Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Acton, MA: $78.38

Avg. Paid

$78.38

Range

$1.97 – $108.50

Total Claims

40,171

Providers

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 Acton, MA

Provider	Avg. Paid	Claims	Patients
New England Center For Mental Health Llc 289 Great Road	$74.17	7,698	6,923
Michael S Pizza 289 Great Road	$69.53	6,403	5,951
Madhavi Kamireddi 289 Great Road	$96.86	5,307	4,488
Justice Resource Institute, Inc 380 Massachusetts Ave	$103.39	4,285	3,881
Christopher Parmanand 289 Great Rd	$63.78	2,215	1,847
Jillian Cooley 289 Great Rd Ste G1	$82.73	1,343	1,185
Christopher Paul Cooper 321 Main St	$61.59	1,098	1,055
Med-Ex, Llc 100 Powdermill Rd	$108.50	1,090	1,062
Erin Maxfield 321 Main St	$42.17	993	932
Christina Stille 321 Main St	$99.55	976	950
Kristie A Hadley 289 Great Rd	$93.37	953	814
Jason P Knowles 289 Great Rd Ste G1	$74.58	858	752
Alexandra Iannini 321 Main St	$59.27	775	736
Michelle Louise Brumaghim 289 Great Rd Ste G1	$86.38	649	555
Maria Elizabeth Kounlabouth 321 Main St	$68.14	623	597
Amy R Lo 321 Main St	$59.43	503	476
John Joseph Jakimczyk 321 Main St	$67.31	486	456
Jasmin Darling 321 Main St	$64.61	459	439
Emily P. Harder 321 Main St	$62.64	376	359
Carol W Karuci 289 Great Rd Ste G1	$94.99	349	306
Deborah Esrig Simon 321 Main St	$59.19	332	314
Carolyn O'Donnell-Walker 321 Main St	$70.55	310	287
Jessica B Lawrence 289 Great Rd Ste G1	$87.60	308	236
Janice Martha Wester 289 Great Road	$36.67	278	266
Michelle L. Travassos 321 Main St	$61.29	238	230
Holly Ann Mazur 321 Main St	$36.13	196	176
Jane Ward 289 Great Road	$80.24	183	167
Christopher J Bechtel 321 Main St	$34.91	155	153
Louis J. Berk 321 Main St	$1.97	153	146
Mark William Cohen 321 Main St	$73.29	118	104
Peter E Krims 45B Discovery Way	$28.73	79	75
Elliot Steger 321 Main St	$43.10	70	67
Scott Francis Paparello 321 Main St	$47.73	69	65
Alison Mary Sheridan 518 Great Rd	$64.80	55	52
Elisha Jill Hisoler 344 Great Rd	$62.90	51	48
Raj Devarajan 45B Discovery Way	$26.04	27	26
Michael George Ross 321 Main St	$29.38	22	21
Matthew Chamberlain 321 Main St	$69.89	19	17
Kavitha Gazula 529 Main St Ste B	$88.32	16	12
Narine Sharkhatunyan 321 Main St	$39.70	15	13
Deborah B. Kovacs 321 Main Street	$75.33	14	13
Elizabeth A Smith 321 Main St	$77.85	12	12
Karen Goyette Pounds 518 Great Rd	$25.80	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 Acton, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Acton, MA is $78.38 per claim, based on 40,171 claims from 43 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 Acton, MA?

There are 43 Medicaid providers offering Office Visit related services in Acton, MA according to public payment data.

What is the price range for Office Visit in Acton, MA?

Medicaid reimbursement for Office Visit in Acton, MA ranges from $1.97 to $108.50 per claim, with an average of $78.38. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Acton, MA: $78.38

Providers Offering Office Visit in Acton, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Acton, MA

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Case Management Services

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Ambulance Transport

Physical Therapy