Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or 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 |
|---|---|---|
| Ephrat, Moshe MD | $28.09 | 708 |
| Schwartz, Joseph MD | $27.50 | 312 |
| Biran, Noa M.D. | $27.52 | 186 |
| Koretzky, Jeffrey MD | $26.56 | 175 |
| Burhanna, Amy M.D. | $27.19 | 164 |
| Kaur, Sukhdeep M.D. | $27.26 | 131 |
| Rabin, Marcie MD | $26.97 | 111 |
| Alobeidy, Salaam MD | $26.87 | 105 |
New Jersey Pricing in Context
In New Jersey, CPT code G2212 (Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or) carries an average Medicare payment of $26.09 — 8% above the national benchmark of $24.10. 679 providers across the state submitted claims for this procedure in 2023, performing 12.8K 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 $111.13, 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 $84.32, with self-pay cash prices typically around $55.36. 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 Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or cost in New Jersey?
The average Medicare payment for Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or in New Jersey is $26.09, which is 8% above the national average of $24.10. Providers in NJ typically bill $111.13 for this procedure.
What does Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or cost with insurance in New Jersey?
With commercial insurance in New Jersey, Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or costs an estimated $84.32. Without insurance, the estimated cash price is $55.36. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or in New Jersey?
679 providers in New Jersey billed Medicare for Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or in 2023, performing 12.8K total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or cheaper in New Jersey than the national average?
No — Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or costs 8% above the national average in New Jersey. The state average Medicare payment is $26.09 compared to $24.10 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.