Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in West New York, NJ: $32.72

Avg. Paid

$32.72

Range

$0.38 – $199.74

Total Claims

442,015

Providers

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 New York, NJ

Provider	Avg. Paid	Claims	Patients
North Hudson Community Action Corporation 5301 Broadway	$0.79	36,928	33,160
Altagarcia Munoz-Llaveria 217 60Th St	$41.38	32,773	28,867
Clifford Jay Butterman 228 60Th St	$41.54	31,849	26,219
Luis A Correa 323 62Nd St	$52.70	28,972	24,746
Rodrigo I Castillo 5801 Broadway	$18.78	24,174	21,141
Reinerio Rodriguez 225 60Th St	$41.88	19,455	16,762
Matthew B. Welch 6506 Park Ave	$50.81	19,416	17,247
Veronica Dasilva 431 60Th Street	$70.82	13,813	10,595
Ellen Vitievsky 5600 Kennedy Blvd W	$27.58	13,116	11,415
Rey Fernando Pedraza Ramos 5301 Broadway	$21.75	12,576	11,949
Frank Santos 5301 Broadway	$16.80	12,114	11,056
Elma Devilla Castillo 5801 Broadway	$18.84	12,069	10,519
Monica Yanina Barrientos 213 60Th St	$29.66	12,069	10,756
Ilene Caren Laufer 5301 Broadway	$13.46	11,560	9,780
Mauricio Velasco 6500 Broadway	$32.60	11,224	10,515
Maria Emilia Oropeza 431 60Th St Ste 1	$44.20	10,846	9,057
Maria Gutierrez Mena 418 57Th St	$76.65	10,514	9,772
Daniel Rene Sanchez 5912 Palisade Ave	$17.94	9,389	8,892
Velma Asneth Frasier 5301 Broadway	$16.26	8,112	6,931
Jorge L. Verea 6500 Broadway	$39.31	7,966	7,506
Robert U Mmereole 6101 Kennedy Blvd E	$38.84	7,571	5,364
Pablo Anibal Arteta 426 57Th Street	$33.27	6,372	5,776
Cheryl Buensuceso Panem 5301 Broadway	$35.35	6,001	5,662
Luis Fernando Jaramillo 301 60Th St	$33.33	5,938	5,305
Jayminkumar R. Patel 5301 Broadway	$25.93	5,215	4,728
Donna P. Hutton-Cassie 5301 Broadway	$21.58	4,909	4,511
Gil V Fajardo 333 60Th St	$33.59	4,810	4,456
Henry Fernandez-Cos 419 66Th St	$35.38	4,579	3,699
Karym Zahka 5301 Broadway	$30.11	4,212	2,896
Daxa Surti 5301 Broadway	$22.10	3,767	3,594
Nicole Teresa Sanchez 5301 Broadway	$22.41	3,762	2,718
Hilda Rosa Roque-Dieguez 317 60Th St	$14.19	3,223	2,586
Sulaimy Benitez 5812 Adams St Apt 2	$13.56	3,072	2,298
Agustin Diaz 433 57Th St	$14.35	2,885	2,438
Tamara Aviles 419 66Th St	$38.43	2,519	2,135
David Fayngersh 5301 Broadway	$19.05	2,498	2,372
Nicole Fabico Vales-Buckwald 5301 Broadway	$13.52	2,204	2,123
Ana Gonzalez 5301 Broadway	$10.78	2,132	1,643
Chitra Kumar 5311 Boulevard East	$24.73	2,128	1,508
Yudi Camacho 435 57Th St	$29.50	2,101	1,932
Octavio Melendez 419 66Th Street	$199.74	2,046	1,678
Raffaele A Gibilisco 435 59Th St	$25.75	2,040	1,978
Jose Omar Maldonado 5301 Broadway	$20.23	1,945	1,803
Patricia Mary Boyce 5301 Broadway	$19.62	1,666	1,323
Tania Carchi 235 60Th St	$33.26	1,576	1,513
Bea Sheridan Lucas 5301 Broadway	$9.15	1,473	1,052
Rafael Latorre 5300 Bergenline Ave	$41.50	1,419	1,340
Felix Eduardo Roque 211 60Th St	$1.25	1,349	1,011
Mauricio Zapiach 235 60Th St	$50.13	1,274	1,168
Rekha Hamal 5301 Broadway	$27.10	1,140	1,033

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 New York, NJ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West New York, NJ is $32.72 per claim, based on 442,015 claims from 69 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 New York, NJ?

There are 69 Medicaid providers offering Office Visit related services in West New York, NJ according to public payment data.

What is the price range for Office Visit in West New York, NJ?

Medicaid reimbursement for Office Visit in West New York, NJ ranges from $0.38 to $199.74 per claim, with an average of $32.72. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in West New York, NJ: $32.72

Providers Offering Office Visit in West New York, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Hearing Test (Audiometry)

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