Average Medicaid Office Visit Payments in Brockton, MA: $67.28
Avg. Paid
$67.28
Range
$0.00 – $373.85
Total Claims
1,041,113
Providers
422
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 Brockton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brockton Hospital, Inc.
680 Centre St |
$156.84 | 194,276 | 175,902 |
|
South Bay Mental Health Center, Inc.
1115 West Chestnut Street |
$60.87 | 30,908 | 29,197 |
|
Syed M Imam
110 Liberty St |
$37.44 | 24,196 | 22,895 |
|
Hong Vi Truong
211 Quincy St |
$55.98 | 21,612 | 7,190 |
|
Brockton Neighborhood Health Center
63 Main St |
$57.29 | 20,592 | 17,835 |
|
Britt Linnea Pena
65 Libby St |
$51.69 | 20,116 | 18,185 |
|
Engel Berto Bido Santos
130 Quincy Ave |
$30.93 | 18,226 | 17,628 |
|
Sb Transitional Sub, Llc
1115 W Chestnut St |
$53.04 | 15,952 | 14,975 |
|
Andrey Gagarin
680 Centre St |
$79.04 | 14,605 | 12,740 |
|
Signature Healthcare Medical Group Inc
110 Liberty St |
$41.27 | 14,586 | 12,540 |
|
Remya Tharackal-Ravindran
110 Liberty St |
$32.80 | 13,779 | 13,148 |
|
Suresh Gundaji
110 Liberty St |
$38.03 | 13,500 | 13,011 |
|
Simret B Tesfe
110 Liberty Street |
$34.65 | 12,640 | 12,031 |
|
Sharobi Dutta
680 Centre St |
$35.10 | 11,172 | 10,751 |
|
Maulshree Gupta
130 Quincy Ave |
$39.91 | 11,146 | 10,352 |
|
David M Howell
One Pearl Street |
$53.85 | 10,497 | 9,499 |
|
Howard H Kay
65 Libby St |
$59.32 | 10,486 | 9,620 |
|
Renee Wilson
235 N Pearl St |
$89.46 | 10,156 | 9,744 |
|
Cassandra R Walcott
1324 Belmont St Ste 105 |
$62.09 | 10,154 | 9,072 |
|
Soheil Amin-Hanjani
830 Oak St |
$54.22 | 9,795 | 7,815 |
|
Bahige Asaker
1020 Pleasant Street |
$39.44 | 9,657 | 8,355 |
|
Oluyinka Olowolafe Reno
65 Libby St |
$63.26 | 8,967 | 8,194 |
|
Aida Mallouhi Hanna
130 Quincy Ave |
$27.45 | 8,822 | 8,599 |
|
Kinjal Patel
110 Liberty St |
$35.02 | 8,377 | 8,173 |
|
Jane Y Yu
110 Liberty St |
$37.30 | 8,233 | 7,891 |
|
Mahmood H Sharfi
235 N Pearl St |
$54.61 | 8,201 | 7,270 |
|
Maria Ida Sannella
680 Centre St |
$30.08 | 8,149 | 7,738 |
|
Aileen A Abesamis
680 Centre St |
$32.75 | 7,839 | 7,554 |
|
Olivera B Boskovska
110 Liberty Street |
$40.08 | 7,699 | 7,385 |
|
Luminosity Behavioral Health Services Inc
157 Main St |
$95.44 | 7,611 | 4,976 |
|
Laura Marie Robertson
1324 Belmont St Ste 105 |
$55.91 | 7,335 | 6,812 |
|
Thomas Devries
110 Liberty St Ste 1A |
$48.46 | 7,300 | 7,024 |
|
Vikas Merchia
830 Oak St |
$56.15 | 7,258 | 5,631 |
|
Boston Medical Center Corporation
34 N Pearl St |
$69.47 | 7,220 | 6,815 |
|
Alfred John Reyes Tanglao
110 Liberty St |
$19.97 | 7,031 | 6,714 |
|
Jeremy Ezra Slosberg
65 Libby St |
$64.64 | 6,991 | 6,581 |
|
Daniel Feleke
110 Liberty St Ste 1500 |
$35.78 | 6,401 | 6,063 |
|
Nancy Lynn Chapin
370 Oak St |
$48.04 | 6,381 | 6,134 |
|
Muhammad Omer Khokhar
25 Libby St |
$34.19 | 6,363 | 3,790 |
|
David S. Chung
370 Oak St |
$49.15 | 6,272 | 6,009 |
|
Bruce Jordan Fellows
940 Belmont St Rm C-208 |
$2.33 | 6,216 | 2,495 |
|
Rolf Freter
680 Centre St |
$40.76 | 6,119 | 5,443 |
|
Karen Lynn Bugaj
110 Liberty St |
$38.81 | 5,641 | 5,248 |
|
Devi Vedula
680 Centre St |
$32.22 | 5,193 | 5,133 |
|
Russell S Shu
35 Pearl St Ste 100 |
$54.59 | 5,091 | 5,011 |
|
Sabina Goel Keif
1324 Belmont St Ste 105 |
$33.96 | 5,003 | 4,844 |
|
The Commonwealth Of Massachusetts
165 Quincy St |
$68.27 | 4,999 | 4,642 |
|
Stephen P Maloney
110 Liberty St |
$28.62 | 4,970 | 3,818 |
|
Borzoo Nikpoor
680 Centre St |
$42.57 | 4,791 | 4,703 |
|
Mark A Hausman
201 Quincy St |
$51.62 | 4,789 | 4,643 |
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 Brockton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Brockton, MA is $67.28 per claim, based on 1,041,113 claims from 422 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 Brockton, MA?
There are 422 Medicaid providers offering Office Visit related services in Brockton, MA according to public payment data.
What is the price range for Office Visit in Brockton, MA?
Medicaid reimbursement for Office Visit in Brockton, MA ranges from $0.00 to $373.85 per claim, with an average of $67.28. 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 Brockton, MA
Blood Work & Lab Tests
Avg $3.21
2,196,106 claims
Psychiatric Evaluation
Avg $84.97
1,218,054 claims
Behavioral & Mental Health Therapy
Avg $130.21
768,179 claims
Non-Emergency Medical Transportation
Avg $33.89
656,074 claims
Dental Cleaning & Exam
Avg $37.04
526,480 claims
Urinalysis & Urine Tests
Avg $2.95
424,203 claims
Substance Abuse Treatment
Avg $18.01
379,311 claims
Home Health Visit
Avg $114.09
357,225 claims