Average Medicaid Office Visit Payments in Burlington, MA: $95.84
Avg. Paid
$95.84
Range
$0.00 – $181.92
Total Claims
354,634
Providers
370
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 Burlington, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lahey Clinic Hospital, Inc.
41 Mall Rd |
$138.44 | 181,481 | 162,102 |
|
Lahey Clinic, Inc.
41 Mall Rd |
$49.79 | 16,376 | 14,592 |
|
Jon Whitney
41 Mall Rd |
$66.76 | 12,503 | 5,059 |
|
Denise Marie Toshach
67 S Bedford St Ste 101W |
$51.14 | 11,716 | 4,614 |
|
Gouri Datta
41 Mall Rd |
$60.88 | 7,630 | 6,587 |
|
Mustafa Albakour
41 Mall Rd |
$62.58 | 7,041 | 7,019 |
|
Christina L Williams
41 Mall Rd |
$57.86 | 4,308 | 3,756 |
|
Ameya Hodarkar
41 Mall Road |
$71.51 | 3,365 | 3,210 |
|
Faraz Khan
41 Mall Rd |
$61.97 | 3,217 | 2,864 |
|
Brittanny L Boulanger
20 Wall St |
$88.95 | 3,027 | 2,913 |
|
Qiang Zeng
20 Wall St |
$172.92 | 2,925 | 2,735 |
|
Sandra Benson
Lahey Clinic |
$40.92 | 2,576 | 2,249 |
|
Narendra K Shah
101 Cambridge St Ste 100 |
$25.82 | 2,275 | 1,878 |
|
Brendan Patrick Wynne
41 Mall Rd |
$25.08 | 2,165 | 2,055 |
|
Davor Kvaternik
41 Mall Rd |
$26.80 | 1,990 | 1,964 |
|
Mark P Gilligan
41 Mall Road |
$29.33 | 1,866 | 1,766 |
|
Heather Wojcik
41 Mall Road |
$68.68 | 1,849 | 1,676 |
|
Joanne M Lebow
50 Mall Road |
$52.91 | 1,809 | 1,695 |
|
Erica N Savino Moffatt
Lahey Hospital And Medical Center |
$53.40 | 1,808 | 1,737 |
|
Paul Michael Smiley
Lahey Clinic |
$17.89 | 1,742 | 1,680 |
|
Edward D Walshe
41 Mall Rd |
$21.23 | 1,722 | 1,426 |
|
Meghann L Marvin
67 S Bedford St Ste 202E |
$31.24 | 1,621 | 1,406 |
|
Convenientmd Llc
181 Cambridge St |
$106.36 | 1,480 | 1,391 |
|
Timothy Paul Mcgrath
Lahey Hospital & Medical Ctr |
$27.33 | 1,417 | 1,336 |
|
Farah Mullah
41 Mall Rd |
$41.01 | 1,394 | 1,317 |
|
Judith Townsend
41 Mall Rd |
$64.11 | 1,393 | 1,336 |
|
Uzma M. Ramzan
41 Mall Rd |
$57.98 | 1,303 | 1,293 |
|
Richard G Ruben
281 Cambridge St |
$45.98 | 1,279 | 1,227 |
|
Stefanie Saunders
41 Mall Road |
$46.67 | 1,245 | 1,193 |
|
Jenelle Lynn Baker
41 Mall Rd |
$56.80 | 1,182 | 1,135 |
|
Emily Victoria Merrill
41 Mall Rd |
$44.14 | 1,159 | 1,108 |
|
Maureen Kathryn Winters
41 Mall Rd |
$25.13 | 1,118 | 1,076 |
|
Matthew Axelrod
41 Mall Rd. |
$27.93 | 1,064 | 1,058 |
|
Anna Wheeler Rosenquist
20 Wall St |
$49.24 | 1,048 | 1,018 |
|
Theodore Treibick
101 Cambridge St Ste 100 |
$43.91 | 1,032 | 489 |
|
Karen A Cotting
281 Cambridge St |
$58.48 | 981 | 942 |
|
Jessica Jennely Alexis
41 Mall Rd |
$0.86 | 974 | 900 |
|
Megan Rebecca Weidemann
41 Mall Rd |
$41.85 | 958 | 873 |
|
Nicole Jeannine Friel
41 Mall Rd |
$43.19 | 955 | 897 |
|
Paula Atueyi
41 Mall Rd |
$111.86 | 943 | 838 |
|
Durathun Farha
41 Mall Rd. |
$58.74 | 911 | 845 |
|
Brittney Christina Locke
41 Mall Road |
$63.16 | 887 | 830 |
|
Angela M Restrepo
41 Mall Rd |
$29.35 | 860 | 854 |
|
Benjamin Scheindlin
281 Cambridge St |
$51.14 | 852 | 796 |
|
Elizabeth Graef
67 South Bedford St |
$46.45 | 849 | 840 |
|
Chloe Fish
41 Mall Rd |
$12.37 | 827 | 781 |
|
Douglas Tisdale
41 Mall Rd Lahey Hospital And Medical Center |
$27.99 | 799 | 728 |
|
Kristen E. Janko
41 Mall Rd |
$5.69 | 737 | 649 |
|
Marc A Rosenthal
20 Wall St |
$113.07 | 710 | 696 |
|
Laura T Safar
41 Mall Road |
$37.14 | 708 | 695 |
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 Burlington, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Burlington, MA is $95.84 per claim, based on 354,634 claims from 370 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 Burlington, MA?
There are 370 Medicaid providers offering Office Visit related services in Burlington, MA according to public payment data.
What is the price range for Office Visit in Burlington, MA?
Medicaid reimbursement for Office Visit in Burlington, MA ranges from $0.00 to $181.92 per claim, with an average of $95.84. 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 Burlington, MA
Blood Work & Lab Tests
Avg $10.09
375,899 claims
EKG / ECG (Electrocardiogram)
Avg $5.13
128,245 claims
Emergency Room Visit
Avg $129.97
104,721 claims
X-Ray
Avg $9.87
96,273 claims
Non-Emergency Medical Transportation
Avg $26.15
88,835 claims
Dental Cleaning & Exam
Avg $34.37
51,649 claims
Pathology & Lab Services
Avg $42.69
51,588 claims
Urinalysis & Urine Tests
Avg $3.67
50,612 claims