Average Medicaid Office Visit Payments in West Paterson, NJ: $49.57
Avg. Paid
$49.57
Range
$3.59 – $84.46
Total Claims
72,314
Providers
13
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 Paterson, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey Whitworth
1031 Mcbride Ave |
$52.08 | 31,587 | 30,416 |
|
Joseph Vitale
999 Mcbride Ave |
$52.00 | 16,227 | 14,079 |
|
Harleen Brar
1031 Mcbride Ave |
$43.22 | 8,370 | 7,381 |
|
Deelip Chatterjee
1031 Mcbride Ave |
$31.50 | 8,160 | 5,901 |
|
Roberto A Solis
205 Browertown Rd |
$57.47 | 4,834 | 4,654 |
|
Michael M Mainero
205 Browertown Rd |
$79.30 | 1,834 | 1,790 |
|
Angelo G Bellardini
1130 Mcbride Avenue |
$35.30 | 596 | 541 |
|
Syed Jafri Md Pa
1031 Mcbriade Avenue |
$84.46 | 239 | 239 |
|
Sarla J Zaveri
1031 Mcbride Ave |
$3.59 | 159 | 124 |
|
Anthony A. Losardo
999 Mcbride Ave |
$55.14 | 132 | 121 |
|
Atlantic Dermatology Associates, Llc
1031 Mcbride Ave |
$5.84 | 102 | 102 |
|
Warren Maresca
999 Mcbride Ave |
$43.67 | 58 | 49 |
|
John Capitanelli
999 Mcbride Ave |
$83.53 | 16 | 16 |
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 Paterson, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Paterson, NJ is $49.57 per claim, based on 72,314 claims from 13 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 Paterson, NJ?
There are 13 Medicaid providers offering Office Visit related services in West Paterson, NJ according to public payment data.
What is the price range for Office Visit in West Paterson, NJ?
Medicaid reimbursement for Office Visit in West Paterson, NJ ranges from $3.59 to $84.46 per claim, with an average of $49.57. 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 Paterson, NJ
EKG / ECG (Electrocardiogram)
Avg $3.59
14,725 claims
Pulmonary Function Test
Avg $11.30
9,959 claims
Skin Biopsy & Lesion Removal
Avg $42.92
4,229 claims
Vaccines & Immunizations
Avg $11.99
1,559 claims
Prescription Medications
Avg $0.77
1,155 claims
Chemotherapy
Avg $23.71
664 claims
Cardiac Stress Test
Avg $49.39
200 claims
Upper Endoscopy (EGD)
Avg $252.46
53 claims