Average Medicaid Office Visit Payments in West Orange, NJ: $53.41
Avg. Paid
$53.41
Range
$0.00 – $400.74
Total Claims
311,254
Providers
158
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 Orange, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Deepali Mattoo
81 Northfield Ave |
$44.45 | 80,844 | 65,482 |
|
Melissa Janine Bertani
35 Park Ave |
$74.54 | 16,866 | 15,459 |
|
Abel Ernesto Gonzalez
386 Valley Rd Ste 3 |
$74.40 | 13,646 | 12,200 |
|
Joel W Levitt
769 Northfield Ave |
$101.02 | 11,172 | 10,739 |
|
Simon Becker
667 Eagle Rock Ave |
$18.06 | 8,493 | 8,093 |
|
Adel Y. Armanious
443 Northfield Avenue |
$37.43 | 7,928 | 6,690 |
|
Norma A Rae-Layne
59 Main St |
$60.04 | 7,888 | 6,621 |
|
Jocelyne Saint-Natus
109 Randolph Pl |
$23.90 | 6,638 | 5,307 |
|
Satya D Narisety
622 Eagle Rock Ave Ste G3 |
$65.10 | 6,490 | 5,874 |
|
Samih Rajab Abbassi
372 Valley Rd |
$58.19 | 6,344 | 5,888 |
|
Somaya Abboud
15 Oak Terrace |
$37.69 | 6,065 | 4,394 |
|
Leo Davidson
667 Eagle Rock Ave |
$32.70 | 5,573 | 5,062 |
|
Irene Mamkin
375 Mount Pleasant Ave |
$108.07 | 5,511 | 5,349 |
|
Donald Gene Rubenstein
375 Mount Pleasant Ave |
$47.01 | 5,157 | 4,924 |
|
Angelica Rose Sorisi
386 Valley Rd |
$68.33 | 5,080 | 4,729 |
|
Shefali Vyas
101 Old Short Hills Rd |
$84.70 | 4,876 | 4,484 |
|
Craig Russell Goldstein
111 Northfield Ave |
$28.04 | 4,798 | 4,591 |
|
Jay Alon Lovenheim
101 Old Short Hills Rd Ste 105 |
$41.55 | 4,724 | 4,287 |
|
Dennis J Brenner
375 Mount Pleasant Ave Ste 105 |
$91.43 | 4,058 | 3,954 |
|
Andrew O Baddoo
745 Northfield Ave |
$33.04 | 3,826 | 3,500 |
|
Karen Sue Ziemke
745 Northfield Avenue |
$43.72 | 3,387 | 1,934 |
|
Natalie Johnson
470 Prospect Ave |
$87.47 | 3,340 | 2,661 |
|
Fadi Nemer Chaaban
375 Mount Pleasant Ave |
$41.58 | 3,245 | 3,083 |
|
Yael Antebi
81 Northfield Ave |
$34.77 | 3,054 | 2,734 |
|
Heather Nadine Lefkowitz
111 Northfield Avenue |
$25.08 | 2,848 | 2,667 |
|
Mimi Oliff
347 Mount Pleasant Ave Ste 103 |
$67.32 | 2,741 | 2,690 |
|
Svetlana Lantsman Sabel
375 Mount Pleasant Ave Ste 105 |
$120.46 | 2,640 | 2,573 |
|
Abbas A. Shehadeh
443 Northfield Avenue |
$34.21 | 2,552 | 2,175 |
|
Aung Aye
741 Northfield Ave Ste 210 |
$55.44 | 2,327 | 2,102 |
|
Manickam Ganesh
24 Park Avenue |
$24.35 | 2,218 | 2,037 |
|
Shereelah Deen
372 Valley Rd |
$51.05 | 2,207 | 2,004 |
|
David R Bonney
347 Mount Pleasant Ave |
$54.79 | 2,078 | 2,019 |
|
Sean Christopher Egan
443 Northfield Ave |
$85.29 | 2,050 | 1,933 |
|
Molly Orden
347 Mount Pleasant Ave Ste 103 |
$56.46 | 1,984 | 1,822 |
|
Michelle Itidiare
347 Mount Pleasant Ave |
$53.36 | 1,862 | 1,836 |
|
Odler Jeanlouie
60 Northfield Ave |
$26.47 | 1,803 | 1,536 |
|
Robert Selig Eagle
405 Northfield Ave |
$45.39 | 1,803 | 1,740 |
|
Benny Chu
449 Mount Pleasant Ave |
$57.56 | 1,679 | 1,414 |
|
Trevor Layne
354 Main St |
$34.63 | 1,566 | 1,079 |
|
Louis V Sangosse
745 Northfield Ave |
$27.03 | 1,503 | 1,386 |
|
Sujelis Perez
347 Mount Pleasant Ave |
$38.57 | 1,491 | 1,457 |
|
Daniel Kilho Lee
449 Mount Pleasant Ave |
$56.82 | 1,459 | 1,225 |
|
Judith P Tiongco
741 Northfield Ave |
$49.46 | 1,415 | 1,258 |
|
Avnee Shah
347 Mount Pleasant Ave |
$46.98 | 1,413 | 1,382 |
|
Daniel Witkin
72 Conforti Ave |
$45.63 | 1,399 | 1,256 |
|
Constantinos Aristides Costeas
375 Mount Pleasant Ave |
$39.62 | 1,386 | 1,321 |
|
Maureen L Richards
63 Crestmont Rd |
$69.99 | 1,368 | 1,204 |
|
David S. Haacker
443 Northfield Avenue |
$43.18 | 1,296 | 1,214 |
|
Anup M Patel
769 Northfield Ave |
$37.22 | 1,287 | 1,055 |
|
Donald Bret Perlman
741 Northfield Ave |
$31.67 | 1,267 | 1,108 |
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 Orange, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Orange, NJ is $53.41 per claim, based on 311,254 claims from 158 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 Orange, NJ?
There are 158 Medicaid providers offering Office Visit related services in West Orange, NJ according to public payment data.
What is the price range for Office Visit in West Orange, NJ?
Medicaid reimbursement for Office Visit in West Orange, NJ ranges from $0.00 to $400.74 per claim, with an average of $53.41. 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 Orange, NJ
Physical Therapy
Avg $18.08
832,599 claims
Home Health Visit
Avg $58.21
471,728 claims
Non-Emergency Medical Transportation
Avg $35.92
109,110 claims
Psychiatric Evaluation
Avg $88.73
93,328 claims
Vaccines & Immunizations
Avg $12.17
90,371 claims
EKG / ECG (Electrocardiogram)
Avg $5.65
81,501 claims
Dental Cleaning & Exam
Avg $22.88
62,813 claims
Eye Exam
Avg $26.64
48,117 claims