Average Medicaid Office Visit Payments in West Caldwell, NJ: $34.83
Avg. Paid
$34.83
Range
$3.81 – $119.73
Total Claims
26,290
Providers
12
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 West Caldwell, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elen Wasserman
556 Passaic Ave |
$3.81 | 12,675 | 7,214 |
|
Doctor'S Office Of West Caldwell Llc
556 Passaic Ave |
$92.62 | 6,126 | 5,734 |
|
Edward Kosoy
704 Passaic Ave |
$38.05 | 2,847 | 2,467 |
|
Esha Khoshnu
1140 Bloomfield Ave |
$27.99 | 2,837 | 1,900 |
|
Mira Raju Brahmbhatt
1129 Bloomfield Ave |
$113.54 | 583 | 555 |
|
Mojisola Adaramola
1140 Bloomfield Ave Ste 213 |
$34.35 | 421 | 362 |
|
Barbara Ahern
459 Passaic Ave |
$22.66 | 252 | 234 |
|
Lisa Perlmutter
616 Bloomfield Ave Ste 1A |
$13.86 | 234 | 200 |
|
Ashany Sundaram
1129 Bloomfield Ave Ste 100 |
$56.70 | 190 | 180 |
|
Jonathan Aviv Golani
1129 Bloomfield Ave Ste 100 |
$119.73 | 75 | 65 |
|
Albert D Angeletti
603 Bloomfield Ave |
$36.02 | 25 | 25 |
|
Seema Mahesh Shah
195 Fairfield Ave |
$86.60 | 25 | 25 |
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 West Caldwell, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Caldwell, NJ is $34.83 per claim, based on 26,290 claims from 12 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 West Caldwell, NJ?
There are 12 Medicaid providers offering Office Visit related services in West Caldwell, NJ according to public payment data.
What is the price range for Office Visit in West Caldwell, NJ?
Medicaid reimbursement for Office Visit in West Caldwell, NJ ranges from $3.81 to $119.73 per claim, with an average of $34.83. 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 West Caldwell, NJ
Psychiatric Evaluation
Avg $88.02
18,066 claims
Eye Exam
Avg $6.95
8,586 claims
Dental Cleaning & Exam
Avg $24.81
7,455 claims
Mammogram
Avg $72.06
6,310 claims
Physical Therapy
Avg $105.78
3,172 claims
X-Ray
Avg $3.78
2,903 claims
Ultrasound
Avg $63.99
2,579 claims
Dental Filling
Avg $47.50
803 claims