Average Medicaid Office Visit Payments in Bedford, MA: $45.31
Avg. Paid
$45.31
Range
$0.16 – $123.08
Total Claims
16,750
Providers
26
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 Bedford, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gina Renee Cugno
154 Great Rd |
$123.08 | 12 | 12 |
|
Laura L Boulter
154 Great Rd |
$106.25 | 14 | 13 |
|
Tiana Ingersoll
154 Great Rd |
$47.88 | 14 | 14 |
|
Christine Marie Larsen
74 Loomis St |
$58.32 | 15 | 14 |
|
Alicia M. Habeshian
200 Springs Rd |
$37.63 | 28 | 25 |
|
Mark Waksmonski
12 Mudge Way |
$44.11 | 30 | 25 |
|
Joseph Keating
200 Springs Rd |
$48.11 | 42 | 41 |
|
David Levine
200 Springs Rd |
$63.51 | 56 | 50 |
|
Sarena Balon
154 Great Rd |
$41.75 | 60 | 59 |
|
Mary H Levenstein
41 North Rd |
$20.22 | 224 | 218 |
|
Magda Mikhil
50 Loomis St |
$60.48 | 252 | 236 |
|
Eileen Batchelor
200 Springs Rd |
$16.51 | 276 | 239 |
|
Nnenna O Onyemauwa
55 North Rd Ste 120 |
$67.66 | 277 | 262 |
|
Kimberly Anderson
205 Burlington Rd |
$67.65 | 317 | 288 |
|
Francine M Hennessey
74 Loomis Street |
$55.20 | 325 | 292 |
|
Daniel M Teplin
205 Burlington Rd |
$11.00 | 383 | 340 |
|
Peter J Morin
200 Springs Rd |
$33.05 | 423 | 408 |
|
Dora Pepo
200 Springs Rd |
$64.41 | 429 | 399 |
|
Yesoda N Rao
200 Springs Road, |
$54.06 | 596 | 575 |
|
Patriot Urgent Care Professionals, Pc
160 Great Road |
$81.40 | 758 | 734 |
|
Zamar Fatima Raza
154 Great Rd |
$68.25 | 821 | 811 |
|
Sammy Lee
200 Springs Rd |
$0.16 | 852 | 819 |
|
Edinburg Center Inc
205 Burlington Rd |
$62.87 | 1,286 | 1,109 |
|
Leonid Mikhailovich Shinchuk
200 Springs Rd |
$41.61 | 2,004 | 1,866 |
|
David Saul Geller
74 Loomis Street |
$35.33 | 2,695 | 2,389 |
|
John Paul Livingstone
154 Great Rd |
$45.20 | 4,561 | 3,979 |
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 Bedford, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bedford, MA is $45.31 per claim, based on 16,750 claims from 26 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 Bedford, MA?
There are 26 Medicaid providers offering Office Visit related services in Bedford, MA according to public payment data.
What is the price range for Office Visit in Bedford, MA?
Medicaid reimbursement for Office Visit in Bedford, MA ranges from $0.16 to $123.08 per claim, with an average of $45.31. 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 Bedford, MA
Personal Care Services
Avg $122.95
141,414 claims
Home Health Visit
Avg $275.34
122,862 claims
Behavioral & Mental Health Therapy
Avg $123.68
120,595 claims
Non-Emergency Medical Transportation
Avg $43.73
99,209 claims
Psychiatric Evaluation
Avg $86.13
28,490 claims
Ambulance Transport
Avg $866.75
24,455 claims
Dental Cleaning & Exam
Avg $35.33
6,856 claims
Eye Exam
Avg $35.59
6,556 claims