Average Medicaid Office Visit Payments in West Long Branch, NJ: $60.96
Avg. Paid
$60.96
Range
$0.00 – $110.13
Total Claims
47,172
Providers
25
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 Long Branch, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dominick Anthony Lobraico
1019 Broadway |
$73.35 | 7,559 | 6,587 |
|
Seth D Cohen
100 State Route 36 |
$60.28 | 4,337 | 3,527 |
|
Karen Smith
1019 Broadway |
$74.62 | 3,371 | 3,132 |
|
Kiren P Sahni
842 Broadway |
$72.25 | 3,270 | 3,112 |
|
Gautam J Desai
842 Broadway |
$56.32 | 3,187 | 3,030 |
|
Eric N Burkett
223 Monmouth Rd |
$16.33 | 2,993 | 2,720 |
|
Patrick Lee
100 Hwy 36 |
$48.69 | 2,801 | 2,254 |
|
Sharon Jackson
1019 Broadway |
$75.94 | 2,727 | 2,573 |
|
Henna S. Shah
107 Monmouth Rd Ste 102 |
$64.30 | 2,541 | 2,447 |
|
Jennifer D. Pompliano
1019 Broadway |
$75.33 | 2,454 | 2,318 |
|
Robert Dennis Murphy
223 Monmouth Rd |
$60.12 | 2,087 | 1,903 |
|
Trishala Meghal
100 Highway 36 Ste 1B |
$52.79 | 1,787 | 1,346 |
|
Abigail Sarah Whetstone
240 Wall St Ste 300 |
$65.12 | 1,469 | 1,283 |
|
Sherif Malek
232 Norwood Ave |
$30.67 | 1,423 | 1,215 |
|
Gary V Karakashian
107 Monmouth Rd |
$42.19 | 1,391 | 1,172 |
|
Kenneth Robert Skorenko
1019 Broadway |
$67.89 | 1,336 | 1,234 |
|
David Falco
280 Norwood Ave |
$64.07 | 1,156 | 1,085 |
|
Hussam Eltoukhy
100 Hwy 36 Ste 1B |
$90.45 | 446 | 423 |
|
David J Sharon
100 State Route 36 |
$21.53 | 335 | 233 |
|
Robert A. Massaro
1019 Broadway |
$32.36 | 206 | 200 |
|
Rocio Lizet Ipanaque
214 Route 36 |
$55.08 | 179 | 170 |
|
Margaret Lambert-Woolley
185 Route 36 Ste 130 |
$71.80 | 45 | 40 |
|
Allyson Lee Thomas
117 Locust Ave |
$0.00 | 40 | 33 |
|
Isaac Ezon
241 Monmouth Rd |
$15.50 | 16 | 12 |
|
Melanie Ramp
100 Route 36, Suite 2K Vantage Point Bldg |
$110.13 | 16 | 13 |
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 Long Branch, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Long Branch, NJ is $60.96 per claim, based on 47,172 claims from 25 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 Long Branch, NJ?
There are 25 Medicaid providers offering Office Visit related services in West Long Branch, NJ according to public payment data.
What is the price range for Office Visit in West Long Branch, NJ?
Medicaid reimbursement for Office Visit in West Long Branch, NJ ranges from $0.00 to $110.13 per claim, with an average of $60.96. 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 Long Branch, NJ
Case Management Services
Avg $896.08
62,749 claims
Dental Cleaning & Exam
Avg $31.94
39,514 claims
Blood Work & Lab Tests
Avg $2.06
4,374 claims
Nursing Facility Care
Avg $12.80
4,048 claims
Vaccines & Immunizations
Avg $15.28
3,459 claims
Dental Crown
Avg $489.11
2,905 claims
Chemotherapy
Avg $75.30
2,016 claims
Ultrasound
Avg $75.50
1,916 claims