Based on public Medicaid payment data.

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
Jacqueline Danielle Saitta 101 Old Short Hills Rd	$48.44	12	12
Edward Harback 741 Northfield Ave	$24.38	12	12
Nicholas G Tullo 741 Northfield Ave	$203.25	12	12
Michael Anthony Grasso 111 Northfield Avenue	$24.21	12	12
Deborah A. Greengrass 101 Old Short Hills Rd Ste 400	$95.46	13	12
Heather Weiner 1500 Pleasant Valley Way	$400.74	13	13
Stacey Lisa Lachs 10 Stanford Ct	$0.00	14	12
Jacqueline Schwanwede 741 Northfield Ave	$32.98	15	14
Angela Nicole Mccall-Brown 101 Old Short Hills Rd Ste 401	$23.11	15	14
Munirih Nura Tahzib 405 Northfield Ave Ste Ll2	$78.30	16	16
Sbmc Provider Services 95 Old Short Hills Rd	$114.58	24	15
Andrew Christopher Konopacki 456 Prospect Ave	$115.90	25	24
Mahir Patel 347 Mount Pleasant Ave Ste 103	$98.77	29	28
Total Family Solutions, Llc 80 Main Street Suite 410	$88.87	30	26
Naga Malleswari Komati 767 Northfield Avenue	$27.41	30	26
Deborah Ann Horlacher 375 Mount Pleasant Ave	$208.52	31	30
Jessica Akunna 456 Prospect Ave	$2.58	35	35
Robert J. Fieldman 741 Northfield Ave	$34.21	38	33
William C Sloan 101 Old Short Hills Rd	$62.73	39	38
Danielle Acampora 1500 Pleasant Valley Way	$25.67	43	43
Jamie Baux-Johnson 414 Eagle Rock Ave Ste 105	$3.83	47	39
Laura L. Downey 741 Northfield Ave	$34.30	48	48
Joanna Sesti 101 Old Short Hills Rd Ste 302	$82.65	54	52
Kaushik Chhaganlal Modi 449 Mount Pleasant Ave	$51.26	60	55
Claudine M. Sylvester 520 Pleasant Valley Way	$53.00	65	56
Frantz Junior M. Pierre-Louis 796 Northfield Ave	$23.78	72	70
Michele Colon 347 Mount Pleasant Ave	$58.54	72	71
Homero Paniagua 1001 Pleasant Valley Way	$77.02	86	83
Charles Elias 347 Mount Pleasant Ave Ste 103	$11.81	91	88
Richard A Boiardo 769 Northfield Ave	$42.65	92	85
Maria Villette Ganancial 375 Mount Pleasant Ave	$46.04	95	86
Valentyna Tack 101 Old Short Hills Rd Ste 105	$64.25	96	79
Lawrence Stephen Rosenthal 101 Old Short Hills Rd	$75.38	98	96
Vivek Maheshwari 101 Old Short Hills Rd	$104.15	99	94
Gerald F Ciciola 95 Northfield Ave	$40.29	102	97
The Dermatology Group 347 Mount Pleasant Ave	$6.68	112	110
Kaitlin Renee Hulbert 101 Old Short Hills Rd Ste 105	$56.89	113	102
Marc David Glashofer 347 Mount Pleasant Ave	$50.00	116	106
Lennox Alves 470 Prospect Ave	$77.11	121	118
Fitsum Eshetu Alemu 7 Tenney Rd	$59.19	121	107
Robert W Schuman 101 Old Short Hills Rd	$53.58	123	112
Bishoy Wassef 456 Prospect Ave	$24.20	123	115
Prashant N Pandya 449 Mount Pleasant Ave	$39.27	137	102
Brianna Guttuso 347 Mount Pleasant Ave	$42.92	142	135
Yi Hung Chan 711 Pleasant Valley Way	$0.54	151	117
Kim K Choma 101 Old Short Hills Rd	$38.59	155	153
James M Lee 81 Northfield Ave Ste 304	$27.00	162	144
German Laufer 22 Knutsen Dr	$2.26	167	167
Mayuri Vijay-Sharma 111 Northfield Ave	$22.52	172	162
Marc Roelke 375 Mount Pleasant Ave	$30.48	177	158

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.

Average Medicaid Office Visit Payments in West Orange, NJ: $53.41

Providers Offering Office Visit in West Orange, NJ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

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EKG / ECG (Electrocardiogram)

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