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 |
|---|---|---|---|
|
James H Reichheld
4 Meeting House Rd |
$53.45 | 12 | 12 |
|
Michael Thomas Rosenbaum
6 Courthouse Ln |
$53.82 | 12 | 12 |
|
Massachusetts Eye Associates Pc
19 Village Sq |
$73.03 | 12 | 12 |
|
Massachusetts Ent Associates Inc
321 Billerica Rd Ste 202 |
$20.51 | 13 | 12 |
|
Jacqueline M Frey
228 Billerica Rd |
$10.78 | 13 | 12 |
|
Rogere Lucien Errie
34 Porter Rd |
$84.21 | 13 | 13 |
|
Jessica Olson
4 Courthouse Ln |
$11.85 | 17 | 13 |
|
Joseph Dailey
4 Meeting House Rd Ste 6-8 |
$73.07 | 26 | 26 |
|
Kaila Anne Cuticchia
228 Billerica Rd |
$232.69 | 29 | 29 |
|
Merrimack Urology Assoc, Pc
31 Village Sq |
$25.58 | 30 | 29 |
|
Jenna Michelle Willard
19 Village Sq |
$37.20 | 30 | 28 |
|
Nicole Levine
228 Billerica Rd |
$142.65 | 34 | 34 |
|
Marcia Maclean Walsh
228 Billerica Rd |
$96.44 | 39 | 37 |
|
Jennifer Hartzell Calnan
19 Village Sq |
$43.84 | 41 | 41 |
|
Anna Rose Murphy
2 Meeting House Rd |
$50.24 | 48 | 43 |
|
Natasha Thivya Thiagalingam
228 Billerica Rd |
$0.00 | 49 | 49 |
|
David W. Merens
228 Billerica Rd |
$100.40 | 53 | 51 |
|
Zipporah Waithaka
290 Littleton Rd Unit 3 |
$3.68 | 61 | 57 |
|
Veronica Barboza
45 Alpine Ln Unit 306 |
$83.40 | 62 | 62 |
|
Manoj Moholkar
228 Billerica Rd |
$69.26 | 67 | 60 |
|
Caroline Bevona
228 Billerica Rd |
$264.18 | 70 | 69 |
|
Win Joseph Travassos
4 Meeting House Rd |
$33.58 | 70 | 65 |
|
Lorna Shaw Melo
228 Billerica Rd |
$132.78 | 72 | 71 |
|
Svetlana Shimberg
290 Littleton Rd Unit 3 |
$7.73 | 72 | 72 |
|
Shannon Leigh Paci
290 Littleton Rd Unit 3 |
$1.64 | 75 | 73 |
|
Steven A Morgenstern
228 Billerica Rd |
$110.64 | 87 | 84 |
|
Jorge E Gonzalez
2 Meeting House Road |
$61.20 | 98 | 89 |
|
Tara Lynn Thurston
228 Billerica Rd |
$131.96 | 112 | 108 |
|
Mark Henry
31 Village Sq |
$75.56 | 113 | 112 |
|
Russell W Hamilton
9 Fletcher St |
$9.30 | 130 | 130 |
|
Caitlin Polistena
21 Village Sqaure |
$87.85 | 130 | 130 |
|
Isabella Paiva-Gusmao
16 Alpine Ln |
$0.35 | 143 | 141 |
|
Karen C Dasilva
228 Billerica Rd |
$121.47 | 156 | 143 |
|
Venkata G Satyam
228 Billerica Rd |
$51.24 | 191 | 186 |
|
Marcelle Fallica Saurman
31 Village Sq |
$38.02 | 198 | 198 |
|
Elizabeth Yakaboski
9 Village Sq |
$91.74 | 202 | 202 |
|
Nora Lewitus Watson
228 Billerica Rd |
$25.95 | 203 | 196 |
|
Beshoy Ramses Sidhom
228 Billerica Rd |
$45.28 | 212 | 203 |
|
Howard Scott Breen
5 Somerset Pl |
$44.58 | 232 | 217 |
|
David Hyungjun Yi
19 Village Sq |
$40.20 | 234 | 226 |
|
Eugene Heejin Kim
228 Billerica Rd |
$92.51 | 306 | 276 |
|
Arthur B. Haffner
85 Parkhurst Rd |
$162.35 | 313 | 307 |
|
Lisa A Hill
228 Billerica Rd |
$86.25 | 318 | 295 |
|
Holly Powderly
23 Village Sq |
$41.60 | 325 | 309 |
|
Christina L Wei
228 Billerica Rd |
$50.70 | 336 | 332 |
|
Corinne L Puzio
31 Village Sq |
$43.49 | 349 | 340 |
|
Rafael A Pupo
228 Billerica Rd |
$81.67 | 353 | 347 |
|
Milton Drake
228 Billerica Rd |
$103.98 | 360 | 354 |
|
Stephanie R. Lewis
228 Billerica Rd |
$12.31 | 364 | 360 |
|
Katelyn Scagnelli
4 Courthouse Ln |
$23.15 | 387 | 368 |
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