Average Medicaid Office Visit Payments in Canton, MA: $46.67
Avg. Paid
$46.67
Range
$3.17 – $90.94
Total Claims
41,460
Providers
23
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 Canton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rachael A Marcantonio
709 Washington St |
$50.73 | 6,296 | 5,961 |
|
Timothy Lowney
709 Washington St |
$56.19 | 5,449 | 4,819 |
|
Zinaida Levin
510 Chapman St |
$21.24 | 5,181 | 4,719 |
|
Timothy Lowney
709 Washington St |
$60.31 | 4,930 | 4,526 |
|
Betty Yu
275 Turnpike St Ste 206 |
$51.35 | 4,635 | 3,512 |
|
Ziad Hinedi
40 Sheffield Dr |
$41.81 | 3,175 | 3,154 |
|
Sean Haley
709 Washington St |
$54.81 | 2,095 | 2,013 |
|
Irina B. Vasserman
510 Chapman St |
$17.35 | 1,931 | 1,826 |
|
Lynn A Nuti
16 Forge Pond |
$32.88 | 1,857 | 1,713 |
|
Yveda Brutus
1017 Turnpike St Ste 31 |
$90.94 | 1,763 | 1,280 |
|
Mary R Shoemaker
4 Washington St Ste A |
$47.82 | 1,149 | 1,085 |
|
Chimezie Joanna Agomoh
45 Dan Rd Ste 125 |
$25.01 | 734 | 697 |
|
Robert Sears Baratz
Sshc, Inc. |
$43.10 | 704 | 649 |
|
Scott M Aronson
1017 Turnpike St Ste 12B |
$46.71 | 589 | 552 |
|
Daniel Arthur Muse
10 Nathaniel Way |
$30.35 | 341 | 340 |
|
David William Molway
37 Algonquin Rd |
$20.88 | 266 | 242 |
|
Comfort Olufunmilayo Sowale
45 Dan Rd Ste 125 |
$45.50 | 90 | 89 |
|
Charlene Charisse Hollins
715B Washington St |
$46.02 | 68 | 68 |
|
Abby Gray
100B Washington St |
$68.48 | 59 | 14 |
|
Deanna Jo Murphy
45 Dan Rd |
$35.72 | 53 | 53 |
|
Christiana Chioma Egwim
1017 Turnpike St Ste 36B |
$3.17 | 52 | 51 |
|
Carissa M Kelly
45 Dan Rd |
$15.06 | 30 | 29 |
|
Jennifer Lee Parent
4 Washington St |
$50.73 | 13 | 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 Canton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Canton, MA is $46.67 per claim, based on 41,460 claims from 23 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 Canton, MA?
There are 23 Medicaid providers offering Office Visit related services in Canton, MA according to public payment data.
What is the price range for Office Visit in Canton, MA?
Medicaid reimbursement for Office Visit in Canton, MA ranges from $3.17 to $90.94 per claim, with an average of $46.67. 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 Canton, MA
Dental Cleaning & Exam
Avg $39.85
54,275 claims
Nursing Facility Care
Avg $13.24
45,418 claims
Blood Work & Lab Tests
Avg $1.56
10,210 claims
Ambulance Transport
Avg $95.07
7,741 claims
Case Management Services
Avg $1,130
7,124 claims
Podiatry (Foot Care)
Avg $11.42
6,013 claims
Dental Crown
Avg $631.74
4,237 claims
Psychiatric Evaluation
Avg $32.92
4,171 claims