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
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