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
Sarah J Moses 330 Mt Auburn St	$48.19	12	12
Lisa B Weissmann 1493 Cambridge Street	$7.04	12	12
Lawrence Borges 300 Mount Auburn St Ste 414	$55.01	12	12
Shireen Farhad Cama 1493 Cambridge St	$83.39	12	12
James Walsh Murrett 1493 Cambridge St	$58.41	12	12
Sridevi Sullivan 1611 Cambridge St	$25.40	12	12
Mount Auburn Cardiology Associates Inc 300 Mount Auburn St	$33.16	12	12
Suzanne M Roth 110 2Nd St	$24.56	12	12
Charlotte Emily Rastas 1493 Cambridge St	$0.00	12	12
Carol Michelle Ilzarbe 330 Mount Auburn St	$64.77	12	12
Hamna Umar 625 Mount Auburn St Ste 104	$52.46	12	12
Anita Morena Chanana 1493 Cambridge St	$62.46	12	12
David J Anick 2500 Massachusetts Ave	$42.91	12	12
Anna Ost 725 Concord Ave	$34.29	12	12
Greg Michael Lipshutz 300 Mount Auburn Street	$44.60	12	12
Cole Martens 799 Concord Ave Ste 4	$0.00	12	12
Oscar Soto 330 Mount Auburn St	$20.92	12	12
Nicholas D Gottshall 330 Mount Auburn St # Surgery	$67.90	12	12
Stephanie Tauscher 1493 Cambridge St	$58.41	12	12
Mohammed O Rahman 330 Mount Auburn St	$108.00	13	13
Richard Francis Mollica 22 Putnam Ave	$18.43	13	12
Binu Philips 300 Mount Auburn St Ste 310	$53.39	13	12
Ashok K Roy 77 Mass Ave Bldg E23	$50.77	13	13
Jane R. Sharp 330 Mount Auburn St	$48.65	13	12
Marni Roitfarb 575 Mount Auburn St	$65.85	13	13
Aaron Michael Block 1493 Cambridge St	$30.44	13	13
Michael Samuel Tcheyan 1493 Cambridge St	$58.41	13	13
Marion P. Hogan 300 Mount Auburn St	$36.16	13	13
Stella Kinyota 100 Binney St	$57.26	14	13
Carla Patricia Dupont 1493 Cambridge St	$30.19	14	13
Louis John Kishfy 330 Mount Auburn St	$115.13	14	14
Cassandra Fox 1493 Cambridge St	$0.00	14	14
Daniel M Epstein 575 Mt Auburn St	$57.26	14	13
Shiv Tej Sehra 725 Concord Ave	$47.89	14	13
Claire M Brickell 625 Mount Auburn St	$92.24	14	14
Luke Thomas Chatburn 330 Mount Auburn St	$51.63	14	12
Emily Ruth Mason Hanson 1493 Cambridge St	$0.00	14	14
Analise Frances Peleggi 1493 Cambridge St	$2.41	15	15
Naira Aleksanyan 625 Mount Auburn St Ste 104	$53.89	15	14
Edward C Lee 1493 Cambridge St	$69.12	15	15
Leah Bowlin 36 Spinelli Pl	$17.86	15	13
Dennis Tan 300 Mount Auburn St Ste 517	$0.00	16	12
Greta Feinberg 575 Mt Auburn St,	$2.92	17	17
Karsten Dirk Kueppenbender 1130 Massachusetts Ave	$9.88	20	12
Elizabeth Grace Rocco 100 Binney St	$160.40	21	20
Taylor Hoff 1493 Cambridge St	$9.99	23	12
Alex Goldstein 1493 Cambridge St	$59.35	25	25
Neil Datta 1493 Cambridge St	$140.52	25	25
Jennifer B Green 300 Mount Auburn St	$28.52	25	24
Aislyn Cangialose 575 Mount Auburn St	$81.80	26	25

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

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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