Average Medicaid Office Visit Payments in Beverly, MA: $69.82
Avg. Paid
$69.82
Range
$0.63 – $221.12
Total Claims
166,525
Providers
156
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 Beverly, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Northeast Behavioral Health Corporation
800 Cummings Center |
$64.25 | 30,018 | 28,085 |
|
Northeast Hospital Corporation
85 Herrick St |
$167.78 | 23,616 | 20,316 |
|
Healthquarters, Inc
100 Cummings Ctr Ste 110E |
$75.72 | 9,968 | 9,730 |
|
Helen C Ireland
900 Cummings Center |
$8.64 | 7,909 | 7,352 |
|
Daniel John Mccullough
900 Cummings Ctr |
$50.57 | 5,254 | 4,834 |
|
Minesh S Patel
900 Cummings Ctr |
$60.07 | 3,594 | 3,384 |
|
Jennifer L Leathe
900 Cummings Center |
$47.59 | 3,336 | 3,054 |
|
Eric J Sleeper
Garden City Pediatric Associates |
$38.84 | 3,235 | 3,071 |
|
North Shore Counseling Center Inc
100 Cummings Ctr Ste 307E |
$73.78 | 3,044 | 2,807 |
|
Ian Fredric Sklaver
83 Herrick St |
$40.56 | 2,907 | 2,775 |
|
Elizabeth Maier
900 Cummings Ctr |
$48.94 | 2,690 | 2,534 |
|
Gretchen Ann Berkowitch
100 Cummings Center |
$68.70 | 2,672 | 2,559 |
|
Erica Norkin Goldstein
83 Herrick St |
$41.54 | 2,641 | 2,567 |
|
Thomas J Mclaughlin
900 Cummings Center |
$63.87 | 2,579 | 2,393 |
|
Suzanne Farrow Graves
83 Herrick St |
$45.79 | 2,569 | 2,420 |
|
Sheryl R Silva
83 Herrick St/Ste 1003 |
$44.22 | 2,521 | 2,434 |
|
Jennifer Hoffman
77 Herrick Street |
$33.28 | 2,250 | 2,107 |
|
Spencer R Amesbury
900 Cummings Ctr |
$39.09 | 2,218 | 2,095 |
|
Thomas A Groblewski
38 Hayes Ave |
$65.57 | 2,058 | 1,564 |
|
Michael J Zachareas
900 Cummings Ctr |
$23.55 | 1,965 | 1,886 |
|
Jaipal Singh Gandhi
77 Herrick St, Suite 201 |
$29.95 | 1,875 | 1,751 |
|
George P Kacoyanis
500 Cummings Ctr |
$18.44 | 1,850 | 1,052 |
|
Neeraj Mahajan
Lahey Health Primary Care, Beverly |
$43.12 | 1,788 | 1,669 |
|
Northeast Hospital Corporation
85 Herrick Street |
$221.12 | 1,764 | 1,532 |
|
Khalil F. Shahin
100 Cummings Ctr Ste 126Q |
$41.21 | 1,760 | 1,468 |
|
Alison Pelletier
30 Tozer Rd |
$77.92 | 1,640 | 1,540 |
|
Dmitriy Zilber
152 Conant St |
$50.28 | 1,637 | 1,546 |
|
Jonathan R. Snyder
100 Cummings Ctr Ste 136P |
$50.39 | 1,599 | 1,485 |
|
Anthony Lomonaco
900 Cummings Ctr Ste 221U |
$56.96 | 1,581 | 1,440 |
|
Timothy Raymond Kelliher
152 Conant St Ste 200 |
$42.55 | 1,522 | 1,500 |
|
Melanie Louise Goodrich
19 Dodge St |
$63.42 | 1,484 | 1,379 |
|
John-Paul Trautman
900 Cummings Center |
$45.28 | 1,468 | 1,410 |
|
Pierre Abou-Ezzi
100 Cummings Center |
$42.07 | 1,291 | 1,202 |
|
Shamila Mohammedhshafi Saiyed
85 Herrick St |
$28.55 | 1,164 | 1,097 |
|
Danielle Morse
100 Cummings Ctr Ste 136P |
$39.43 | 1,137 | 1,104 |
|
Marcie L Sidman
900 Cummings Ctr |
$39.43 | 1,106 | 1,070 |
|
Louis Tramontozzi
83 Herrick St |
$47.13 | 986 | 974 |
|
Amy Mcelwain
900 Cummings Ctr |
$44.13 | 939 | 911 |
|
David C Dobson
152 Conant St |
$35.41 | 913 | 845 |
|
Larissa Ann Calka Gemme
900 Cummings Center |
$54.97 | 885 | 801 |
|
Steven Carl Hollis
77 Herrick St |
$19.97 | 767 | 691 |
|
Marianne T. Cannon
100 Cummings Ctr |
$80.75 | 711 | 584 |
|
Urgent Care Operations Pc
50 Dodge St |
$104.87 | 692 | 666 |
|
Edward G Schleyer
77 Herrick Street |
$43.61 | 686 | 651 |
|
Ilya Victor Bogorad
83 Herrick St |
$41.27 | 682 | 670 |
|
David S Greenstein
138 Conant St |
$69.47 | 654 | 643 |
|
Nirav S Shah
77 Herrick St Ste 201 |
$46.36 | 647 | 595 |
|
Daniel Seth Blander
75 Herrick St |
$25.73 | 608 | 588 |
|
Lucas Edward Wolf
85 Herrick St |
$20.72 | 585 | 537 |
|
Nicholas Avgerinos
Lahey Health Primary Care, Beverly |
$65.06 | 567 | 535 |
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 Beverly, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Beverly, MA is $69.82 per claim, based on 166,525 claims from 156 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 Beverly, MA?
There are 156 Medicaid providers offering Office Visit related services in Beverly, MA according to public payment data.
What is the price range for Office Visit in Beverly, MA?
Medicaid reimbursement for Office Visit in Beverly, MA ranges from $0.63 to $221.12 per claim, with an average of $69.82. 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 Beverly, MA
Non-Emergency Medical Transportation
Avg $26.94
1,175,303 claims
Substance Abuse Treatment
Avg $30.94
615,030 claims
Personal Care Services
Avg $74.93
571,362 claims
Psychiatric Evaluation
Avg $76.31
300,001 claims
Blood Work & Lab Tests
Avg $8.30
240,050 claims
Behavioral & Mental Health Therapy
Avg $128.38
211,163 claims
Case Management Services
Avg $157.88
179,943 claims
Home Health Visit
Avg $54.43
134,603 claims