Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Auburn, MA: $61.16

Avg. Paid

$61.16

Range

$7.20 – $217.04

Total Claims

94,469

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 Auburn, MA

Provider	Avg. Paid	Claims	Patients
Peter M Keefe 385 Southbridge St	$98.58	4,482	4,314
Tammy E Vargas 813 Southbridge St	$46.71	4,277	4,075
Achal Aggarwal 385 Southbridge St	$91.95	4,209	4,045
Shawn P. Eck 35 Millbury St	$56.70	3,883	3,841
Ashley Lachapelle-Messier 4 Brotherton Way	$32.37	3,854	2,077
Daniel Evan Viders 207 Southbridge St	$50.27	3,664	3,585
Tatyana Sayko 813 Southbridge St	$45.97	3,531	3,362
Gail Sandra Ryan 105 Mullbury St	$51.16	3,420	3,319
Lindsay Oliver 385 Southbridge St	$90.41	3,097	3,007
Georgios P Poniros 48 Auburn St	$32.10	3,096	3,017
Daniel Kwiecien 207 Southbridge St	$43.28	2,896	2,863
Jaimie Kane 105 Millbury St	$51.39	2,829	2,771
Brooke E Di Anni 385 Southbridge St	$77.05	2,814	2,737
Ryan Hester 460 Southbridge St	$76.39	2,707	2,663
Patricia F Maalouli 385 Southbridge St	$87.63	2,662	2,603
Rebecca Curci 826 Southbridge St	$60.62	2,409	2,181
Edlira Duro 385 Southbridge St	$102.22	2,238	2,189
Amy Beth Gonroff 105 Millbury St	$49.43	1,974	1,928
Thomas E Jaquith-Houston 4 Brotherton Way	$64.18	1,672	1,625
David E. Weinstock 250 Hampton St	$53.18	1,620	1,443
Nancy Detora 105 Millbury St	$51.27	1,608	1,537
Shannon Leigh Oteri 105 Millbury St Child Health Associates	$53.90	1,423	1,380
Sara J Jacobson 105 Millbury St	$57.20	1,336	1,302
Madeline Betty Morris 105 Millbury St	$51.10	1,324	1,291
Joseph Francis Howard Child Health Assoc	$53.51	1,248	1,226
Katherine White 207 Southbridge St	$49.47	1,222	1,195
Karen M Fleming 385 Southbridge St	$72.89	1,195	1,129
William Zawatski 105 Millbury St	$45.28	1,156	1,124
Kelly M. Manchester 385 Southbridge St	$72.14	1,073	1,039
Cheryl L Mariano-Perugini 385 Southbridge St	$43.46	1,069	1,054
Pratima Patil 4 Brotherton Way	$70.34	1,052	972
Danielle M Fournier 4 Brotherton Way	$34.94	1,038	961
Sarah Elizabeth Mcgowan 105 Millbury St	$41.07	1,036	1,009
Mila Caraballo 4 Brotherton Way	$89.50	999	979
Maggie Chen 207 Southbridge St	$43.70	940	933
Jessica Lynn Weissman 4 Brotherton Way	$62.13	886	758
Kerry-Ann Natalie Smith 385 Southbridge St	$80.48	867	847
Heather M Randazza 105 Millbury St	$72.13	854	852
John R Person 385 Southbridge St	$107.26	781	746
Jessica Lauren Plummer 105 Millbury St	$19.49	764	750
Maureen Lundin 105 Millbury St	$18.70	701	687
Hilary Marie Dulin Sauta 250 Hampton St	$35.59	690	663
Kari Anne Druker 385 Southbridge St	$101.53	670	661
Laurie J Marin 385 Southbridge St	$76.56	637	625
Michael P Richards 385 Southbridge St	$84.21	598	584
Rabia Bajwa Lindstrom 105 Millbury St	$27.32	588	570
William A Pultar 103 Millbury St	$30.07	534	503
Putcha R Murthy 385 Southbridge St	$105.14	520	506
Richard Allan Bream 105 Millbury St	$56.53	512	506
Oksana Primmer 385 Southbridge St	$85.61	441	435

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 Auburn, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Auburn, MA is $61.16 per claim, based on 94,469 claims from 84 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 Auburn, MA?

There are 84 Medicaid providers offering Office Visit related services in Auburn, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Auburn, MA ranges from $7.20 to $217.04 per claim, with an average of $61.16. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Auburn, MA: $61.16

Providers Offering Office Visit in Auburn, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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