Average Medicaid Office Visit Payments in Belmont, MA: $44.31
Avg. Paid
$44.31
Range
$0.00 – $237.18
Total Claims
17,151
Providers
24
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 Belmont, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Mclean Hospital Corporation
115 Mill St |
$76.77 | 3,555 | 2,648 |
|
Lawrence Albert
115 Mill St. |
$10.60 | 3,281 | 2,988 |
|
David J Grelotti
115 Mill St |
$44.51 | 1,382 | 1,297 |
|
Steven J Spitz
115 Mill Street |
$14.22 | 1,296 | 1,292 |
|
Miles Gregory Cunningham
115 Mill St |
$62.35 | 1,185 | 1,056 |
|
Suphaphorn Manela
50 Bartlett Ave |
$2.32 | 1,083 | 1,058 |
|
Naomi Dworkin
144 Sherman St |
$77.26 | 886 | 833 |
|
Edward Barton
115 Mill St |
$51.83 | 828 | 706 |
|
Patrick Mcguire
115 Mill St |
$82.66 | 794 | 737 |
|
Franca Centorrino
115 Mill St |
$6.17 | 681 | 436 |
|
Mahesh Jhangiani
56 Newton St |
$47.14 | 674 | 644 |
|
Gopinath K Mallya
115 Mill Street |
$28.42 | 497 | 467 |
|
Meredith S Morrison
115 Mill St |
$83.84 | 408 | 291 |
|
Florence Lai
115 Mill St |
$68.58 | 227 | 225 |
|
Michael A Sperber
Mclean Hospital |
$49.01 | 154 | 126 |
|
Theresa Maria Damien
115 Mill St |
$51.84 | 58 | 49 |
|
Donald Robert Cluett
115 Mill St |
$3.51 | 31 | 31 |
|
Suzanne E Bloore
115 Mill St |
$86.43 | 30 | 27 |
|
Sueann Kim
115 Mill St |
$0.00 | 26 | 25 |
|
Junrong Chen
31 Chester Rd |
$34.02 | 18 | 14 |
|
Hannah Potvin
115 Mill St |
$18.41 | 16 | 14 |
|
Alon Joseph Manela
33 Wilson Ave |
$71.70 | 14 | 14 |
|
Elizabeth Carey
115 Mill St |
$237.18 | 14 | 13 |
|
Arthur J Siegel
115 Mill St |
$40.65 | 13 | 13 |
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 Belmont, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Belmont, MA is $44.31 per claim, based on 17,151 claims from 24 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 Belmont, MA?
There are 24 Medicaid providers offering Office Visit related services in Belmont, MA according to public payment data.
What is the price range for Office Visit in Belmont, MA?
Medicaid reimbursement for Office Visit in Belmont, MA ranges from $0.00 to $237.18 per claim, with an average of $44.31. 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 Belmont, MA
Psychiatric Evaluation
Avg $64.16
32,813 claims
Dental Cleaning & Exam
Avg $33.86
19,416 claims
Eye Exam
Avg $35.70
11,157 claims
Behavioral & Mental Health Therapy
Avg $199.68
7,047 claims
EKG / ECG (Electrocardiogram)
Avg $3.88
4,919 claims
Ambulance Transport
Avg $84.08
3,261 claims
Nursing Facility Care
Avg $11.34
2,885 claims
Substance Abuse Treatment
Avg $115.49
2,162 claims