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 |
|---|---|---|---|
|
Jessimar Sanchez
220 Hamburg Tpke Ste 3 |
$5.67 | 12 | 12 |
|
Joseph Testa
St.. Joseph'S Wayne Hospital |
$54.38 | 12 | 12 |
|
Kiandokht Keyhanian
1044 Route 23 Ste 101 |
$0.00 | 12 | 12 |
|
Dhirendra Nath Das
342 Hamburg Tpke |
$31.10 | 13 | 12 |
|
Carl Gregory Punla
76 Willowbrook Blvd |
$83.66 | 14 | 14 |
|
Jennefer Erinna Monck
1680 Route 23 Ste 300 |
$0.00 | 14 | 13 |
|
Helder Tiago Mendes
155 Willowbrook Blvd Ste 110-6576 |
$17.23 | 14 | 14 |
|
David M Pinn
1825 State Route 23 |
$95.71 | 14 | 14 |
|
Ananth N Prakash
246 Hamburg Tpke |
$43.65 | 14 | 14 |
|
Talia Grace Szymanski
330 Ratzer Rd Ste B13 |
$37.43 | 14 | 13 |
|
David Perry, Jr.
1500 Alps Rd |
$29.47 | 15 | 15 |
|
Joseph Anthony Zangara
1825 Route 23 |
$42.06 | 17 | 12 |
|
Sanjay R Shah
246 Hamburg Tpke |
$18.58 | 18 | 12 |
|
Nagwa Ismail Hafez
27 Almadera Dr |
$44.00 | 25 | 24 |
|
Jonathan Phillip Greenberg
1044 Route 23 Ste 208 |
$104.23 | 26 | 24 |
|
Abas Rezvani M.D., Pa
220 Hamburg Tpke |
$54.86 | 27 | 25 |
|
Kevin J Mickey
57 Willowbrook Blvd |
$91.40 | 27 | 27 |
|
Emma Marie Goebel
401 Hamburg Tpke Ste 107 |
$19.68 | 29 | 27 |
|
Heidi M Godoy
468 Parish Dr Ste 4 |
$35.47 | 29 | 29 |
|
Jessica L Kelmartin
1578 Route 23 Ste 201 |
$3.33 | 30 | 25 |
|
Teresa Omwenga
401 Hamburg Tpke Ste 302 |
$40.94 | 31 | 26 |
|
Johanna Francesca Godoy
468 Parish Dr Ste 4 |
$61.88 | 32 | 26 |
|
Ivan A Darenkov
510 Hamburg Tpke |
$0.61 | 33 | 33 |
|
Marciano T. Figueroa
759 Hamburg Tpke |
$59.50 | 35 | 35 |
|
Philippe Chemaly
401 Hamburg Tpke |
$30.61 | 38 | 37 |
|
Manizheh G Panah
516 Hamburg Tpke |
$22.65 | 39 | 38 |
|
Jeffrey L Gold
468 Parish Dr |
$50.41 | 40 | 38 |
|
Matthew Evan Bassan
330 Ratzer Rd Ste B7 |
$65.13 | 46 | 41 |
|
Natalia Bortell
155 Willowbrook Blvd Ste 110 |
$58.59 | 49 | 46 |
|
Fazia Weaver
300 Pompton Rd |
$1.59 | 51 | 45 |
|
Stuart L Siepser
1777 Hamburg Tpke |
$37.02 | 59 | 50 |
|
Paul G Klein
401 Hamburg Tpke |
$54.24 | 66 | 59 |
|
Ayman Eraiba
510 Hamburg Tpke Ste 208 |
$1.03 | 68 | 53 |
|
Cyrus Vosough
504 Hamburg Tpke Ste B105 |
$57.69 | 68 | 63 |
|
Juli Ann Palatty
234 Hamburg Tpke Ste 204 |
$42.77 | 70 | 69 |
|
Stephanie Duarte
1578 Rte 23 Ste 203 |
$35.65 | 71 | 58 |
|
Blair Richard Beltzer
510 Hamburg Tpke |
$1.95 | 78 | 74 |
|
Ignazio Fazio
342 Hamburg Tpke |
$38.90 | 79 | 77 |
|
Mariam Wallizadeh
2440 Hamburg Tpke |
$19.48 | 93 | 92 |
|
Michaela Bukoski
1055 Hamburg Tpke Ste 100 |
$30.44 | 101 | 90 |
|
Joel Pakett
968 Hamburg Tpke |
$48.45 | 118 | 113 |
|
Arkadiy Shraytman
468 Parish Dr |
$61.28 | 129 | 117 |
|
Kevin Edwin Vitting
342 Hamburg Tpke |
$30.74 | 129 | 124 |
|
Navreet Khanna
150 Hinchman Ave Ste 4 |
$76.88 | 146 | 123 |
|
Sherry Yang
57 Willowbrook Blvd |
$49.71 | 150 | 126 |
|
Frank L. Kardos
220 Hamburg Turnpike |
$56.37 | 157 | 156 |
|
Vladlen A Kurnov
71 Alder Ave |
$17.29 | 158 | 147 |
|
Sara Nasiek
55 Hardwick Ln |
$13.95 | 167 | 166 |
|
Robert Costello
220 Hamburg Tpke |
$52.04 | 171 | 131 |
|
Podiatry Center Of New Jersey, Llc
510 Hamburg Tpke Ste 108 |
$18.74 | 176 | 153 |
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