Based on public Medicaid payment data.

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
Jessica Carly Sophia Mintz Lahey Hospital & Medical Ctr	$21.73	12	12
Ilham Deloomy 67 S Bedford St Ste 202E	$30.11	12	12
Randall Pellish Lahey Hospital And Medical Center	$19.25	12	12
Robert Gray Whitmore Lahey Hospital And Medical Ctr	$37.03	12	12
Paul R Cotran 41 Mall Rd	$12.07	12	12
Rachel Merton 41 Mall Rd	$17.20	12	12
Karen A Ganz 67 S Bedford St Ste 202E	$27.67	12	12
Klaudia Hunter Lahey Clinic Dept Of Radiation Oncology	$22.91	12	12
Collin Culbertson 41 Mall Road	$50.29	12	12
Khaldoon Tareq Husni Khirfan 41 Mall Rd	$46.32	12	12
Matthew Thomas Mcadams 41 Mall Road	$16.52	12	12
Ashwini Nadkarni 41 Mall Rd	$31.67	12	12
Lawrence M Specht Lahey Clinic	$16.40	12	12
Seth P. Jones 41 Mall Rd	$37.64	12	12
Naveen Kalipatnam Rao 41 Mall Rd	$30.06	12	12
Adam Jared Wulkan 67 S. Bedford Street	$53.54	12	12
Rachel R. Soffer 41 Mall Rd	$60.49	12	12
David James Ramsey 41 Mall Rd	$12.11	12	12
Joseph Rothchild 67 S Bedford St Ste 202E	$14.12	12	12
Bradley M Howerter 31 Burlington Mall Rd	$25.60	12	12
Rana Eletriby 67 S. Bedford Street	$94.51	12	12
Geetha K Athappilly 41 Mall Road	$114.22	12	12
Sara Alison Berg 41 Mall Rd	$41.04	12	12
Pierre Pellerin 41 Mall Road	$34.85	12	12
Robin H Childress 41 Mall Rd	$13.27	12	12
Maria Antonietta Mazzola 41 Mall Rd	$49.84	12	12
Phillip M Gendelman 172 Cambridge St	$2.23	12	12
Julie Elizabeth Crowley Lahey Clinic 41 Mall Rd	$20.56	12	12
Dmitry Nepomnayshy Lahey Clinic	$65.37	12	12
Katherine S. Masterpol 83 Cambridge St Ste 1A	$58.41	12	12
Sara Shadchehr Lahey Clinic Department Of Pulmonary	$29.63	12	12
Jieun Lee 41 Mall Rd	$94.00	13	13
Jiayi Zhou 31 Mall Rd	$88.30	13	13
Ellen Joy Dutta Lahey Hospital And Medical Center	$45.14	13	12
Ivia Rivera Agosto 41 Mall Road	$46.06	13	13
Michelle Karen Celeste 41 Mall Rd	$12.51	13	13
Bethany L Arguello 67 S Bedford St Ste 202E	$11.45	13	12
Sheilajane Cincotta 67 S Bedford St	$57.34	13	12
Susan D Palmer 41 Mall Rd	$10.86	13	12
Nancy Turnbull Livada 41 Mall Rd	$25.43	13	13
David L Burns Lahey Clinic	$25.16	13	12
Kelly M. Ciccone Lahey Clinic 41 Mall Rd	$10.70	13	12
Patrick Ross Aquino 41 Mall Rd	$58.71	13	12
Guy Kulbak 41 Mall Rd	$57.46	13	12
Laura Jean Bellmont 41 Mall Rd	$11.27	13	13
Dan Joseph Morgan 41 Mall Rd	$22.56	13	12
James Trussler 41 Mall Rd	$181.92	13	13
Catherine M Cline 41 Mall Rd	$7.31	14	14
Karen Nicole Guida 20 Wall St	$91.01	14	13
Tarun Kewalramani 41 Mall Rd	$27.50	14	13

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.

Average Medicaid Office Visit Payments in Burlington, MA: $95.84

Providers Offering Office Visit in Burlington, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Burlington, MA

Blood Work & Lab Tests

EKG / ECG (Electrocardiogram)

Emergency Room Visit

X-Ray

Non-Emergency Medical Transportation

Dental Cleaning & Exam

Pathology & Lab Services

Urinalysis & Urine Tests