Average Medicaid Office Visit Payments in Braintree, MA: $74.65
Avg. Paid
$74.65
Range
$0.00 – $227.95
Total Claims
59,086
Providers
93
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 Braintree, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jean R Brodnax
111 Grossman Dr |
$97.38 | 5,280 | 5,127 |
|
Mark P Dematteo
111 Grossman Dr |
$148.01 | 5,227 | 5,122 |
|
Mohamed A Elgeziry
1681 Washington St |
$43.02 | 4,130 | 3,897 |
|
Raymond F Colella
340 Wood Rd |
$39.18 | 3,325 | 3,146 |
|
David J Petillo
111 Grossman Dr |
$58.62 | 2,812 | 2,778 |
|
Lydia E Rios
111 Grossman Dr |
$116.19 | 2,503 | 2,445 |
|
Andrew Whyte Chapman
111 Grossman Dr |
$113.47 | 2,084 | 2,021 |
|
Desiree Tavarez
111 Grossman Dr |
$2.81 | 1,916 | 1,775 |
|
Peter A Barrant
111 Grossman Dr |
$62.74 | 1,823 | 1,787 |
|
Michele F Greenwald
111 Grossman Dr |
$71.60 | 1,741 | 1,708 |
|
Thomas J Hathaway
111 Grossman Dr |
$98.12 | 1,620 | 1,591 |
|
Dawn Marie Folan
111 Grossman Dr |
$39.85 | 1,603 | 1,486 |
|
Brian B Guarnotta
111 Grossman Dr |
$91.40 | 1,558 | 1,523 |
|
Martha G Karchere
111 Grossman Dr |
$127.83 | 1,400 | 1,362 |
|
Margaret Ruhiu
409 Pond St Ste 9 |
$108.01 | 1,217 | 1,133 |
|
Elizabeth Marie Scamperle
1501 Washington St Fl 2 |
$58.54 | 1,110 | 954 |
|
Holly M. Thomas
111 Grossman Dr |
$74.04 | 1,035 | 990 |
|
Mary E Odegaard
111 Grossman Dr |
$88.22 | 1,022 | 982 |
|
Elza Riedl
111Grossman Drvie |
$19.89 | 969 | 922 |
|
Michael V. Elman
400 Washington St |
$56.46 | 943 | 843 |
|
Svetlana Shkuratov
111 Grossman Dr |
$78.16 | 935 | 916 |
|
Madhvendra Singh
Blue Hills Medical Associates |
$33.79 | 773 | 652 |
|
Bret Adam Ancowitz
1681 Washington St |
$67.65 | 683 | 670 |
|
Lini S Bhatia
111 Grossman Dr |
$51.15 | 672 | 640 |
|
Mitzi Johnson
111 Grossman Dr |
$66.36 | 638 | 637 |
|
Scott M Souther
111 Grossman Dr |
$107.45 | 618 | 594 |
|
Suzanne H Burleigh
111 Grossman Dr |
$16.24 | 610 | 596 |
|
Prakash Rau
1681 Washington St |
$34.11 | 554 | 548 |
|
Elise Rebecca Bender
111 Grossman Dr |
$70.60 | 525 | 503 |
|
Emily Pugh
111 Grossman Dr |
$89.74 | 514 | 505 |
|
Hoda Nabil F. Eltomi
111 Grossman Drive, |
$37.13 | 485 | 464 |
|
Pm Pediatrics Of New England Llc
97 Pearl Street |
$51.13 | 436 | 427 |
|
Gina M Manzo
10 Forbes Rd |
$82.42 | 428 | 404 |
|
Christopher Teitleman
111 Grossman Dr |
$81.25 | 399 | 391 |
|
William J. Mullally
111 Grossman Dr |
$59.08 | 390 | 389 |
|
Meredith Stanizzi
111 Grossman Drive |
$40.12 | 384 | 372 |
|
Mehnaz Khan
111 Grossman Dr |
$85.13 | 358 | 355 |
|
Maya Angela Spencer
111 Grossman Dr |
$16.01 | 356 | 351 |
|
Nancy Fairbanks Radden
111 Grossman Dr |
$107.50 | 347 | 334 |
|
Louis Anthony Maggio
340 Wood Rd |
$40.76 | 329 | 306 |
|
Jeffrey S Jackel
639 Granite St Ste 215 |
$25.36 | 327 | 316 |
|
Iris Rosenstein
10 Forbes Rd Ste 190 |
$49.72 | 270 | 261 |
|
Elizabeth Labella
270 Grove St |
$2.77 | 261 | 256 |
|
Kathleen Lord Naples
111 Grossman Dr |
$13.23 | 254 | 248 |
|
Constance J. Clarke
111 Grossman Dr |
$33.19 | 226 | 203 |
|
Renee Aversano
10 Forbes Rd Ste 190 |
$43.73 | 226 | 213 |
|
Lisa Peggy Zywot
111 Grossman Dr |
$40.40 | 222 | 217 |
|
Hagen Yang
111 Grossman Dr |
$119.91 | 218 | 218 |
|
Rachel Alexandra Adams
18 Cape Cod Ln |
$1.53 | 212 | 206 |
|
Misty Leigh Hinkle
140 Wood Rd Ste 204 |
$32.98 | 185 | 160 |
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 Braintree, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Braintree, MA is $74.65 per claim, based on 59,086 claims from 93 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 Braintree, MA?
There are 93 Medicaid providers offering Office Visit related services in Braintree, MA according to public payment data.
What is the price range for Office Visit in Braintree, MA?
Medicaid reimbursement for Office Visit in Braintree, MA ranges from $0.00 to $227.95 per claim, with an average of $74.65. 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 Braintree, MA
Personal Care Services
Avg $84.31
379,926 claims
Home Health Visit
Avg $93.98
376,251 claims
Non-Emergency Medical Transportation
Avg $34.99
171,854 claims
Physical Therapy
Avg $34.63
165,751 claims
Ultrasound
Avg $53.90
62,845 claims
Case Management Services
Avg $0.07
59,409 claims
Behavioral & Mental Health Therapy
Avg $89.56
39,508 claims
Psychiatric Evaluation
Avg $86.00
35,760 claims