Average Medicaid Office Visit Payments in Arlington, MA: $43.66
Avg. Paid
$43.66
Range
$0.00 – $165.68
Total Claims
20,344
Providers
27
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 Arlington, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Taylor Lee Hotchkiss
22 Mill St |
$34.41 | 12 | 12 |
|
Margaret Elin Gadon
37 Broadway |
$39.78 | 12 | 12 |
|
Stanley E. Sagov
11 Water St |
$39.20 | 14 | 14 |
|
David Pangburn
29 Massachusetts Ave |
$55.70 | 61 | 57 |
|
Donna Katcher
22 Mill St |
$21.75 | 62 | 55 |
|
Kenneth A. Krutt
37 Broadway |
$22.85 | 98 | 94 |
|
Sarena Nicole Lesem
22 Mill St Ste 204 |
$165.68 | 106 | 69 |
|
Wayne J Altman
11 Water St |
$73.59 | 145 | 130 |
|
Jameson Bell
22 Mill St Ste 101 |
$46.99 | 200 | 196 |
|
William Francis Flynn
22 Mill St |
$22.55 | 302 | 244 |
|
Laura B Zucker
11 Water St |
$64.31 | 327 | 309 |
|
Gretchen Dietrich
37 Broadway |
$32.34 | 338 | 322 |
|
Town Of Arlington
670 Massachusetts Ave # R |
$150.07 | 388 | 340 |
|
Bishal Mainali
142 Lake St |
$81.77 | 453 | 353 |
|
Neha Malik
37 Broadway |
$23.89 | 457 | 424 |
|
Drx Uc Watertown Pc
1398 Massachusetts Ave |
$117.33 | 619 | 596 |
|
Ani Tahmassian
22 Mill St Ste 101 |
$44.11 | 670 | 638 |
|
New England Acupuncture & Oriental Herbal Services
22 Mill Street |
$0.00 | 725 | 207 |
|
Julie Moon Martin
22 Marion Rd |
$65.60 | 877 | 670 |
|
Sarah Jackel
5 Water St |
$0.00 | 917 | 885 |
|
Maureen E Norman
50 Mill St |
$45.50 | 975 | 904 |
|
Bari-Sue Brodsky
11 Water St |
$39.58 | 1,038 | 1,020 |
|
Roberta Nmi Lenard
471 Massachusetts Ave |
$0.93 | 1,584 | 456 |
|
Barry Stephen Paul
22 Mill St |
$55.56 | 2,063 | 2,039 |
|
Alan Gary Corman
94 Pleasant Street |
$33.44 | 2,214 | 1,508 |
|
Yao Zhang
22 Mill St |
$25.20 | 2,227 | 893 |
|
Ann M Morvai
22 Mill St |
$59.49 | 3,460 | 3,073 |
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 Arlington, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Arlington, MA is $43.66 per claim, based on 20,344 claims from 27 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 Arlington, MA?
There are 27 Medicaid providers offering Office Visit related services in Arlington, MA according to public payment data.
What is the price range for Office Visit in Arlington, MA?
Medicaid reimbursement for Office Visit in Arlington, MA ranges from $0.00 to $165.68 per claim, with an average of $43.66. 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 Arlington, MA
Ambulance Transport
Avg $80.56
151,567 claims
Non-Emergency Medical Transportation
Avg $25.89
80,524 claims
Case Management Services
Avg $470.69
38,924 claims
Psychiatric Evaluation
Avg $57.80
28,427 claims
Physical Therapy
Avg $17.62
15,917 claims
Speech Therapy
Avg $26.90
15,237 claims
Dental Cleaning & Exam
Avg $36.96
12,259 claims
Personal Care Services
Avg $108.42
7,597 claims