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 |
|---|---|---|---|
|
Mass General Brigham Urgent Care Llc
1285 Beacon St |
$90.71 | 34,068 | 32,812 |
|
Simon Faynzilberg
157 Winthrop Rd # 2 |
$29.09 | 20,401 | 18,904 |
|
Bruce Frederick Cohen
1 Brookline Pl |
$52.22 | 17,083 | 12,583 |
|
David S Chapin
1180 Beacon St |
$60.97 | 14,543 | 11,131 |
|
Alan S Rockoff
1101 Beacon St |
$46.47 | 12,637 | 12,485 |
|
Johnelle R Smith
1180 Beacon St |
$51.06 | 9,879 | 6,322 |
|
Omar Haque
1101 Beacon St Ste 1W |
$56.38 | 9,800 | 3,513 |
|
Neeraj V Rastogi
1180 Beacon St |
$59.37 | 7,210 | 3,712 |
|
Chander Kumar Khatri
1285 Beacon St |
$68.62 | 6,325 | 6,245 |
|
Joseph Hartigan
317 Washington St |
$47.84 | 5,102 | 5,024 |
|
Neil Houston
1101 Beacon St # 1E |
$70.09 | 3,592 | 3,560 |
|
Reena Gupta
1101 Beacon St |
$38.34 | 3,219 | 2,864 |
|
Brookline Community Mental Health Center Inc.
43 Garrison Rd |
$66.84 | 2,737 | 2,263 |
|
Mark R Gloss
1180 Beacon St |
$14.16 | 2,645 | 1,367 |
|
Martin George Ostro
1101 Beacon St |
$64.66 | 2,634 | 2,474 |
|
Alla Tandetnik
1180 Beacon St Fl 8 |
$8.74 | 2,304 | 2,111 |
|
Saechin Kim
1269 Beacon St |
$67.83 | 2,167 | 2,109 |
|
Peter Rome Bendetson
1180 Beacon Street, Suite 3A |
$45.48 | 2,143 | 2,061 |
|
Anton L Pesok
1101 Beacon St |
$28.16 | 1,918 | 1,763 |
|
Marcia L Zuckerman
227 Babcock St |
$48.60 | 1,907 | 1,785 |
|
Michael Dana Schreiber
106 Beals St |
$73.13 | 1,792 | 1,491 |
|
Megan Cox Webb
1101 Beacon St |
$42.20 | 1,554 | 1,543 |
|
Alexander Martin
24 Webster Pl |
$29.18 | 1,509 | 1,396 |
|
Ethel C Bullitt
1 Brookline Pl |
$15.75 | 1,328 | 1,310 |
|
Lars Carver Richardson
1101 Beacon Street |
$47.29 | 1,302 | 1,257 |
|
Ashley Keane-Ames
1 Brookline Pl Ste 321 |
$35.66 | 1,266 | 1,209 |
|
Helenita Hamer
1093 Beacon St. |
$59.37 | 1,214 | 1,160 |
|
Kristin Castillo Farias
1285 Beacon St Ste 101 |
$83.83 | 1,203 | 1,037 |
|
Jorge G Arroyo
24 Webster Pl |
$20.96 | 1,062 | 1,034 |
|
Nelya Christiansen
1101 Beacon St |
$34.54 | 1,054 | 1,046 |
|
Julia Ilene Ostrov
209 Harvard St |
$11.17 | 1,019 | 958 |
|
Debbie Shlain-Frink
1180 Beacon St |
$7.56 | 891 | 867 |
|
Ellen Mccue
1 Brookline Pl |
$69.30 | 818 | 791 |
|
Emily Li-Wen Wang
1 Brookline Pl |
$52.31 | 794 | 787 |
|
Vasso Anest Kumarelas
1285 Beacon St |
$64.32 | 672 | 648 |
|
Miaoyuan May Wang
1101 Beacon St Ste 1E |
$40.96 | 629 | 620 |
|
Deborah I Lee
24 Webster Pl |
$26.13 | 612 | 605 |
|
David Lawrence Luftman
1 Brookline Pl Ste 225 |
$63.57 | 610 | 573 |
|
Justin Seth Holtzman
1180 Beacon St Ste 6B |
$70.91 | 592 | 534 |
|
Robert Taylor
1755 Beacon St |
$8.84 | 578 | 535 |
|
Hilary L. Linihan
1285 Beacon St |
$72.50 | 519 | 517 |
|
Ronak Vatsal Shah
1285 Beacon St |
$53.20 | 443 | 391 |
|
Linya Yang
1101 Beacon St Ste 4East |
$43.85 | 442 | 419 |
|
Saneliso Masuku
43 Garrison Rd |
$62.99 | 427 | 387 |
|
Daniel Scott Simpson
1 Brookline Pl Ste 225 |
$52.65 | 424 | 414 |
|
Barbara Ann Dworetzky
111 Cypress St |
$29.64 | 413 | 404 |
|
Elise Kristen Mcinerney
1285 Beacon St |
$28.16 | 358 | 354 |
|
Paragi Rana
One Brookline Place |
$28.92 | 352 | 336 |
|
Danielle Torre Wiggins
1101 Beacon St Ste 8W |
$45.36 | 340 | 307 |
|
Hanna Marie Sutton
1101 Beacon St Ste 1E |
$68.26 | 327 | 327 |
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