Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Amherst, MA: $55.01

Avg. Paid

$55.01

Range

$2.08 – $112.81

Total Claims

106,118

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 Amherst, MA

Provider	Avg. Paid	Claims	Patients
Katherine J Atkinson 17 Research Drive	$75.80	20,020	14,469
Joanna Bielin 165 University Dr	$63.72	9,574	6,582
Regina M Kowal 165 University Dr	$31.62	6,903	2,965
Nora Ethel Schwartz-Martin 26 S Prospect St Unit 9	$71.77	5,980	4,763
Michele Ann Spirko 17 Research Drive	$68.31	5,438	4,482
Paul J Walting 170 University Dr	$63.87	5,096	4,948
Robert J Vigderman 31 Hall Dr	$47.04	4,521	4,263
Yarima Sol Santiago 29C Cottage St	$40.38	3,906	3,692
Susan S. Wang 31 Hall Dr	$51.30	3,714	3,576
Ali Moshiri 7 Swallow Farms Rd	$31.51	3,619	3,550
Ethan J Pope 441 West St Ste E	$63.15	3,454	3,225
Hilltown Community Health Centers, Inc. 70 Boltwood Walk	$5.00	2,743	2,513
Sarah Laurie Archibald 111 County Cir	$30.53	2,644	2,220
John Burnett Erskine 31 Hall Dr	$25.58	2,401	2,331
Robert Horowitz 150 Infirmary Way	$64.87	2,353	1,840
Erica Lee Madara 31 Hall Dr	$34.68	1,971	1,897
James S. Hickman 31 Hall Dr	$58.31	1,916	1,812
Mark Andrew Foelster 95 College St	$36.09	1,840	1,677
Denise Spence 100 University Dr	$38.18	1,801	1,741
Harvey Jon Schiller 31 Hall Dr	$51.92	1,397	1,339
Kaytlin Joanna David 150 Infirmary Way	$58.62	1,338	1,277
Jennifer M Roche 31 Hall Dr	$45.85	1,258	1,217
Elizabeth Cory 31 Hall Dr	$56.53	1,161	1,080
Jenna Jolly 26 S Prospect St Ste 6	$55.41	1,091	1,052
Maria Gallo 150 Infirmary Way	$70.68	975	780
Patricia Elizabeth Keough 31 Hall Dr	$67.33	847	806
Sara Utzschneider 31 Hall Dr.	$62.59	823	766
Jocelyn O Johnson 96 N Pleasant St	$29.83	646	593
Lynn Hurst 170 University Dr	$47.78	585	544
Alla Grigorevna Chapman 31 Hall Dr	$50.86	576	522
Steven V Vachula 22 University Dr	$35.49	508	502
Stuart Ross Chipkin 31 Hall Dr	$40.62	455	453
Ross Sanford Midler 31 Hall Dr	$53.22	423	413
Brittany J Czarick 150 Infirmary Way	$36.68	414	408
Casey Anne Erelli 170 University Dr	$62.52	390	377
Paula Jayne Moore 433 West St Ste 5	$27.20	390	389
Paul S Baecher 29 Cottage St Ste D	$51.95	348	321
April Corrine Tremblay-Davis 31 Hall Dr Ste 1	$52.11	337	321
Aisik Newman 28 Teaberry Ln	$58.93	335	292
Samantha Sacerdote 6 University Dr	$98.13	306	241
David Finn Olcott 150 Infirmary Way	$60.50	241	224
Nora Mary Mahoney 31 Hall Dr Ste 1	$60.06	210	201
Nicole M Makris 150 Infirmary Way	$2.26	199	183
Julie Anna Sayre 31 Hall Dr	$6.56	198	190
Amherst Psychiatric Associates, Llc 6 University Dr	$61.31	182	174
Hope Lounsbury 17 Research Dr	$33.16	162	159
Victoria M Lucas 29B Cottage St	$39.20	77	77
Richard M. Wyatt 29B Cottage St	$52.91	69	69
Sara Lacasse 31 Hall Dr	$28.29	47	39
Tamara Lynn Pascoe 150 Infirmary Way	$74.01	42	38

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 Amherst, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Amherst, MA is $55.01 per claim, based on 106,118 claims from 60 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 Amherst, MA?

There are 60 Medicaid providers offering Office Visit related services in Amherst, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Amherst, MA ranges from $2.08 to $112.81 per claim, with an average of $55.01. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Amherst, MA: $55.01

Providers Offering Office Visit in Amherst, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Amherst, MA

Home Health Visit

Non-Emergency Medical Transportation

Case Management Services

Personal Care Services

Psychiatric Evaluation

Behavioral & Mental Health Therapy

Dental Cleaning & Exam

Ambulance Transport