Average Medicaid Office Visit Payments in Charlton, MA: $39.92
Avg. Paid
$39.92
Range
$5.96 – $75.03
Total Claims
32,184
Providers
26
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 Charlton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stanley Joseph Swierzewski
20 Southbridge Rd |
$19.93 | 3,772 | 3,515 |
|
Brenda J Geddis-Comrie
10 N Main St |
$44.54 | 3,734 | 3,525 |
|
Paul D Harrington
246 Southbridge Road |
$56.92 | 3,448 | 3,265 |
|
Traci Ann Mercier
10 N Main St |
$42.16 | 3,217 | 3,163 |
|
Rebecca Louise Russo
10 N Main St |
$22.49 | 2,758 | 2,545 |
|
Archana S Shah
10 N Main St |
$57.75 | 2,164 | 2,070 |
|
Heather C. Sienel
10 N Main St |
$12.42 | 1,965 | 931 |
|
Hope E Ring
9 Trolley Crossing Rd |
$51.89 | 1,827 | 1,756 |
|
Robert J Cherry
20 Southbridge Rd |
$32.38 | 1,827 | 1,787 |
|
Sonja Schaffer
9 Trolley Crossing Rd |
$30.73 | 1,455 | 1,402 |
|
Shilpa Monga
61 N Main St |
$75.03 | 1,338 | 1,261 |
|
Erin K Meagher
246 Southbridge Rd |
$37.04 | 1,298 | 1,187 |
|
Harpreet Kaur
10 N Main St |
$28.21 | 563 | 544 |
|
Heather Lee Briere
9 Trolley Crossing Rd |
$48.57 | 555 | 518 |
|
Zung My Hoang
9 Trolley Crossing Rd |
$63.44 | 429 | 411 |
|
Lauryn Ciszek
9 Trolley Crossing Rd |
$59.48 | 316 | 299 |
|
Sara A Mahony
20 Southbridge Rd |
$33.84 | 258 | 253 |
|
Esi Korsah
3 Sydney Cir |
$47.07 | 255 | 224 |
|
Jordan Lynne Dewhurst
9 Trolley Crossing Rd |
$38.39 | 228 | 221 |
|
Cali Peffer
10 N Main St |
$42.38 | 225 | 209 |
|
Mary-Elise Smith
10 North Main Street |
$57.19 | 162 | 162 |
|
Kelly Ann Diaz
10 N Main St |
$30.85 | 142 | 141 |
|
Teddi Bachawaty
9 Trolley Crossing Rd |
$50.32 | 134 | 124 |
|
Stacy L. Pominville
10 N Main St |
$44.12 | 78 | 77 |
|
Michael W Border
20 Southbridge Rd |
$39.48 | 24 | 24 |
|
Madeline Fennon Lane
10 N Main St |
$5.96 | 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 Charlton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Charlton, MA is $39.92 per claim, based on 32,184 claims from 26 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 Charlton, MA?
There are 26 Medicaid providers offering Office Visit related services in Charlton, MA according to public payment data.
What is the price range for Office Visit in Charlton, MA?
Medicaid reimbursement for Office Visit in Charlton, MA ranges from $5.96 to $75.03 per claim, with an average of $39.92. 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 Charlton, MA
Eye Exam
Avg $39.12
24,542 claims
Home Health Visit
Avg $48.85
14,842 claims
Nursing Facility Care
Avg $12.67
5,783 claims
Urinalysis & Urine Tests
Avg $1.04
4,616 claims
Ambulance Transport
Avg $93.74
3,429 claims
Physical Therapy
Avg $39.79
3,287 claims
Psychiatric Evaluation
Avg $84.25
901 claims
Ultrasound
Avg $37.89
712 claims