Average Medicaid Office Visit Payments in Concord, MA: $63.07
Avg. Paid
$63.07
Range
$0.00 – $372.71
Total Claims
76,465
Providers
78
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 Concord, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eliot Community Human Services
86 Baker Ave Ext |
$73.01 | 15,298 | 14,025 |
|
Henry Ntoro
300 Baker Ave Ste 300 |
$79.00 | 6,182 | 5,009 |
|
Katelyn A Richer
59 Ornac |
$8.80 | 4,529 | 3,165 |
|
Christopher Wesley Baker
54 Baker Avenue Ext Ste 200 |
$41.98 | 3,410 | 3,161 |
|
Craig Sussman
111 Old Road To Nine Acre Corner |
$28.37 | 3,257 | 2,987 |
|
Tamara C Takoudes
131 Ornac |
$42.64 | 3,205 | 2,915 |
|
Paul David D'Ambrosio
2284 Main St |
$59.86 | 3,080 | 2,918 |
|
Shay Darcey
160 Walden St |
$29.47 | 2,687 | 2,555 |
|
Taylor Julia Lord
330 Baker Ave |
$30.40 | 2,502 | 2,403 |
|
Nana Girgis Mcmahon
131 Ornac |
$69.11 | 2,416 | 2,206 |
|
Kelly Sellers
86 Baker Avenue Ext Ste 100 |
$50.55 | 2,225 | 2,024 |
|
Emerson Hospital
133 Old Road To 9 Acre Cor |
$132.68 | 2,159 | 1,924 |
|
Ayesha Naz Khalid
59 Old Road To 9 Acre Cor |
$58.71 | 2,117 | 2,092 |
|
Julie M Jankelson
330 Baker Ave |
$82.50 | 1,934 | 1,860 |
|
John David Cahoy
54 Baker Avenue Ext |
$59.62 | 1,919 | 1,673 |
|
Joy Elizabeth Lewis O'Brien
575 Virginia Rd Ste 102 |
$37.77 | 1,655 | 1,561 |
|
Sandeep Jain
330 Baker Ave |
$162.20 | 1,646 | 1,563 |
|
Michael S Glazier
330 Baker Ave |
$90.51 | 1,210 | 1,174 |
|
Lauren Faber Collier
30 Domino Dr |
$115.17 | 1,073 | 1,031 |
|
Meena Mehta
131 Ornac |
$42.11 | 829 | 814 |
|
Emerson Practice Associates, Inc.
133 Old Road To Nine Acre Corner |
$67.92 | 753 | 688 |
|
John Sooy
300 Baker Ave |
$55.88 | 657 | 631 |
|
Jennifer Setlur
54 Baker Avenue Ext |
$58.13 | 627 | 614 |
|
Mark Thomas Brown
54 Baker Avenue Ext Ste 303 |
$36.11 | 610 | 579 |
|
George Kazda
59 Old Road To Nine Corner Suite 3 |
$54.84 | 594 | 574 |
|
Patricia Lynn Birgeneau
80 Baker Ave. Extension |
$73.74 | 564 | 548 |
|
Sharon Shung
330 Baker Ave |
$126.45 | 523 | 499 |
|
Stephen A Jenkins
330 Baker Ave |
$70.24 | 522 | 512 |
|
Rebecca Sturges
300 Baker Ave Ste 300 |
$36.33 | 507 | 419 |
|
Kristen E Corcoran
54 Baker Avenue Ext |
$27.27 | 500 | 488 |
|
Michael Huang
300 Baker Ave Ste 300 |
$51.70 | 494 | 460 |
|
Adam Brys
290 Baker Ave Ste N220 |
$54.37 | 473 | 469 |
|
Sukhjit Kaur
133 Old Road To 9 Acre Cor |
$86.05 | 434 | 418 |
|
Barbara T Peters
330 Baker Ave |
$170.78 | 391 | 384 |
|
Thomas P. Kaegi
330 Baker Ave |
$173.87 | 361 | 350 |
|
Laura Ting
80 Beharrell St |
$154.64 | 351 | 348 |
|
Roger John Martinkus
75 Junction Square Dr |
$70.77 | 350 | 262 |
|
Eileen Murray
330 Baker Ave |
$75.93 | 348 | 342 |
|
Jeffrey R Ristaino
330 Baker Ave |
$46.53 | 314 | 305 |
|
Noor A Roomi
330 Baker Ave |
$52.11 | 312 | 290 |
|
Constance Dimarino
111 Old Road To 9 Acre Cor |
$56.36 | 278 | 239 |
|
Sandra M Meyerson
330 Baker Ave |
$33.19 | 234 | 226 |
|
Laura Michelle Doyon
54 Baker Avenue Ext |
$51.91 | 222 | 216 |
|
Elizabeth Henson
80 Beharrell St |
$44.46 | 212 | 198 |
|
Sarah B Zifcak
330 Baker Ave |
$190.79 | 200 | 187 |
|
Vannary Khim
330 Baker Ave |
$32.91 | 183 | 174 |
|
Richard Kevin Heneghan
2284 Main St |
$57.17 | 177 | 162 |
|
Sarah Elizabeth Michaud
290 Baker Ave |
$50.13 | 173 | 173 |
|
Kimberly A Brennan
133 Ornac |
$35.23 | 171 | 167 |
|
Ting Wu
133 Old Road To 9 Acre Cor |
$56.11 | 154 | 153 |
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 Concord, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Concord, MA is $63.07 per claim, based on 76,465 claims from 78 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 Concord, MA?
There are 78 Medicaid providers offering Office Visit related services in Concord, MA according to public payment data.
What is the price range for Office Visit in Concord, MA?
Medicaid reimbursement for Office Visit in Concord, MA ranges from $0.00 to $372.71 per claim, with an average of $63.07. 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 Concord, MA
Psychiatric Evaluation
Avg $73.78
70,269 claims
Behavioral & Mental Health Therapy
Avg $108.84
68,724 claims
Blood Work & Lab Tests
Avg $7.92
53,846 claims
Substance Abuse Treatment
Avg $46.90
44,340 claims
Ultrasound
Avg $38.45
32,844 claims
Personal Care Services
Avg $48.48
29,259 claims
Mammogram
Avg $69.99
22,080 claims
Physical Therapy
Avg $57.11
21,805 claims