Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Boston, MA: $84.37

Avg. Paid

$84.37

Range

$0.00 – $436.16

Total Claims

5,683,879

Providers

4,776

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 Boston, MA

Provider	Avg. Paid	Claims	Patients
Boston Medical Center Corporation 1 Boston Medical Ctr Pl	$164.51	879,907	787,868
Beth Israel Deaconess Medical Center, Inc. 330 Brookline Ave	$156.47	321,207	284,282
Tufts Medical Center, Inc. 800 Washington St	$151.36	262,250	235,494
Children'S Hospital Corporation 300 Longwood Ave	$142.94	214,087	194,852
The General Hospital Corporation 55 Fruit St	$90.32	113,562	98,871
Dana-Farber Cancer Institute, Inc. 450 Brookline Ave	$214.29	81,486	63,398
Brigham & Womens Hospital, Inc. 75 Francis St	$118.84	52,068	45,259
South Cove Community Health Center 145 South St	$0.07	49,891	40,895
Massachusetts Eye And Ear Infirmary 243 Charles St	$120.99	47,021	43,351
Planned Parenthood League Of Massachusetts, Inc. 1055 Commonwealth Ave	$72.40	39,379	38,137
Boston University Psychiatry Associates, Inc. 1 Boston Medical Ctr Pl	$64.31	33,884	31,595
Atrius Health, Inc. 133 Brookline Ave	$42.11	33,369	29,272
Boston Emergency Services Team (Bupa) Boston 85 E Newton St	$79.81	33,198	29,426
Yuheng Ruan 800 Washington St	$23.02	29,163	25,606
Minping Liu South Cove Community Health Center	$3.60	28,531	24,374
Arbour Inc 49 Robinwood Ave	$66.01	25,346	21,238
Joseph Melville Wright 780 Albany St	$0.34	22,184	15,389
South Cove Community Health Center, Inc. 885 Washington St	$48.70	20,816	17,060
Denise De Las Nueces 780 Albany St	$0.88	20,052	12,103
Eddy M Feliz 88 E Newton St	$41.00	18,273	16,443
Rong J Guan 885 Washington Street	$4.79	18,091	13,734
Massachusetts General Physicians Organization Inc 55 Fruit St	$94.57	17,654	15,692
Tufts Medical Center, Inc. 750 Washington St	$142.38	17,096	16,341
Brigham & Womens Physicians Organization Inc 75 Francis St	$68.34	16,666	15,005
Peter C. Smith 780 Albany St	$0.52	14,922	12,448
Yun Kit Lam 252 Tremont St	$37.08	14,713	13,514
The Commonwealth Of Massachusetts 75 Fenwood Rd	$33.23	14,502	11,622
Grigoriy I Labun Tufts-New England Medial Center	$72.53	14,415	12,873
Steward St. Elizabeth'S Medical Center Of Boston, Inc. 736 Cambridge St	$42.97	13,819	12,888
Christopher J. Hodge Massachusetts General Hospital	$42.12	13,598	11,722
Nancy Curran 801 Massachusetts Avenue	$62.86	12,993	9,007
Dana Robin Semmel 670 Albany St	$61.79	12,850	5,187
Brent A Ragar 55 Fruit Street	$28.71	12,762	12,114
Evans Medical Foundation, Inc. 1 Boston Medical Ctr Pl	$47.44	12,669	11,361
Robert H Wu 65 Harrison Ave Ste 308	$36.01	12,325	10,646
Byron Garcia 15 Parkman Street Wac 815	$41.39	12,006	9,566
Matthew I Joslyn 780 Albany St	$61.26	11,716	7,833
Alphonso Brown 330 Brookline Ave	$50.39	11,579	4,484
Ian D Huntington 75 Francis St	$20.23	11,301	10,257
William C Bonner 55 Fruit St	$67.67	10,569	10,108
Boston Health Care For The Homeless Program, Inc. 780 Albany Street	$9.46	10,477	8,255
Steward St. Elizabeth'S Medical Center Of Boston, Inc. 736 Cambridge St	$171.94	10,473	8,367
Jessica Levi 830 Harrison Ave	$67.67	10,450	10,325
Michael W. Marcus 82 Marlborough St	$62.50	10,418	9,993
Geren S Stone 780 Albany St	$0.51	9,556	6,999
Josephine Rachel Bouret 251 Causeway St	$54.73	9,270	7,149
Brigham And Womens Physicians Organization Inc 75 Francis St	$102.13	9,108	7,956
Janice A Quan 801 Massachusetts Ave	$35.85	9,000	8,423
Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc 330 Brookline Ave	$35.20	8,569	7,656
Manlio Augustus Loconte 800 Washington Street Box 1013	$46.58	8,367	5,150

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 Boston, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Boston, MA is $84.37 per claim, based on 5,683,879 claims from 4776 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 Boston, MA?

There are 4776 Medicaid providers offering Office Visit related services in Boston, MA according to public payment data.

What is the price range for Office Visit in Boston, MA?

Medicaid reimbursement for Office Visit in Boston, MA ranges from $0.00 to $436.16 per claim, with an average of $84.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Boston, MA: $84.37

Providers Offering Office Visit in Boston, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Boston, MA

Blood Work & Lab Tests

Emergency Room Visit

X-Ray

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)

Psychiatric Evaluation

Vaccines & Immunizations

Case Management Services