Based on public Medicaid payment data.

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
Maria Alejandra Pro-Risquez 11 Nevins St	$49.17	12	12
Westley A White 20 Guest St	$38.09	12	12
Susan Gipson 280 Washington St	$24.85	12	12
Ekkehard Matthias Kasper 736 Cambridge St	$85.11	13	12
Amy Wells 77 Warren St	$7.51	13	13
Joanna M Gross 736 Cambridge St	$11.90	14	13
Shehryar Masood 736 Cambridge St	$56.89	14	12
Lauren Elizabeth L'Heureux 736 Cambridge St	$24.34	16	16
Courtney Peck 20 Guest St Ste 200	$56.02	16	16
John T Hester 20 Guest St Ste 225	$40.16	16	14
Allen B Davis 736 Cambridge St	$11.80	20	16
Sasikala Manavalan 736 Cambridge St	$0.00	24	24
Dietrich W.L. Schultze 736 Cambridge St	$21.61	24	24
Ali Tirmizi 280 Washington St	$62.92	25	24
Kristen Page Lamoreau 11 Nevins St	$19.95	25	25
Zhuo Zoe Geng 11 Nevins St Ste 406	$62.23	25	25
Amy H Parminder 11 Nevins Street	$17.98	28	28
Amy Hanson 495 Western Ave	$165.49	29	26
Diana Rose Green 11 Nevins St Ste 205	$22.10	30	30
Kim N Hults Nguyen 11 Nevins St Ste 201	$72.03	34	34
Martha Annette Hanson 495 Western Ave	$59.29	37	26
Alena G Goldman 736 Cambridge St	$31.52	37	37
Mihaela Blendea 11 Nevins St.	$46.33	38	38
Agdel J Hernandez 736 Cambridge St	$161.40	38	25
John Rahul Tedrow 77 Warren St	$20.02	38	38
Irene Gonsalvez 736 Cambridge St	$55.43	39	38
Suja Sadasivan 736 Cambridge St Fl 8	$52.43	40	40
Nita T Pant 736 Cambridge St	$40.14	44	39
Stephen O. Kovacs 77 Warren St.	$0.00	47	40
Sonia R. Adams 736 Cambridge St	$57.35	47	44
Scott M Horwitz 280 Washington St	$20.03	50	49
Lester J. Sheehan 77 Warren St	$0.89	52	51
Elizabeth Irene Molina Ortiz 495 Western Ave	$71.57	59	53
Ann T Sweeney 11 Nevins St.	$45.46	61	61
Emily Wheelwright Lowenberg Brighton High School	$57.07	65	63
Bertrand L. Jaber 11 Nevins St Ste 202	$30.17	70	69
Philip Apraku Bondzie 736 Cambridge St	$80.43	73	73
Colin Young 77 Warren St	$56.27	76	67
Donald R. Parlin 736 Cambridge St	$36.90	82	82
Terrence M Li 736 Cambridge St	$43.55	84	78
Kristen Marie Looman 11 Nevins St Ste 403	$19.89	86	83
Virginia S Kharasch 30 Warren St	$63.06	87	87
Lawrence A Garcia 736 Cambridge St	$18.43	95	94
Edwin M Trayner 736 Cambridge St	$54.93	99	95
Jenny Hoang Yap 495 Western Ave	$79.78	101	95
Maria Yerstein 736 Cambridge St	$57.02	104	98
Sameh T J Naim 736 Cambridge St	$21.73	105	101
Mohammad El Kilany 736 Cambridge St	$41.43	105	97
Yael Vin 116 North Beacon Street	$2.41	106	103
Cvs Pharmacy Inc 1927 Beacon St	$72.25	108	108

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.

Average Medicaid Office Visit Payments in Brighton, MA: $36.07

Providers Offering Office Visit in Brighton, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Brighton, MA

Non-Emergency Medical Transportation

Substance Abuse Treatment

Blood Work & Lab Tests

Dental Cleaning & Exam

X-Ray

Emergency Room Visit

Psychiatric Evaluation

Behavioral & Mental Health Therapy