Average Medicaid Office Visit Payments in Brighton, MA: $36.07
Avg. Paid
$36.07
Range
$0.00 – $165.49
Total Claims
138,358
Providers
149
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 Brighton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eugene L Vaninov
280 Washington St |
$34.24 | 12,072 | 11,202 |
|
Judith M Harrison Bates
77 Warren St |
$22.89 | 10,613 | 10,346 |
|
Martin A Acquadro
736 Cambridge St |
$26.82 | 6,694 | 6,424 |
|
Zhi Qiao
736 Cambridge St |
$36.85 | 6,247 | 5,590 |
|
Fariba Miryousefi
736 Cambridge St Fl 6 |
$52.38 | 5,893 | 3,775 |
|
Pavel Jalynytchev
736 Cambridge St |
$36.39 | 5,744 | 5,665 |
|
Ida M Minevich
77 Warren St |
$6.76 | 5,483 | 5,247 |
|
Federico Martinez
736 Cambridge St |
$51.46 | 5,272 | 5,130 |
|
Zelda Videlefsky
30 Warren St |
$43.00 | 5,254 | 4,860 |
|
Irina Skurlatova-Maysky
319 Allston St |
$13.23 | 3,728 | 3,673 |
|
Qays Munir
736 Cambridge St |
$56.50 | 3,420 | 3,006 |
|
Gordon M Novak
736 Cambridge St |
$46.51 | 3,352 | 3,325 |
|
Alexander W.Y. Pang
11 Nevins St |
$58.43 | 3,219 | 3,110 |
|
Elena Adriana Desillier
736 Cambridge St |
$41.81 | 2,462 | 2,365 |
|
Leonid Kotkin
280 Washington St |
$14.67 | 2,343 | 2,296 |
|
Mikhail Mayskiy
736 Cambridge St |
$8.81 | 2,227 | 2,199 |
|
Laura Livaditis
30 Warren St |
$10.58 | 2,184 | 2,018 |
|
Jason B Strauss
11 Nevins St Ste 202 |
$55.13 | 2,090 | 1,904 |
|
David A Sipala
736 Cambridge St |
$43.36 | 1,858 | 1,697 |
|
Robert Harris Brown
280 Washington St |
$21.52 | 1,800 | 1,771 |
|
Shaw R Natan
736 Cambridge St |
$37.57 | 1,783 | 1,729 |
|
Jorge Fleisher
11 Nevins St. |
$17.30 | 1,573 | 1,515 |
|
Jiani Guo
495 Western Ave |
$44.16 | 1,553 | 1,508 |
|
Norman Zarsky
736 Cambridge St |
$53.72 | 1,469 | 1,170 |
|
Matthew T Lemaitre
11 Nevins St Ste 201 |
$42.70 | 1,453 | 1,435 |
|
Abbas S Zaidi
77 Warren St |
$21.06 | 1,443 | 1,365 |
|
Lauren Hanna
736 Cambridge St |
$73.13 | 1,275 | 754 |
|
Max G Baranovsky
736 Cambridge St |
$45.15 | 1,180 | 1,086 |
|
Larry Chin
77 Warren St |
$15.56 | 1,158 | 1,088 |
|
Family And Community Solutions Inc
77B Warren St |
$48.22 | 1,135 | 1,113 |
|
Mary Theresa B Diperri
736 Cambridge St |
$19.23 | 1,116 | 1,099 |
|
Karla Daniela Calzada Morales
736 Cambridge St |
$64.86 | 1,097 | 936 |
|
Jennifer L Duppert
30 Warren St |
$60.18 | 1,077 | 1,013 |
|
Nicole Jardin Pecquex
11 Nevins St |
$56.34 | 1,067 | 1,050 |
|
Jairam R Eswara
11 Nevins Street |
$41.62 | 1,062 | 1,016 |
|
Amelia Joy Massimini
30 Warren St |
$63.71 | 1,051 | 1,018 |
|
Ivana Jarolimova
77 Warren St |
$10.20 | 1,029 | 998 |
|
Samara Pena
11 Nevins St. |
$40.63 | 971 | 953 |
|
Howard H Liu
280 Washington St |
$31.75 | 916 | 783 |
|
Jeffrey Lee Forman
30 Warren St |
$34.02 | 859 | 837 |
|
Namoode Sehar Rana
736 Cambridge St |
$30.89 | 851 | 835 |
|
Karen E Franklin
736 Cambridge Street |
$65.30 | 776 | 740 |
|
Bennett Smith
495 Western Ave |
$35.09 | 753 | 718 |
|
Lauren Ann Baltrucki
11 Nevins St Ste 406 |
$50.99 | 718 | 615 |
|
Sukran Ergin
11 Nevins St Ste 401 |
$51.52 | 717 | 712 |
|
Yusuf M. Gulleth
736 Cambridge St, Fl 8 |
$42.40 | 696 | 690 |
|
Susan Cann
11 Nevins St Ste 202 |
$34.03 | 641 | 624 |
|
Shirly Hashumal Ramchandani
11 Nevins St Ste 304 |
$74.46 | 638 | 620 |
|
Amna Diwan
736 Cambridge St |
$27.92 | 569 | 549 |
|
Dara Beth Arons
495 Western Ave |
$24.75 | 568 | 531 |
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 Brighton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Brighton, MA is $36.07 per claim, based on 138,358 claims from 149 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 Brighton, MA?
There are 149 Medicaid providers offering Office Visit related services in Brighton, MA according to public payment data.
What is the price range for Office Visit in Brighton, MA?
Medicaid reimbursement for Office Visit in Brighton, MA ranges from $0.00 to $165.49 per claim, with an average of $36.07. 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 Brighton, MA
Non-Emergency Medical Transportation
Avg $25.13
496,783 claims
Substance Abuse Treatment
Avg $31.72
234,650 claims
Blood Work & Lab Tests
Avg $7.98
72,502 claims
Dental Cleaning & Exam
Avg $24.07
56,179 claims
X-Ray
Avg $6.29
54,240 claims
Emergency Room Visit
Avg $74.21
49,984 claims
Psychiatric Evaluation
Avg $75.66
49,403 claims
Behavioral & Mental Health Therapy
Avg $158.83
35,955 claims