Ramirez
510 Hamburg Tpke Ste 108 |
$22.77 | 2,635 | 2,494 |
|
Sara El Bashir
510 Hamburg Tpke Ste 108 |
$69.71 | 2,598 | 2,322 |
|
Robert George Lahita
234 Hamburg Tpke |
$81.75 | 2,519 | 2,290 |
|
Mohamed A Elrafei
401 Hamburg Tpke |
$41.09 | 2,431 | 2,131 |
|
Vijaykumar Roy
468 Parish Dr |
$42.01 | 2,219 | 1,163 |
|
Amer H Kashoqa
506 Hamburg Tpke |
$24.66 | 2,206 | 1,896 |
|
Tomasz Adam Gruczynski
508 Hamburg Tpke |
$58.67 | 2,175 | 1,704 |
|
Mayra Crespo
1680 Rte 23 |
$70.03 | 2,135 | 2,011 |
|
Oren Bernheim
246 Hamburg Tpke |
$66.58 | 2,035 | 1,923 |
|
Stephan Joseph Dorkhom
234 Hamburg Tpke Ste 202 |
$49.70 | 1,839 | 1,235 |
|
Omara Judith Rogalsky
2440 Hamburg Tpke |
$12.27 | 1,810 | 1,706 |
|
Anish Samuel
1500 Alps Rd |
$44.43 | 1,774 | 1,571 |
|
Olufunke Buraimoh
510 Hamburg Tpke Ste 108 |
$37.70 | 1,675 | 1,501 |
|
Soja Padma Thakar
246 Hamburg Tpke Ste 207 |
$29.28 | 1,642 | 1,512 |
|
Elsaid Balboul
508 Hamburg Tpke |
$55.55 | 1,605 | 1,067 |
|
Alicia R Notkin
246 Hamburg Tpke |
$46.34 | 1,600 | 1,524 |
|
Michael Kesler
601 Hamburg Tpke |
$52.00 | 1,558 | 1,271 |
|
Anthony Albert Natelli
2035 Hamburg Tpke |
$76.82 | 1,477 | 1,320 |
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 Wayne, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wayne, NJ is $48.44 per claim, based on 418,690 claims from 172 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 Wayne, NJ?
There are 172 Medicaid providers offering Office Visit related services in Wayne, NJ according to public payment data.
What is the price range for Office Visit in Wayne, NJ?
Medicaid reimbursement for Office Visit in Wayne, NJ ranges from $0.00 to $143.03 per claim, with an average of $48.44. 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 Wayne, NJ
Ambulance Transport
Avg $79.63
196,872 claims
Home Health Visit
Avg $77.72
168,226 claims
Nursing Facility Care
Avg $10.92
100,358 claims
EKG / ECG (Electrocardiogram)
Avg $4.43
70,378 claims
Case Management Services
Avg $896.57
67,230 claims
Non-Emergency Medical Transportation
Avg $51.14
64,527 claims
Psychiatric Evaluation
Avg $89.23
62,022 claims
X-Ray
Avg $5.98
55,180 claims