Average Medicaid Office Visit Payments in Danvers, MA: $47.98
Avg. Paid
$47.98
Range
$0.00 – $115.90
Total Claims
172,505
Providers
149
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 Danvers, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark E Allara
99 Conifer Hill Dr |
$58.25 | 17,583 | 15,678 |
|
Michael Yoon
99 Conifer Hill Dr |
$55.74 | 12,031 | 10,841 |
|
Todd M Sanderson
480 Maple St Ste 3A |
$41.39 | 8,795 | 8,003 |
|
Dana D. Mann
99 Conifer Hill Dr |
$64.13 | 7,629 | 6,975 |
|
Meghan L. Tramontozzi
99 Conifer Hill Dr |
$59.61 | 7,055 | 6,513 |
|
Jessica Howie
99 Conifer Hill Dr Ste 200 |
$63.00 | 5,760 | 5,729 |
|
Nfi Massachusetts, Inc.
10 Harbor St |
$59.64 | 5,011 | 4,655 |
|
Gonzalo H Verdugo
104 Endicott St |
$57.74 | 4,510 | 4,471 |
|
Philip Ryan Molarte Camilon
104 Endicott St Ste 100 |
$50.20 | 4,342 | 4,046 |
|
Gary Wayne Mendese
99 Conifer Hill Dr |
$37.66 | 4,308 | 3,738 |
|
Beth Israel Lahey Health Primary Care, Inc.
480 Maple St. |
$47.47 | 3,744 | 3,617 |
|
Melanie L Klein
480 Maple St |
$35.09 | 3,731 | 3,687 |
|
Shelby Gifford
480 Maple St |
$28.10 | 3,706 | 3,646 |
|
Kristina G Jackson
480 Maple St |
$39.13 | 3,570 | 3,336 |
|
Leonard M Horowitz
7 Federal St |
$50.05 | 3,515 | 3,014 |
|
Kenneth R Branton
480 Maple St |
$31.20 | 3,245 | 3,048 |
|
Andrew William Whetstone
480 Maple St |
$31.48 | 2,322 | 2,304 |
|
David Scott Chrzanowski
104 Endicott St |
$69.23 | 2,272 | 2,258 |
|
Charles C Ho
75 Lindall St |
$25.07 | 2,268 | 2,178 |
|
Mark R Rao
104 Endicott St. |
$40.77 | 2,239 | 2,214 |
|
Alison Manchester Foster
480 Maple St |
$21.21 | 2,193 | 2,156 |
|
Marvin George Somi
85 Constitution Ln |
$41.75 | 2,118 | 1,972 |
|
Thomas Matthew Seman
480 Maple St |
$66.24 | 1,976 | 1,745 |
|
Shannon L Dufresne
480 Maple St |
$43.68 | 1,939 | 1,804 |
|
Cerima Durakovic-Seremet
One Hutchinson Dr |
$42.87 | 1,918 | 1,848 |
|
Matthew Plosker
99 Conifer Hill Dr |
$44.20 | 1,917 | 1,818 |
|
Kelly A Burdge
104 Endicott St |
$30.16 | 1,910 | 1,894 |
|
Joan Milroy
150A Andover St Ste 11A |
$24.63 | 1,678 | 1,585 |
|
Patricia S Dwyer
104 Endicott St |
$55.37 | 1,659 | 1,640 |
|
Richard E Mugge
104 Endicott St |
$38.06 | 1,560 | 1,532 |
|
Julia Martyn
100 Conifer Hill Dr Ste 310 |
$41.97 | 1,547 | 1,473 |
|
Christine Dale Raucci
85 Constitution Ln |
$58.99 | 1,544 | 1,490 |
|
Ramiro J Manzano
140 Commonwealth Ave Ste 107 |
$45.66 | 1,524 | 1,398 |
|
Zhao Liu
480 Maple St |
$48.67 | 1,504 | 1,492 |
|
Susan Dirks
85 Constitution Ln |
$58.02 | 1,478 | 1,431 |
|
Aaron Brown
480 Maple St Ste 3A |
$115.90 | 1,447 | 1,381 |
|
Annamaria Graffeo
125 Liberty St Ste 2 |
$17.28 | 1,444 | 1,316 |
|
David O Danis
480 Maple St |
$44.72 | 1,428 | 1,328 |
|
James L Demetroulakos
104 Endicott St |
$61.14 | 1,391 | 1,386 |
|
Caroline Maguire
480 Maple St |
$55.82 | 1,349 | 1,282 |
|
Miguel Angel Martinez
480 Maple St |
$45.94 | 1,330 | 1,305 |
|
Carla Brogna
480 Maple St |
$35.65 | 1,317 | 1,314 |
|
Jessica L Ricciuto
104 Endicott St Ste 104 |
$44.77 | 1,237 | 1,221 |
|
Edward J Loughery
480 Maple Street |
$31.24 | 1,112 | 1,096 |
|
Maureen M Mathews
80 Lindall St |
$39.79 | 964 | 907 |
|
Douglas Edward Peterson
4 State Rd |
$36.31 | 896 | 834 |
|
Lauren N Tajima
480 Maple St Ste 3A |
$2.01 | 868 | 838 |
|
Rachel A Riley
480 Maple St |
$23.38 | 864 | 852 |
|
Galina Feldman
480 Maple St # 204 |
$50.17 | 805 | 772 |
|
Meghan Elizabeth Fisher
480 Maple St |
$31.82 | 793 | 786 |
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 Danvers, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Danvers, MA is $47.98 per claim, based on 172,505 claims from 149 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 Danvers, MA?
There are 149 Medicaid providers offering Office Visit related services in Danvers, MA according to public payment data.
What is the price range for Office Visit in Danvers, MA?
Medicaid reimbursement for Office Visit in Danvers, MA ranges from $0.00 to $115.90 per claim, with an average of $47.98. 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 Danvers, MA
Home Health Visit
Avg $75.06
10,401,826 claims
Non-Emergency Medical Transportation
Avg $4.07
460,744 claims
Case Management Services
Avg $51.17
378,181 claims
Personal Care Services
Avg $116.64
105,238 claims
Dental Cleaning & Exam
Avg $38.05
61,228 claims
Psychiatric Evaluation
Avg $82.30
53,994 claims
Behavioral & Mental Health Therapy
Avg $120.90
46,322 claims
Nursing Facility Care
Avg $14.22
32,437 claims