Average Medicaid Office Visit Payments in Andover, MA: $50.04
Avg. Paid
$50.04
Range
$2.03 – $165.49
Total Claims
74,099
Providers
68
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 Andover, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edwin C Radke
140 Haverhill Street |
$58.13 | 8,365 | 7,698 |
|
Adam T Harder
323 Lowell St |
$46.97 | 6,444 | 6,096 |
|
Rebecca Ann Konieczny
323 Lowell St |
$56.97 | 5,950 | 5,634 |
|
Steven Jason Andriola
323 Lowell St |
$49.44 | 5,874 | 5,566 |
|
Alida Melisa Rosado Rodriguez
323 Lowell St |
$48.56 | 4,299 | 4,111 |
|
Raymond Kelly
323 Lowell St |
$51.11 | 3,393 | 3,318 |
|
Thomas Edward Davidson
Andover Ob/Gyn |
$50.88 | 2,492 | 2,334 |
|
Melissa Tsuang Warner
28 Andover St Ste 1R |
$64.52 | 2,491 | 2,473 |
|
Erin Hannah Gold
323 Lowell St |
$44.47 | 2,450 | 2,348 |
|
Tapasya Srivastava
323 Lowell St |
$47.84 | 2,188 | 2,113 |
|
Prathima Chaloori
140 Haverhill St |
$49.35 | 1,856 | 1,725 |
|
Madhavi Challagulla
323 Lowell St |
$57.98 | 1,747 | 1,677 |
|
Matthew J Carlson
323 Lowell St |
$43.42 | 1,460 | 1,391 |
|
Catherine W Hamel
180 Main St |
$43.21 | 1,380 | 1,315 |
|
Douglas Michael Katz
323 Lowell St |
$57.84 | 1,342 | 1,316 |
|
Tatiana N Scott
323 Lowell St |
$54.30 | 1,273 | 1,219 |
|
Melissa Bergeron
323 Lowell St |
$40.99 | 1,240 | 1,217 |
|
Spyridon Kantas
63 Park Street |
$47.39 | 1,158 | 1,047 |
|
Lauren Ashley Griff
68 Main St |
$2.03 | 1,110 | 1,074 |
|
Lisa Marchand
323 Lowell St |
$47.79 | 1,109 | 1,086 |
|
Robert Christopher Herron
140 Haverhill St |
$16.07 | 1,000 | 942 |
|
Nancy C Landay
Andover Surgical Assoc. |
$55.54 | 982 | 965 |
|
Brenda M Foley
323 Lowell St |
$56.25 | 941 | 889 |
|
Earl R Gonzales
140 Haverhill St |
$50.27 | 895 | 880 |
|
Charae J. D'Ambra
323 Lowell St |
$38.35 | 849 | 837 |
|
Abby A Duclos
323 Lowell St Ste 302 |
$61.55 | 816 | 733 |
|
Phyllis Spieler
138 Haverhill St |
$18.30 | 788 | 743 |
|
Matthew J Sullivan
323 Lowell St |
$56.91 | 787 | 763 |
|
Nazaret Derkevorkian
323 Lowell St |
$57.73 | 777 | 746 |
|
Suzanne Saindon
63 Park Street |
$62.07 | 706 | 674 |
|
Mahmoud Al Masry
138 Haverhill St |
$31.15 | 604 | 566 |
|
Marco Christian Montecalvo
323 Lowell St |
$58.59 | 572 | 563 |
|
Srivalli Konduri
140 Haverhill Street |
$26.08 | 550 | 524 |
|
Nicholas Johnston
269 N Main St |
$68.31 | 520 | 506 |
|
Stephen Michael Zappala
140 Haverhill St |
$48.04 | 476 | 439 |
|
Jocelyn C Duffy
140 Haverhill St |
$46.79 | 434 | 412 |
|
Kelly Czworka
323 Lowell St |
$39.41 | 418 | 412 |
|
Heather Benedetto
140 Haverhill Street |
$77.93 | 346 | 341 |
|
Debra Marino
46 Cutler Rd |
$2.75 | 306 | 286 |
|
Jacqueline Ann Landry
323 Lowell St |
$54.07 | 294 | 289 |
|
Nancy Coleman Hurley
Andover Pediatrics Npi 1548393176 |
$44.68 | 277 | 268 |
|
Victor Vidal Villarreal
140 Haverhill Street |
$56.75 | 253 | 250 |
|
Joseph William Desiato
349 N Main St |
$66.65 | 221 | 206 |
|
Kelvey Richards
323 Lowell St |
$51.43 | 217 | 197 |
|
Jennifer C Hensley
Andover Pediatrics Npi 1548393176 |
$27.26 | 193 | 189 |
|
Robert Peter Nelken
140 Haverhill St |
$64.50 | 192 | 183 |
|
Sue Yeun Kim
140 Hoverhill St |
$48.30 | 188 | 170 |
|
Jessica Deprofio
323 Lowell St |
$14.99 | 179 | 175 |
|
Karen Paola Bravo Sosa
323 Lowell St |
$3.85 | 176 | 168 |
|
Andrea B Polonsky
140 Haverhill St |
$50.90 | 173 | 165 |
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 Andover, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Andover, MA is $50.04 per claim, based on 74,099 claims from 68 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 Andover, MA?
There are 68 Medicaid providers offering Office Visit related services in Andover, MA according to public payment data.
What is the price range for Office Visit in Andover, MA?
Medicaid reimbursement for Office Visit in Andover, MA ranges from $2.03 to $165.49 per claim, with an average of $50.04. 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 Andover, MA
Home Health Visit
Avg $14.33
90,629 claims
Dental Cleaning & Exam
Avg $39.37
43,997 claims
Psychiatric Evaluation
Avg $78.11
16,475 claims
Vaccines & Immunizations
Avg $10.56
15,208 claims
Personal Care Services
Avg $15.16
13,057 claims
Behavioral & Mental Health Therapy
Avg $156.21
10,531 claims
Ambulance Transport
Avg $85.32
10,053 claims
Speech Therapy
Avg $51.03
9,593 claims