Average Medicaid Office Visit Payments in Agawam, MA: $49.00
Avg. Paid
$49.00
Range
$6.91 – $136.41
Total Claims
44,567
Providers
21
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 Agawam, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christina Hayfron-Benjamin
230 Main St |
$53.47 | 8,461 | 8,127 |
|
Lourdes H Beauzile-Delimon
230 Main St |
$52.96 | 7,790 | 7,467 |
|
Suzanne Flint Malloy
230 Main St |
$39.26 | 5,250 | 5,117 |
|
Charles Scott Weston
230 Main St |
$46.61 | 3,667 | 3,510 |
|
James L Splain
230 Main St |
$60.05 | 3,076 | 2,960 |
|
Michael John Gillis
230 Main St |
$38.41 | 2,783 | 2,718 |
|
Rebecca Amber Morissette
230 Main St |
$42.34 | 2,251 | 2,222 |
|
Melanie Jean Koumentakos
200 Silver St Unit 106 |
$44.62 | 2,194 | 2,161 |
|
Irene N Cody
230 Main St |
$59.76 | 1,811 | 1,743 |
|
Harmony Hopkins
200 Silver St Unit 106 |
$49.28 | 1,671 | 1,654 |
|
Sean Edawrd Hoffman
230 Main St |
$56.08 | 1,496 | 1,482 |
|
David A. Mckay
230 Main St |
$49.01 | 764 | 750 |
|
Joshua David Robert
230 Main St |
$16.70 | 762 | 752 |
|
Rachel Thomas
65 Cooper St |
$36.15 | 730 | 445 |
|
Rachel Jean Tryba
46 Warren St |
$64.40 | 664 | 623 |
|
Beth Markens
230 Main St |
$54.43 | 621 | 614 |
|
Julia Rose Fiore
200 Silver St Unit 106 |
$52.78 | 429 | 427 |
|
Garima Devi
200 Silver St |
$6.91 | 69 | 69 |
|
Michael J Mcdonald
230 Main St |
$53.06 | 41 | 41 |
|
Christopher Rumplik
200 Silver St Unit 106 |
$136.41 | 25 | 25 |
|
Gary M. Gorman
230 Main St |
$40.04 | 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 Agawam, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Agawam, MA is $49.00 per claim, based on 44,567 claims from 21 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 Agawam, MA?
There are 21 Medicaid providers offering Office Visit related services in Agawam, MA according to public payment data.
What is the price range for Office Visit in Agawam, MA?
Medicaid reimbursement for Office Visit in Agawam, MA ranges from $6.91 to $136.41 per claim, with an average of $49.00. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Agawam, MA
Behavioral & Mental Health Therapy
Avg $143.20
30,627 claims
Dental Cleaning & Exam
Avg $39.45
29,108 claims
Ambulance Transport
Avg $99.24
27,279 claims
Nursing Facility Care
Avg $8.87
16,998 claims
Vaccines & Immunizations
Avg $22.90
10,567 claims
Durable Medical Equipment (DME)
Avg $42.44
6,137 claims
Hearing Test (Audiometry)
Avg $9.40
5,998 claims
Dental Filling
Avg $91.99
5,711 claims