Average Medicaid Office Visit Payments in Westfield, NJ: $55.85
Avg. Paid
$55.85
Range
$1.82 – $170.07
Total Claims
33,531
Providers
42
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 Westfield, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Craig I Sorkin
136 Saint Paul St |
$70.34 | 7,977 | 7,377 |
|
Ying Liu
142 Central Ave |
$56.92 | 5,709 | 5,068 |
|
Zulekha Atif
525 Central Ave Ste D |
$59.04 | 3,299 | 2,891 |
|
Jason William Sedgwick
116 S Euclid Ave Ste 1 |
$1.82 | 1,396 | 1,029 |
|
Chudi Mgbako
715 Central Ave |
$41.46 | 1,370 | 1,252 |
|
Coatney Alexander
142 Central Ave |
$71.65 | 1,347 | 1,176 |
|
Leopold Jorge Bolona
590 Westfield Ave |
$70.96 | 1,324 | 1,126 |
|
Brittany Dee Mueller
142 Central Ave |
$63.82 | 1,252 | 1,106 |
|
Kaylah Christine Rondon
140 Central Ave |
$63.29 | 1,150 | 1,043 |
|
Angeline Z Mapa
202 Elmer St |
$24.46 | 1,150 | 1,079 |
|
Douglas P Bennett
525 Central Ave Ste C |
$59.77 | 971 | 874 |
|
Gregory Daniel Kramer
592 Springfield Ave |
$48.48 | 859 | 739 |
|
Lindsay Maggio
208 Lenox Ave # 158 |
$61.27 | 752 | 660 |
|
Marshall Cooper
592B Springfield Ave |
$38.56 | 752 | 564 |
|
Cecilia Zhang
140 Central Ave |
$53.62 | 523 | 468 |
|
Emily Elizabeth Simmons
433 Central Ave |
$24.98 | 503 | 449 |
|
Akanksha Kumar
560 Springfield Ave |
$82.53 | 398 | 381 |
|
Kateryna Branish
560 Springfield Ave |
$38.32 | 323 | 302 |
|
Yu-Ching Chi
715 Central Ave |
$27.89 | 285 | 184 |
|
Margaret Gia Chen
532 E Broad St |
$42.86 | 268 | 250 |
|
Anita Saha
592B Springfield Ave |
$48.76 | 202 | 197 |
|
Obinna O Mgbako
715 Central Avenue |
$35.33 | 200 | 169 |
|
Allarice Linaac
142 Central Ave |
$26.30 | 178 | 151 |
|
Karina F Campos
560 Springfield Ave Ste I |
$17.72 | 143 | 138 |
|
Matthew Andrew Kowalczyk
532 E Broad St |
$44.67 | 143 | 132 |
|
John Nicholas Cavuto
532 E Broad St |
$43.27 | 142 | 135 |
|
Jean Rae Haymond
532 E Broad St |
$44.77 | 114 | 108 |
|
Peter John Weigel
324 South Ave E |
$47.68 | 104 | 101 |
|
Christian Ellison
202 Elmer St |
$56.98 | 101 | 94 |
|
Dhwanil G Patel
215 North Ave W |
$30.35 | 98 | 76 |
|
Anita E Dagadu-Ogoe
222 North Ave W |
$8.81 | 88 | 88 |
|
Julia Lobrace
142 Central Ave |
$47.59 | 76 | 70 |
|
Milton Kahn
592 Springfield Ave |
$47.64 | 66 | 62 |
|
Ellen Sue Flanzman
532 E Broad St |
$44.15 | 57 | 56 |
|
Martin Diamond
116 S Euclid Ave |
$170.07 | 50 | 50 |
|
Laurie Belosa
560 Springfield Ave |
$64.24 | 45 | 41 |
|
Elena Macias
433 Central Ave |
$21.83 | 34 | 30 |
|
Yuriy Khanin
215 North Ave W |
$33.37 | 29 | 24 |
|
Gay Wise
259 Tuttle Pkwy |
$31.28 | 16 | 15 |
|
Damien F Chiodo
547 E Broad St Fl 2 |
$40.28 | 13 | 13 |
|
Christopher L Demasi
202 Elmer St |
$65.81 | 12 | 12 |
|
Paul Kenneth Lerer
525 Central Ave |
$53.97 | 12 | 12 |
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 Westfield, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Westfield, NJ is $55.85 per claim, based on 33,531 claims from 42 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 Westfield, NJ?
There are 42 Medicaid providers offering Office Visit related services in Westfield, NJ according to public payment data.
What is the price range for Office Visit in Westfield, NJ?
Medicaid reimbursement for Office Visit in Westfield, NJ ranges from $1.82 to $170.07 per claim, with an average of $55.85. 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 Westfield, NJ
Psychiatric Evaluation
Avg $78.86
46,809 claims
Ambulance Transport
Avg $36.36
14,186 claims
Chiropractic Care
Avg $8.88
11,535 claims
Dental Cleaning & Exam
Avg $26.56
8,262 claims
Speech Therapy
Avg $24.65
5,805 claims
Podiatry (Foot Care)
Avg $1.99
5,780 claims
Ultrasound
Avg $59.65
4,161 claims
Vaccines & Immunizations
Avg $16.81
3,684 claims