Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent in New Jersey
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in New Jersey
| Provider | Medicare | Services |
|---|---|---|
| Gabler, Scott M.D. | $6.93 | 390 |
| Burke, Gary DO | $6.90 | 191 |
| Osofsky, Jeffrey M.D. | $7.37 | 180 |
| Fortino, Gregg MD | $7.50 | 146 |
| Chaudhry, Nasser MD | $6.86 | 127 |
| Sealove, Brett M.D. | $7.35 | 123 |
| Peter, Annie MD | $6.59 | 115 |
| Snyder, Harvey MD | $7.50 | 110 |
| Noto, Gregory | $7.41 | 110 |
| Sambucci, Deborah D.O. | $7.43 | 108 |
| Lawrence, David MD | $6.40 | 95 |
| Bach, Matt MD | $7.41 | 85 |
| Saia, John DO | $6.96 | 82 |
| Patel, Alpesh M.D. | $7.04 | 79 |
| Koo, Charles M.D. | $7.31 | 76 |
| Pavlides, Andreas MD | $7.50 | 64 |
New Jersey Pricing in Context
In New Jersey, CPT code G0250 (Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent) carries an average Medicare payment of $7.07 — 13% above the national benchmark of $6.24. 147 providers across the state submitted claims for this procedure in 2023, performing 5.8K total services. Individual payments in NJ ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in New Jersey is $26.28, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because New Jersey sits above the national Medicare average, commercial rates in the state may also run higher than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in New Jersey lands near $23.78, with self-pay cash prices typically around $14.22. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent cost in New Jersey?
The average Medicare payment for Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent in New Jersey is $7.07, which is 13% above the national average of $6.24. Providers in NJ typically bill $26.28 for this procedure.
What does Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent cost with insurance in New Jersey?
With commercial insurance in New Jersey, Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent costs an estimated $23.78. Without insurance, the estimated cash price is $14.22. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent in New Jersey?
147 providers in New Jersey billed Medicare for Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent in 2023, performing 5.8K total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent cheaper in New Jersey than the national average?
No — Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent costs 13% above the national average in New Jersey. The state average Medicare payment is $7.07 compared to $6.24 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.