Skip to content
Based on public Medicaid payment data.

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
Charles Thomas King

207 Quincy St

$0.00 12 12
Darma Marcelin

179 Quincy St Ste 2

$89.47 12 12
Margaret-Mary Williams

1 Pearl St

$41.84 12 12
Bryanna Morgan Caron

940 Belmont St

$46.90 12 12
Shannon Rose Riley

63 Main St

$31.08 12 12
Erin J Riley

Va Boston Healthcare System

$12.80 12 12
Robert S Greenberg

110 Liberty St

$54.14 12 12
Zachary B Kramer

235 N Pearl St

$65.27 12 12
Lakisha Y Mobley

1019 Crescent St Ste 2

$46.75 12 12
Andris Jason Zauls

818 Oak Street

$10.85 12 12
Alejandro Y Mendoza

235 North Pearl Street

$30.30 12 12
Waseem Amjad

680 Centre St

$52.22 13 13
Joel Clerville

599 Pleasant St

$72.60 13 12
Eric Hyman Grover

680 Centre St

$42.29 13 13
Richard L Paulson

1 Pearl Street

$34.65 13 12
Barry Peter Cuiffo

225 Quincy Ave

$41.16 13 12
Henry J Grazioso

680 Centre St

$373.85 13 13
Melissa C Lee Adigun

110 Liberty St

$22.46 13 13
Luz Evangeline Salud Dizon

235 N Pearl St

$66.97 14 13
Aubrey Lieberman

1342 Belmont St

$0.00 14 14
Howard H Chang

235 N Pearl St

$55.23 14 12
Christopher S Johnson

235 N Pearl St

$37.70 15 15
William Kendall Bache

940 Belmont St Bldg 5

$120.75 15 14
Cassandra Theodoris

110 Liberty St

$31.79 16 13
Zwi Hoch

1 Pearl St

$48.27 16 14
Mary A Butterfield

940 Belmont St

$41.69 16 15
Daniel Arthur Bastian

940 Belmont St

$0.00 16 16
Liljana Mejia

63 Main St

$0.00 16 13
Luis E. Ortiz

680 Centre St

$351.86 17 15
Korin Dayton

63 Main St

$34.02 17 15
Oyere K. Onuma

235 North Pearl St

$12.87 18 18
Emelda Iwobi

62 Temi Rd

$0.00 18 16
Heidi Ginter

176 Quincy Ave

$41.02 18 12
Jennifer Fusco

1 Pearl St Ste 2100

$2.61 19 17
Brandon K Tari

680 Centre St

$60.43 20 20
John Kyle Volpe

680 Centre St

$38.10 22 22
Tykeia Samuel

179 Quincy St Ste 2

$15.57 25 25
Emily Ketterling Gjini

35 Pearl St Ste 200

$44.91 25 25
Amy C Noel

235 N Pearl St

$54.37 25 25
John W Thompson

235 N Pearl St

$34.15 25 25
Gloria N Iheuwa

35 Pearl St Ste 300

$26.72 26 25
Laura A Griffin

680 Centre Street

$27.57 26 25
Firas Abdussalam Nakshabandi

940 Belmont St Bldg 5

$66.75 28 26
Vasantha G Reddy

63 Main St

$39.63 29 29
Jennifer Hall Difalco

111 Torrey St

$45.03 30 27
Emily F Hunter

110 Liberty St

$48.21 30 30
Paul A Sergi

1 Pearl St

$25.09 33 26
Elizabeth Semple

1324 Belmont St

$57.30 33 32
Kaitlin Amelia Thomas-Frost

63 Main St

$51.06 33 28
Alvin To

680 Centre St

$29.07 35 34

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

Other Procedures in Brockton, MA