Average Medicaid Office Visit Payments in Ayer, MA: $47.34
Avg. Paid
$47.34
Range
$18.71 – $143.20
Total Claims
23,101
Providers
16
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 Ayer, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jennifer P Stone
200 Groton Rd |
$68.36 | 16 | 14 |
|
Steven R. Brusie
190 Groton Rd |
$18.71 | 48 | 45 |
|
Judith Marie Pentedemos
200 Groton Rd |
$27.91 | 127 | 124 |
|
Ashley Lynn Lynch
198 Groton Rd Ste 2 |
$40.88 | 154 | 148 |
|
Peter Ofman
190 Groton Rd Ste 110 |
$52.88 | 203 | 200 |
|
Brian C Dressel
198 Groton Rd Ste 2 |
$26.94 | 481 | 459 |
|
Paul P Harasimowicz
190 Groton Rd |
$35.38 | 621 | 590 |
|
Zoe Ann Gillis
198 Groton Road |
$47.75 | 664 | 632 |
|
Nashoba Valley Medical Center, A Steward Family Hospital, Inc
200 Groton Rd |
$143.20 | 802 | 753 |
|
Michael Jonathan Older
190 Groton Rd |
$55.73 | 909 | 882 |
|
Nashoba Valley Medical Center, A Steward Family Hospital, Inc.
200 Groton Rd |
$66.94 | 1,066 | 798 |
|
Stephen L. Simpson
198 Groton Rd |
$40.42 | 1,703 | 1,554 |
|
Asha A Naidu
190 Groton Rd |
$49.12 | 1,921 | 1,760 |
|
Gisela Velez
190 Groton Rd |
$31.27 | 1,959 | 1,624 |
|
Sanjay Basu
200 Groton Rd |
$63.59 | 4,693 | 3,999 |
|
Adam W Cerel
198 Groton Rd, Ste 4 |
$31.63 | 7,734 | 7,145 |
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 Ayer, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ayer, MA is $47.34 per claim, based on 23,101 claims from 16 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 Ayer, MA?
There are 16 Medicaid providers offering Office Visit related services in Ayer, MA according to public payment data.
What is the price range for Office Visit in Ayer, MA?
Medicaid reimbursement for Office Visit in Ayer, MA ranges from $18.71 to $143.20 per claim, with an average of $47.34. 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 Ayer, MA
Emergency Room Visit
Avg $90.56
30,747 claims
Blood Work & Lab Tests
Avg $5.52
19,891 claims
Behavioral & Mental Health Therapy
Avg $260.43
12,438 claims
Eye Exam
Avg $23.61
9,590 claims
EKG / ECG (Electrocardiogram)
Avg $3.92
9,066 claims
X-Ray
Avg $6.90
5,064 claims
Psychiatric Evaluation
Avg $88.00
3,974 claims
Pathology & Lab Services
Avg $28.33
3,867 claims