Average Medicaid Office Visit Payments in Brookline, MA: $55.59
Avg. Paid
$55.59
Range
$3.25 – $109.00
Total Claims
193,555
Providers
129
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 Brookline, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Macie Finkelstein
24 Webster Pl |
$6.55 | 12 | 12 |
|
Hua Ann Jenny Lu
1180 Beacon St Ste 4A |
$49.30 | 12 | 12 |
|
Glenn S Kehlmann
637 Washington St |
$14.39 | 12 | 12 |
|
Isabella Joslin
1180 Beacon St Ste 7A |
$5.68 | 12 | 12 |
|
Claudia Lavin
1371 Beacon St |
$84.21 | 12 | 12 |
|
Johanna H Klein
1101 Beacon St Ste 2W |
$45.53 | 14 | 14 |
|
Niki Birbilis
344 Harvard St |
$90.86 | 15 | 12 |
|
Jennifer Allison Ross
2 Brookline Pl |
$84.95 | 15 | 14 |
|
Jayson Christon Carr
1180 Beacon St |
$33.46 | 16 | 14 |
|
Anjan K Chaudhury
1180 Beacon St |
$57.26 | 17 | 13 |
|
Center For Brain Health Pllc
1101 Beacon St Ste 8W |
$8.22 | 18 | 12 |
|
Rachel Abarbanel
1309 Beacon St Ste 300 |
$16.03 | 23 | 13 |
|
Donald Jay Morris
235 Cypress St |
$32.88 | 24 | 24 |
|
Sarah Louise Higginbotham
1401 Beacon St Apt 603 |
$79.10 | 24 | 24 |
|
Daniel Esteban Cruz
330 Brookline Ave |
$34.74 | 24 | 24 |
|
Women'S Health Services, P.C.
111 Harvard St |
$77.02 | 25 | 25 |
|
Justin D. Pearlman
25 Goddard Cir |
$17.48 | 25 | 24 |
|
Daniel Robert Perl
1 Brookline Pl Ste 225 |
$62.46 | 25 | 25 |
|
Meredith L Saillant
1180 Beacon St |
$30.33 | 26 | 25 |
|
Bruce Willard Bunnell
One Brookline Place |
$34.63 | 26 | 25 |
|
Laura Esther De Girolami
1 Brookline Pl |
$57.96 | 26 | 26 |
|
Elizabeth J Rourke
1 Brookline Pl Ste 225 |
$68.46 | 26 | 24 |
|
Susan Celia Hellerstein
111 Cypress St |
$33.88 | 27 | 24 |
|
Lin Shen
375 Boylston St |
$49.74 | 27 | 27 |
|
Derek Daniel Reformat
235 Cypress St |
$42.69 | 27 | 26 |
|
Viktoriya Vilkomir
1101 Beacon St # 6W |
$21.25 | 28 | 28 |
|
Sean Nicholas Pacheco
1269 Beacon St |
$4.27 | 28 | 28 |
|
Dawn A Fraser
32 Kent St |
$29.25 | 29 | 29 |
|
Diana D. Deister
43 Naples Rd |
$72.83 | 29 | 26 |
|
Katherine Diane Matta
1180 Beacon St Ste 6D |
$61.53 | 30 | 25 |
|
Tracie Lyn Dembowski
1180 Beacon St |
$51.64 | 38 | 38 |
|
Anthony Edward Raynes
227 Babcock St |
$58.77 | 41 | 39 |
|
Caroline Burbank
1330 Beacon St Ste 202 |
$108.75 | 44 | 40 |
|
Jennifer B. Schwartz
1101 Beacon St |
$68.14 | 45 | 41 |
|
Michael Mark Givertz
111 Cypress St |
$51.74 | 45 | 45 |
|
Rebecca A Horne
1180 Beacon St |
$45.88 | 45 | 43 |
|
Fern D Starr
637 Washington St |
$43.86 | 47 | 46 |
|
Kenneth Allan Lawton
1540 Beacon St |
$3.25 | 49 | 49 |
|
Lynn A Stazzone
1 Brookline Pl |
$8.02 | 50 | 50 |
|
Mitchell Howard Rubenstein
111 Cypress St |
$109.00 | 54 | 54 |
|
Neha Mulchand Robinson
226 Harvard St |
$53.05 | 55 | 53 |
|
Lilya Naiman
1796 Beacon St |
$15.49 | 55 | 49 |
|
Joseph L Raduazzo
1180 Beacon Street |
$22.07 | 56 | 50 |
|
James M Stankiewicz
1 Brookline Pl |
$28.10 | 69 | 68 |
|
Jennifer Huang Harris
1 Brookline Plaza |
$54.38 | 71 | 71 |
|
Matthew Ellam
1330 Beacon St Ste 202 |
$53.37 | 71 | 69 |
|
Cyrus A. Yazdi
1 Brookline Pl Ste 105 |
$45.54 | 72 | 67 |
|
Wilfred Mamuya
21 Longwood Ave |
$41.14 | 73 | 73 |
|
Lisa Nicole Manning
1285 Beacon St |
$38.47 | 74 | 71 |
|
Xenia Johnson Bhembe
1 Brookline Pl Ste 502 |
$86.37 | 76 | 73 |
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 Brookline, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Brookline, MA is $55.59 per claim, based on 193,555 claims from 129 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 Brookline, MA?
There are 129 Medicaid providers offering Office Visit related services in Brookline, MA according to public payment data.
What is the price range for Office Visit in Brookline, MA?
Medicaid reimbursement for Office Visit in Brookline, MA ranges from $3.25 to $109.00 per claim, with an average of $55.59. 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 Brookline, MA
Dental Cleaning & Exam
Avg $39.24
144,890 claims
Psychiatric Evaluation
Avg $69.42
105,479 claims
Ultrasound
Avg $37.10
60,535 claims
Eye Exam
Avg $29.85
57,913 claims
EKG / ECG (Electrocardiogram)
Avg $4.07
45,422 claims
Behavioral & Mental Health Therapy
Avg $230.86
38,021 claims
Blood Work & Lab Tests
Avg $38.44
37,650 claims
Speech Therapy
Avg $32.41
19,178 claims