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
Sarah Dingman 4 Brotherton Way	$217.04	13	13
Emily M Haley 4 Brotherton Way	$18.03	13	12
Marc L Braithwaite 385 Southbridge St	$58.91	13	13
Ketaki A Patel 103 Millbury St	$31.66	15	12
Dennis E Murphy 250 Hampton St	$45.38	16	16
Dispatchhealth Massachusetts Pc 567 Southbridge St Ste 10	$163.51	25	24
Daniel J Clemente 4 Brotherton Way	$10.54	37	37
Chrystina Maria Soloperto 105 Millbury St	$43.74	41	40
Deborah Ann Vuillemot 385 Southbridge St	$107.95	41	40
Angela Ciamarra Mancini Child Hlth Assoc.	$57.26	43	43
Katharine Garnett 105 Mullbury St	$37.77	44	41
William M Gaines 385 Southbridge St	$111.26	69	69
Wassim Assaf 48 Auburn St Ste 1	$59.41	71	70
Eric M Lupoli 385 Southbridge St	$80.06	83	83
Morgan A Hill 4 Brotherton Way	$10.56	84	82
Rebecca L Kesman 385 Southbridge St	$84.09	108	103
Margaret M Kamin 385 Southbridge St	$99.67	110	110
John C Platt 385 Southbridge St	$79.25	147	137
Joanne Piecka 105 Millbury St	$30.63	171	170
Andrew F Moring 250 Hampton St	$48.24	172	167
Joseph J Savitt Grove Medical Associates P.C.	$40.28	177	171
Helen L. Collette 385 Southbridge St	$93.97	180	176
Danielle Elizabeth D'Auteuil 105 Millbury St	$7.20	181	177
Anna Kakizaki 492 Washington St	$50.90	193	187
Seema Naravane 385 Southbridge St	$38.37	199	172
Deborah A. Ford 103 Millbury St	$44.14	203	201
Prathibha Ranganna 103 Millbury St	$57.72	273	264
Iwona Prabucka-Davis 489 Washington St Ste 202	$52.08	317	300
Lauren Deane Knox 460 Southbridge St	$93.92	356	355
Jonathan E. Gerbode-Grant 385 Southbridge St	$103.08	378	373
Celia Gomes Mcgillivray 489 Washington St Ste 202	$32.80	387	374
Patricia Mary Sullivan 48 Auburn St	$22.14	394	384
Katie Louise Sheary 4 Brotherton Way	$21.10	402	378
Cheri Anne Klinghard 4 Brotherton Way	$43.75	417	395
Oksana Primmer 385 Southbridge St	$85.61	441	435
Richard Allan Bream 105 Millbury St	$56.53	512	506
Putcha R Murthy 385 Southbridge St	$105.14	520	506
William A Pultar 103 Millbury St	$30.07	534	503
Rabia Bajwa Lindstrom 105 Millbury St	$27.32	588	570
Michael P Richards 385 Southbridge St	$84.21	598	584
Laurie J Marin 385 Southbridge St	$76.56	637	625
Kari Anne Druker 385 Southbridge St	$101.53	670	661
Hilary Marie Dulin Sauta 250 Hampton St	$35.59	690	663
Maureen Lundin 105 Millbury St	$18.70	701	687
Jessica Lauren Plummer 105 Millbury St	$19.49	764	750
John R Person 385 Southbridge St	$107.26	781	746
Heather M Randazza 105 Millbury St	$72.13	854	852
Kerry-Ann Natalie Smith 385 Southbridge St	$80.48	867	847
Jessica Lynn Weissman 4 Brotherton Way	$62.13	886	758
Maggie Chen 207 Southbridge St	$43.70	940	933

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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