Average Medicaid Office Visit Payments in Chelsea, MA: $30.73
Avg. Paid
$30.73
Range
$0.71 – $72.72
Total Claims
168,295
Providers
65
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 Chelsea, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Patricia M Guglietta
151 Everett Ave |
$29.65 | 13,093 | 12,703 |
|
Roberto Elias Madara Caganda
151 Everett Ave |
$28.72 | 10,730 | 10,093 |
|
Arshia Siddiqui
151 Everett Ave |
$34.40 | 8,663 | 8,343 |
|
Wanda I Gonzalez
151 Everett Ave |
$25.67 | 7,981 | 7,690 |
|
Kimberly Gayle Montez
151 Everett Ave |
$48.89 | 7,382 | 6,500 |
|
Lauren Elisabeth Zenner Steele
151 Everett Ave Fl 3 |
$5.88 | 6,793 | 5,193 |
|
Rebecca L Lambert
151 Everett Ave |
$27.08 | 5,664 | 5,532 |
|
Sara M Nelson
151 Everett Avenue |
$28.99 | 5,351 | 5,238 |
|
Lisa Sibert Carr
151 Everett Avenue |
$30.49 | 5,071 | 4,943 |
|
Alexy D Arauz Boudreau
151 Everett Avenue |
$30.09 | 5,002 | 4,844 |
|
Mercedes Freije Ibanez
1000 Broadway |
$30.11 | 4,633 | 4,314 |
|
Jerina Gani
1000 Broadway |
$33.85 | 4,345 | 4,097 |
|
Caitlin Marie Mulligan
301 Broadway |
$36.49 | 4,331 | 3,707 |
|
Joseph I Acra
301 Broadway |
$44.03 | 4,279 | 3,949 |
|
Herman I Gomez
151 Everett Ave |
$22.48 | 4,241 | 4,157 |
|
Jose Antonio Abrego
1000 Broadway |
$21.41 | 4,096 | 3,861 |
|
Christopher R Harmon
301 Broadway |
$40.75 | 4,051 | 3,929 |
|
Ilse Amelie Rieger
151 Everett Ave |
$26.41 | 3,395 | 3,279 |
|
Marya Jaye Cohen
151 Everett Avenue |
$30.82 | 2,820 | 2,761 |
|
Hanna Huey-Jiun Chao
151 Everett Ave |
$72.72 | 2,769 | 2,534 |
|
Jacquelyn E Moss
151 Everett Ave |
$21.24 | 2,730 | 2,470 |
|
Juliana Elizabeth Morris
151 Everett Ave |
$29.47 | 2,591 | 2,450 |
|
Susan Inonog
100 Everett Ave |
$42.84 | 2,544 | 2,479 |
|
Colleen Michelle Ford
151 Everett Avenue |
$40.54 | 2,462 | 2,377 |
|
Carlos Manuel Suarez
151 Everett Avenue |
$45.89 | 2,446 | 2,178 |
|
Jerald Lewis Reisman
151 Everett Ave |
$35.18 | 2,435 | 2,366 |
|
Mallika Joy Marshall
151 Everett Ave |
$24.45 | 2,430 | 2,206 |
|
Laura R Benzaquen
151 Everett Ave |
$32.50 | 2,399 | 2,372 |
|
Lynne Brodsky
151 Everett Ave |
$25.26 | 2,319 | 2,304 |
|
Jessica A Zeidman
151 Everett Avenue |
$31.87 | 2,190 | 2,164 |
|
Dean C Xerras
100 Everett Ave |
$20.28 | 2,139 | 2,118 |
|
Xue-Jun (June) Kong
1000 Broadway |
$37.23 | 2,033 | 1,878 |
|
Pedro Augusto Hernandez
151 Everett Ave |
$5.37 | 2,018 | 1,960 |
|
Jennifer Kasper
151 Everett Ave |
$39.19 | 1,902 | 1,855 |
|
Alexandra F Steeves
301 Broadway |
$57.05 | 1,811 | 1,696 |
|
Robert Jay Amrien
151 Everett Ave |
$29.04 | 1,778 | 1,441 |
|
Victor Soria
150 Everett Ave |
$19.07 | 1,590 | 1,557 |
|
Wynne Armand
151 Everett Ave |
$29.65 | 1,466 | 1,440 |
|
Diane Cecilia Greer
151 Everette Ave Chc |
$30.08 | 1,465 | 1,383 |
|
Faiz Khan
151 Everett Ave |
$14.19 | 1,259 | 1,241 |
|
Victor Lewis
151 Everett Ave |
$37.88 | 1,023 | 991 |
|
Christine Shaughnessy
100 Everett Ave |
$5.98 | 919 | 890 |
|
Peter M Grinspoon
151 Everett Avenue |
$34.49 | 894 | 882 |
|
Claudia Carvajal Guillen
151 Everett Ave |
$5.23 | 852 | 839 |
|
Elena Volozhanina
1000 Broadway |
$34.59 | 817 | 779 |
|
James Stewart Lang
151 Everett Ave |
$58.44 | 735 | 706 |
|
Jordan Hampton
299 Everett Ave |
$0.71 | 734 | 603 |
|
Maureen J Marre
151 Everett Ave |
$18.18 | 676 | 661 |
|
Lauren Kennedy
1000 Broadway |
$40.52 | 653 | 591 |
|
Sanja Percac-Lima
151 Everett Avenue |
$35.91 | 623 | 608 |
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 Chelsea, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Chelsea, MA is $30.73 per claim, based on 168,295 claims from 65 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 Chelsea, MA?
There are 65 Medicaid providers offering Office Visit related services in Chelsea, MA according to public payment data.
What is the price range for Office Visit in Chelsea, MA?
Medicaid reimbursement for Office Visit in Chelsea, MA ranges from $0.71 to $72.72 per claim, with an average of $30.73. 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 Chelsea, MA
Dental Cleaning & Exam
Avg $41.11
322,893 claims
Non-Emergency Medical Transportation
Avg $26.71
117,380 claims
Dental Filling
Avg $88.59
115,677 claims
Behavioral & Mental Health Therapy
Avg $111.82
54,674 claims
Psychiatric Evaluation
Avg $74.53
36,949 claims
Physical Therapy
Avg $16.21
27,072 claims
Home Health Visit
Avg $45.71
26,515 claims
Speech Therapy
Avg $21.44
23,385 claims