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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

60

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
Lynn S Zashin

31 Hall Dr

 $57.98 13 13
Robert Lee Kane

228 Triangle St

 $60.53 15 14
Shayne Sebold Taylor

17 Research Drive

 $37.39 15 12
Isaias J Rodrigues

97 Pondview Dr

 $112.81 15 15
Anne L Vaillant

17 Research Drive

 $9.81 15 12
Lauren Kim

31 Hall Dr

 $65.46 15 15
Courtney Ellen Nixon

150 Infirmary Way

 $24.33 18 12
Casey Louise Fowler

170 University Dr

 $45.85 28 28
Carol J. Anderson

31 Hall Dr

 $58.33 29 27
Alan D. Berkenwald

31 Hall Dr

 $2.08 31 28
Tamara Lynn Pascoe

150 Infirmary Way

 $74.01 42 38
Sara Lacasse

31 Hall Dr

 $28.29 47 39
Richard M. Wyatt

29B Cottage St

 $52.91 69 69
Victoria M Lucas

29B Cottage St

 $39.20 77 77
Hope Lounsbury

17 Research Dr

 $33.16 162 159
Amherst Psychiatric Associates, Llc

6 University Dr

 $61.31 182 174
Julie Anna Sayre

31 Hall Dr

 $6.56 198 190
Nicole M Makris

150 Infirmary Way

 $2.26 199 183
Nora Mary Mahoney

31 Hall Dr Ste 1

 $60.06 210 201
David Finn Olcott

150 Infirmary Way

 $60.50 241 224
Samantha Sacerdote

6 University Dr

 $98.13 306 241
Aisik Newman

28 Teaberry Ln

 $58.93 335 292
April Corrine Tremblay-Davis

31 Hall Dr Ste 1

 $52.11 337 321
Paul S Baecher

29 Cottage St Ste D

 $51.95 348 321
Paula Jayne Moore

433 West St Ste 5

 $27.20 390 389
Casey Anne Erelli

170 University Dr

 $62.52 390 377
Brittany J Czarick

150 Infirmary Way

 $36.68 414 408
Ross Sanford Midler

31 Hall Dr

 $53.22 423 413
Stuart Ross Chipkin

31 Hall Dr

 $40.62 455 453
Steven V Vachula

22 University Dr

 $35.49 508 502
Alla Grigorevna Chapman

31 Hall Dr

 $50.86 576 522
Lynn Hurst

170 University Dr

 $47.78 585 544
Jocelyn O Johnson

96 N Pleasant St

 $29.83 646 593
Sara Utzschneider

31 Hall Dr.

 $62.59 823 766
Patricia Elizabeth Keough

31 Hall Dr

 $67.33 847 806
Maria Gallo

150 Infirmary Way

 $70.68 975 780
Jenna Jolly

26 S Prospect St Ste 6

 $55.41 1,091 1,052
Elizabeth Cory

31 Hall Dr

 $56.53 1,161 1,080
Jennifer M Roche

31 Hall Dr

 $45.85 1,258 1,217
Kaytlin Joanna David

150 Infirmary Way

 $58.62 1,338 1,277
Harvey Jon Schiller

31 Hall Dr

 $51.92 1,397 1,339
Denise Spence

100 University Dr

 $38.18 1,801 1,741
Mark Andrew Foelster

95 College St

 $36.09 1,840 1,677
James S. Hickman

31 Hall Dr

 $58.31 1,916 1,812
Erica Lee Madara

31 Hall Dr

 $34.68 1,971 1,897
Robert Horowitz

150 Infirmary Way

 $64.87 2,353 1,840
John Burnett Erskine

31 Hall Dr

 $25.58 2,401 2,331
Sarah Laurie Archibald

111 County Cir

 $30.53 2,644 2,220
Hilltown Community Health Centers, Inc.

70 Boltwood Walk

 $5.00 2,743 2,513
Ethan J Pope

441 West St Ste E

 $63.15 3,454 3,225

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.

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

8,766,644 claims · 4540 providers

Las Vegas, NV

Avg $54.47

8,578,324 claims · 3512 providers

Other Procedures in Amherst, MA

Home Health Visit

Avg $75.30

15,449,982 claims

Non-Emergency Medical Transportation

Avg $4.57

742,774 claims

Case Management Services

Avg $56.32

462,618 claims

Personal Care Services

Avg $160.69

45,230 claims

Psychiatric Evaluation

Avg $77.03

26,860 claims

Behavioral & Mental Health Therapy

Avg $151.33

25,541 claims

Dental Cleaning & Exam

Avg $33.22

20,274 claims

Ambulance Transport

Avg $109.23

12,997 claims