Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Cambridge, MA: $95.08

Avg. Paid

$95.08

Range

$0.00 – $175.81

Total Claims

1,113,324

Providers

373

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 Cambridge, MA

Provider	Avg. Paid	Claims	Patients
Cambridge Public Health Commission 1493 Cambridge St	$109.20	739,474	644,170
Cambridge Public Health Commission 1493 Cambridge St	$127.67	65,260	58,746
Cambridge Public Health Commission 1493 Cambridge St	$118.97	23,205	19,900
Bo Xu 1493 Cambridge St	$44.77	13,210	6,124
Karen Haessler 1493 Cambridge St	$50.08	7,041	5,202
Mount Auburn Professional Services Inc 330 Mount Auburn St	$60.37	6,993	6,371
Joanna Piechniczek-Buczek 1493 Cambridge St	$26.59	6,821	6,231
Rama Priyanka Nagireddi 725 Concord Ave Ste 3300	$42.61	6,677	5,797
Jeremy Isaac Keller 119 Windsor St	$46.29	6,506	5,510
Ernst Manigat 266 Rindge Ave	$38.52	6,100	5,705
Cynthia S. Carter 75 Mount Auburn St	$67.81	5,890	5,472
Gregory N Hagan 119 Windsor St	$51.91	5,092	4,811
Jenna Elizabeth Foley 75 Mount Auburn St	$47.03	5,071	4,922
Christopher Paul Simons 1493 Cambridge St	$44.43	4,788	4,628
Elizabeth J. Parlee 1493 Cambridge St	$49.73	4,644	4,416
Marie-Louise Jean-Baptiste 119 Windsor St	$45.24	4,567	4,123
Laura Trueman 1493 Cambridge St	$28.50	4,136	4,003
Erik Victor Berg 1493 Cambridge St	$59.82	3,972	3,915
Katherine E Miller 119 Windsor St	$46.84	3,787	3,632
Mount Auburn Hospital 330 Mount Auburn St	$105.00	3,611	3,412
Michelle Dorrell 75 Mount Auburn St	$63.39	3,470	3,355
Bianca S Shagrin 119 Windsor St	$38.63	3,459	3,323
Amy M West 330 Mount Auburn St	$123.10	3,271	3,150
Eva Connelly 198 Fayerweather St	$43.03	3,267	1,656
Dan Tang 330 Mount Auburn St	$49.31	3,144	3,079
Amy Lynn Zisa 77 Mass Ave	$91.37	3,074	2,942
Deborah Ellen Glotzer 1493 Cambridge St	$42.87	2,996	2,908
Jason Andrew Freedman 1493 Cambridge St	$48.77	2,760	2,696
Alan Fisch 872 Massachusetts Ave.	$71.96	2,723	1,833
Daniel Gonzalez 1493 Cambridge St	$74.09	2,577	2,443
Yena H Do 2211 Massachusetts Ave	$30.48	2,395	2,178
Cari Benbasset-Miller 1493 Cambridge Street	$36.17	2,388	2,294
Gerard Coste 119 Windsor St	$47.11	2,314	1,957
Nina Lavins 100 Binney St	$0.63	2,294	2,124
Simon M. W. Lejeune 77 Mass Ave E23	$46.20	2,239	2,037
Robert S Janett 237 Hampshire St	$50.73	2,231	2,127
Ira Mintzer 1493 Cambridge St	$58.20	2,200	2,108
Debra S Rosenblum 1493 Cambridge St	$47.03	2,146	2,025
Jennifer Greenwold 1493 Cambridge St	$47.23	2,107	1,828
Weiru Shao 1493 Cambridge St	$65.12	2,080	2,054
Astrid Desrosiers 119 Windsor St	$36.32	2,077	1,974
Vikas Gampa 1493 Cambridge St	$33.80	2,051	1,889
Nicholas Carson 1493 Cambridge St	$63.82	2,033	1,737
Danielle Silverman 1493 Cambridge St	$67.06	1,961	1,948
Agnes A Graves 119 Windsor St	$40.00	1,902	1,810
Harry Phillip Schneider 1493 Cambridge St	$40.28	1,846	1,566
Jeanette A Callahan 1493 Cambridge St	$39.46	1,819	1,784
Anna Ham 2067 Mass Ave	$51.74	1,781	1,693
Laura A Ruoff 1493 Cambridge St	$65.20	1,760	1,656
Joel Dov Sawady 237 Hampshire St	$44.01	1,744	1,691

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 Cambridge, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cambridge, MA is $95.08 per claim, based on 1,113,324 claims from 373 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 Cambridge, MA?

There are 373 Medicaid providers offering Office Visit related services in Cambridge, MA according to public payment data.

What is the price range for Office Visit in Cambridge, MA?

Medicaid reimbursement for Office Visit in Cambridge, MA ranges from $0.00 to $175.81 per claim, with an average of $95.08. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Cambridge, MA: $95.08

Providers Offering Office Visit in Cambridge, 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 Cambridge, MA

Blood Work & Lab Tests

Emergency Room Visit

Vaccines & Immunizations

Psychiatric Evaluation

X-Ray

EKG / ECG (Electrocardiogram)

Dental Cleaning & Exam

Ambulance Transport