Average Medicaid Office Visit Payments in Chelmsford, MA: $58.53
Avg. Paid
$58.53
Range
$0.00 – $264.18
Total Claims
160,545
Providers
119
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 Chelmsford, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Melvin Nemkov
228 Billerica Rd |
$49.85 | 16,194 | 8,751 |
|
Laura Z Lee
228 Billerica Rd |
$98.04 | 9,065 | 8,643 |
|
Jennifer Marie Anderson
4 Courthouse Ln Unit 9 |
$46.90 | 6,122 | 5,512 |
|
Andrew David Simkin
3 Village Sq |
$41.34 | 5,244 | 5,156 |
|
Jacques Hagop Sulahian
7 Village Sq |
$51.18 | 4,876 | 4,532 |
|
Ajay Nanavati
4 Courthouse Ln Unit 1-3 |
$52.70 | 4,840 | 4,390 |
|
Rekha Quazi
1 Courthouse Ln |
$64.67 | 4,578 | 3,648 |
|
Sheila L Morehouse
7 Village Sq |
$59.34 | 4,562 | 4,295 |
|
Eric Andrew Meikle
7 Village Square |
$43.04 | 4,538 | 4,223 |
|
Jaymi K Formaggio
7 Village Sq |
$46.43 | 4,466 | 4,235 |
|
Damian Folch
35A Village Sq |
$38.39 | 3,726 | 3,512 |
|
Comprehensive Health Services Llc
2 Courthouse Ln Ste 3 |
$52.46 | 3,442 | 3,008 |
|
Sebastian G Sepulveda
9 North Rd |
$32.52 | 3,396 | 3,110 |
|
Rekha Sundar
3 Meeting House Rd |
$47.52 | 3,353 | 3,056 |
|
Vijay K Nayak
3 Meeting House Rd |
$46.22 | 3,111 | 2,866 |
|
Danka Samardzic
228 Billerica Rd |
$129.31 | 2,772 | 2,692 |
|
Mythily Meda
228 Billerica Rd |
$120.39 | 2,761 | 2,681 |
|
Scott Finlay
321 Billerica Rd Ste 202 |
$49.12 | 2,567 | 2,432 |
|
Ricardo Dancel
3 Courthouse Ln |
$44.36 | 2,566 | 2,200 |
|
Vishnu Kannabiran
3 Meeting House Rd |
$48.89 | 2,530 | 2,376 |
|
Megan Zwingelberg Cardoso
7 Village Sq |
$44.88 | 2,252 | 2,138 |
|
Erin Lager
228 Billerica Rd |
$58.93 | 2,093 | 1,999 |
|
Wen Yee Lee
228 Billerica Rd |
$81.34 | 2,092 | 2,058 |
|
Kristen Daugherty
228 Billerica Rd |
$24.33 | 2,013 | 1,983 |
|
Nicole M Lynch
228 Billerica Rd |
$53.93 | 1,938 | 1,885 |
|
Deirdre M Connolly
23 Village Sq |
$41.39 | 1,920 | 1,826 |
|
Alina Bahlavouni
228 Billerica Rd |
$54.75 | 1,863 | 1,788 |
|
Sandra Lee Usher
1 Meeting House Rd |
$56.70 | 1,832 | 1,814 |
|
Ghazala E Alam
1 Courthouse Ln |
$47.27 | 1,803 | 1,684 |
|
Katherine Nickley
3 Meeting House Rd |
$47.18 | 1,739 | 1,592 |
|
Jessica Lauren Hootnick
3 Meeting House Rd |
$45.50 | 1,679 | 1,594 |
|
Lisa M Sevigny
4 Meeting House Rd |
$53.74 | 1,664 | 1,546 |
|
Mark Gordon Gilchrist
4 Meeting House Rd |
$58.62 | 1,664 | 1,563 |
|
Richard Eliot Altman
31 Village Sq |
$29.05 | 1,646 | 1,604 |
|
Kimberly M Tresch
228 Billerica Rd |
$107.61 | 1,636 | 1,613 |
|
Lauren A Hittner
228 Billerica Rd |
$74.67 | 1,556 | 1,536 |
|
Jennifer Marie Liano
228 Billerica Rd |
$45.08 | 1,524 | 1,478 |
|
Rizwana Sabeeh
228 Billerica Rd |
$137.12 | 1,365 | 1,134 |
|
Comprehensive Heatlh Services, Llc
2 Courthouse Ln |
$83.45 | 1,344 | 1,199 |
|
Lakshmi Sivasankar
228 Billerica Rd |
$107.44 | 1,315 | 1,298 |
|
Khalil A Khatri
6 Courthouse Ln Unit 7 |
$51.49 | 1,307 | 1,256 |
|
Roy R Shen
21 Village Sq |
$49.24 | 1,278 | 1,276 |
|
David S Salomon
228 Billerica Rd |
$136.99 | 1,258 | 1,226 |
|
David Wu Shi
31 Village Sq |
$38.72 | 1,235 | 1,212 |
|
Anna Bolton
7 Summer St |
$71.70 | 1,208 | 1,121 |
|
Otilia Braescu
228 Billerica Rd |
$12.23 | 1,182 | 1,078 |
|
Matthew A Cohen
31 Village Sq |
$30.89 | 1,173 | 1,159 |
|
Robert A Edelstein
31 Village Sq |
$24.89 | 1,123 | 1,077 |
|
J Mathieu Massicotte
31 Village Sq |
$56.38 | 1,038 | 1,012 |
|
Urgent Help Chelmsford Pc
45 Drum Hill Rd |
$74.60 | 1,033 | 951 |
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 Chelmsford, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Chelmsford, MA is $58.53 per claim, based on 160,545 claims from 119 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 Chelmsford, MA?
There are 119 Medicaid providers offering Office Visit related services in Chelmsford, MA according to public payment data.
What is the price range for Office Visit in Chelmsford, MA?
Medicaid reimbursement for Office Visit in Chelmsford, MA ranges from $0.00 to $264.18 per claim, with an average of $58.53. 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 Chelmsford, MA
Substance Abuse Treatment
Avg $10.14
379,590 claims
Non-Emergency Medical Transportation
Avg $29.97
132,232 claims
Nursing Facility Care
Avg $12.87
87,704 claims
Behavioral & Mental Health Therapy
Avg $91.05
78,370 claims
Ambulance Transport
Avg $74.85
72,503 claims
Dental Cleaning & Exam
Avg $38.88
62,195 claims
Psychiatric Evaluation
Avg $77.67
61,774 claims
Physical Therapy
Avg $16.01
53,974 claims