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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Charlestown, MA: $47.25

Avg. Paid

$47.25

Range

$0.00 – $183.13

Total Claims

50,833

Providers

44

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 Charlestown, MA

Provider Avg. Paid Claims Patients
Geoffrey Whitley

C8 Shipway Pl

$52.67 14,961 10,327
The Spaulding Rehabilitation Hospital Corporation

300 1St Ave

$76.16 4,159 3,990
James Arthur Morrill

73 High St

$28.95 3,348 3,217
Mara Joy

1 Constitution Plz

$45.93 2,582 2,296
Moorice Caparo

300 1St Ave

$92.82 2,564 2,544
William Peter Schmitt

73 High St

$25.61 2,428 2,330
Amy Pasterczyk

73 High St

$61.71 2,425 2,248
Marie Elizabeth Pasinski

73 High Street Ctn

$37.06 1,884 1,870
Scott Harwood Homer

300 1St Ave

$62.49 1,723 1,680
Mariette Murphy

73 High St

$38.08 1,616 1,566
Cheryl Emilia Monteiro

73 High St

$16.93 1,600 1,471
Nicholas Pepe

73 High St

$31.61 1,394 1,353
Lydecke B Sweet

73 High St

$26.54 1,242 1,228
Sarah Wyka

21 Austin St

$22.82 1,062 925
Lorenzo Lewis

73 High St

$6.55 996 926
Rajani C Larocca

73 High St

$33.64 700 686
David Michael Robinson

300 1St Ave

$53.54 612 598
Michael J Garrity

73 High St

$33.99 582 559
Wei Sum Li

73 High St

$13.87 579 524
Margaret Marino

73 High St

$8.50 572 551
Madeline Spinosa

73 High St

$76.33 504 474
Shreedhar Paudel

73 High St

$61.85 501 456
Chloe Spring Slocum

300 1St Ave

$30.49 429 418
Erin Kathleen Mahoney Briones

Charlestown Healthcare Center

$30.80 374 357
Ladan Hakimjavadi

36 1St Ave

$8.12 367 365
Sarah E Wakeman

73 High St

$31.10 236 214
Kaitlin Marie Picard

1 Constitution Plz Ste 140

$18.94 232 214
Sara Astarita Callahan

73 High St

$23.11 202 195
Julie Piotrowski

300 1St Ave

$127.31 162 162
Katherine Misaiko

36 1St Ave

$50.19 140 137
Lauren Orloff Glickman

73 High St

$29.25 94 90
Eileen Marie Mcadams

73 High St

$35.28 94 94
Erin Anne Bolger

529 Main St Ste 222

$0.00 80 60
Ginger Polich

300 1St Ave

$46.86 66 64
Julia Tatum Mcandrew

15 Tufts St

$0.41 60 57
Daniel Salvatore Barron

300 1St Ave

$37.00 57 56
Betty Tran

529 Main St

$96.81 42 42
Stephanie Elena Deluca

300 1St Ave

$85.99 39 39
Anthony Sungwook Park

300 1St Ave

$183.13 30 30
Marc Van De Rijn

300 1St Ave

$32.42 29 29
Todd Ryan Hayano

300 1St Ave

$30.16 25 25
Razvan Turcu

300 1St Ave

$29.10 15 14
Elizabeth Muscatiello

75 W School St

$50.45 14 14
Namita Mattu

275 Medford St Apt 216

$70.00 12 12

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 Charlestown, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Charlestown, MA is $47.25 per claim, based on 50,833 claims from 44 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 Charlestown, MA?

There are 44 Medicaid providers offering Office Visit related services in Charlestown, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Charlestown, MA ranges from $0.00 to $183.13 per claim, with an average of $47.25. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Charlestown, MA