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
Yuchen Liu 26 Ave At Port Imperial Apt 428	$30.33	14	12
Maria Fernanda Kassab 435 57Th St	$7.40	32	32
Jose M Soto Perello 516 51St St	$2.12	53	49
Rustagi Eye Associates Llc 5202 Bergenline Ave	$23.50	69	67
Daniel W Maenner 6310 Bergenline Ave	$0.38	136	13
Leonidas Zapiach 235 60Th St	$28.41	136	135
Kassandra Lynn Kayal 5301 Broadway	$19.62	148	134
Better Hudson Pharmacy 301 54Th St	$1.23	148	84
Bergenline Family Medicine 333 60Th St	$29.23	183	175
Richard Levi Morganstein 5618 Bergenline Ave	$33.62	192	191
Danny Tamayo 5301 Broadway	$19.05	321	309
Morganstein Eye Associates Llc 5618 Bergenline Ave	$39.04	452	446
Victor Fabio Hernandez 301 60Th St	$14.91	494	436
Armand P Fasano 229 60Th St	$27.67	600	550
Luz Selenia Ramos 5301 Broadway	$41.54	667	598
Ami A Patel 5301 Broadway	$13.39	736	522
Eileen Mariette Torres-Soto 5301 Broadway	$24.72	784	747
Luis Alberto Gonzalez 319 60Th St	$0.70	957	895
Anthony D. Gurdak 6408 Bergenline Ave	$47.21	1,132	1,013
Rekha Hamal 5301 Broadway	$27.10	1,140	1,033
Mauricio Zapiach 235 60Th St	$50.13	1,274	1,168
Felix Eduardo Roque 211 60Th St	$1.25	1,349	1,011
Rafael Latorre 5300 Bergenline Ave	$41.50	1,419	1,340
Bea Sheridan Lucas 5301 Broadway	$9.15	1,473	1,052
Tania Carchi 235 60Th St	$33.26	1,576	1,513
Patricia Mary Boyce 5301 Broadway	$19.62	1,666	1,323
Jose Omar Maldonado 5301 Broadway	$20.23	1,945	1,803
Raffaele A Gibilisco 435 59Th St	$25.75	2,040	1,978
Octavio Melendez 419 66Th Street	$199.74	2,046	1,678
Yudi Camacho 435 57Th St	$29.50	2,101	1,932
Chitra Kumar 5311 Boulevard East	$24.73	2,128	1,508
Ana Gonzalez 5301 Broadway	$10.78	2,132	1,643
Nicole Fabico Vales-Buckwald 5301 Broadway	$13.52	2,204	2,123
David Fayngersh 5301 Broadway	$19.05	2,498	2,372
Tamara Aviles 419 66Th St	$38.43	2,519	2,135
Agustin Diaz 433 57Th St	$14.35	2,885	2,438
Sulaimy Benitez 5812 Adams St Apt 2	$13.56	3,072	2,298
Hilda Rosa Roque-Dieguez 317 60Th St	$14.19	3,223	2,586
Nicole Teresa Sanchez 5301 Broadway	$22.41	3,762	2,718
Daxa Surti 5301 Broadway	$22.10	3,767	3,594
Karym Zahka 5301 Broadway	$30.11	4,212	2,896
Henry Fernandez-Cos 419 66Th St	$35.38	4,579	3,699
Gil V Fajardo 333 60Th St	$33.59	4,810	4,456
Donna P. Hutton-Cassie 5301 Broadway	$21.58	4,909	4,511
Jayminkumar R. Patel 5301 Broadway	$25.93	5,215	4,728
Luis Fernando Jaramillo 301 60Th St	$33.33	5,938	5,305
Cheryl Buensuceso Panem 5301 Broadway	$35.35	6,001	5,662
Pablo Anibal Arteta 426 57Th Street	$33.27	6,372	5,776
Robert U Mmereole 6101 Kennedy Blvd E	$38.84	7,571	5,364
Jorge L. Verea 6500 Broadway	$39.31	7,966	7,506

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

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

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Other Procedures in West New York, NJ

Home Health Visit

Vaccines & Immunizations

Dental Cleaning & Exam

Eye Exam

Blood Work & Lab Tests

Hearing Test (Audiometry)

Pathology & Lab Services

Urinalysis & Urine Tests