Average Medicaid Office Visit Payments in Dedham, MA: $54.41
Avg. Paid
$54.41
Range
$4.61 – $149.12
Total Claims
70,924
Providers
59
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 Dedham, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alene J Conant
1 Lyons St |
$38.55 | 12 | 12 |
|
Jennifer K Fehser
1 Lyons St |
$149.12 | 12 | 12 |
|
Stephen John Ferzoco
1 Lyons St |
$77.17 | 12 | 12 |
|
Regina Wu
1 Lyons St |
$32.54 | 12 | 12 |
|
Michael Patrick Mccormick
76 Scott Cir |
$9.04 | 13 | 13 |
|
Helen Farjad
688 Providence Hwy |
$71.54 | 13 | 13 |
|
Karen L. Mathews
333 Elm Street |
$8.57 | 13 | 12 |
|
Bernardino Vaccaro
339 Washington St Ste 203 |
$21.72 | 15 | 14 |
|
Natalie Blevins Oswald
1 Lyons St |
$104.57 | 19 | 19 |
|
Tasoula Carly Burk
333 Elm St Ste 220 |
$11.10 | 21 | 21 |
|
Dustin Lee Cotliar
983 Boston-Providence Turnpike |
$87.79 | 23 | 23 |
|
India S. Michel
3 Allied Dr Ste 303 |
$4.94 | 24 | 24 |
|
Laurie A. Tarnell
One Lyons St. |
$97.86 | 25 | 24 |
|
Kimberly King
1 Lyons St |
$67.96 | 25 | 24 |
|
Anne Nason Hackman
1 Lyons St |
$43.31 | 25 | 25 |
|
Catherine Regan Creedon
1 Lyons St |
$4.61 | 27 | 25 |
|
David G Blom
1 Lyons St |
$65.45 | 34 | 32 |
|
Joie Heather Curran
478 High St Unit 1 |
$55.43 | 59 | 57 |
|
Charlotte Alex Maguire
Dedham Consultation Center |
$46.89 | 66 | 57 |
|
Connie S Barr
1 Lyons St |
$118.11 | 80 | 80 |
|
Sarah Riggleman Richards
10 Carematrix Dr |
$39.05 | 85 | 76 |
|
Jonathan S. Forman
1 Lyons St |
$58.22 | 98 | 91 |
|
Tomoya Sakai
80 Bridge St |
$26.43 | 129 | 127 |
|
Afc Physicians Of Massachusetts, Pc
370 Providence Hwy |
$118.08 | 153 | 153 |
|
Rachel Donnelly
333 Elm St Ste 220 |
$47.64 | 168 | 159 |
|
Kimberly Sue Quinn
947 Providence Hwy |
$95.07 | 182 | 162 |
|
Nicole Marie Ikeda
1 Lyons St |
$40.48 | 191 | 185 |
|
Avi J Grunin
1 Lyons St |
$108.33 | 194 | 191 |
|
Lindsay S Farina
983 Boston-Providence Turnpike |
$57.65 | 203 | 202 |
|
Cara Rachel Weinstein
1 Lyons St |
$52.79 | 223 | 221 |
|
Adam T Rodman
983 Boston-Providence Turnpike |
$54.51 | 229 | 227 |
|
Linda Marilyn Farrell
1 Lyons Street |
$15.81 | 236 | 233 |
|
Sara Ruth Bagge
1 Lyons St |
$55.94 | 281 | 185 |
|
Jehane C Johnston
1 Lyons St |
$44.41 | 318 | 303 |
|
Elizabeth B Tarnell
1 Lyons St |
$57.85 | 342 | 313 |
|
Sreelekha Gopinath
1 Lyons St |
$142.60 | 353 | 344 |
|
Kerry Anne Stone
1 Lyons St |
$46.91 | 365 | 341 |
|
Kinneri Mehta
1 Lyons St |
$65.47 | 489 | 454 |
|
Cynthia A Hadley
1 Lyons St |
$96.06 | 586 | 567 |
|
Virginia Sabet
333 Elm St Ste 220 |
$42.15 | 709 | 669 |
|
Carson Wagor
983 Boston-Providence Turnpike |
$48.70 | 826 | 800 |
|
Michael J Malone
1 Lyons Street |
$42.77 | 835 | 811 |
|
Michael Ferris
1 Lyons St |
$34.46 | 910 | 903 |
|
Greater Boston Urology, Llc
910 Washington St Ste 200 |
$44.03 | 929 | 858 |
|
Lauren Goverman Worgaftik
Pm Pediatrics |
$9.70 | 1,095 | 1,059 |
|
Toward Independent Living & Learning, Inc.
20 Eastbrook Rd |
$59.30 | 1,140 | 1,106 |
|
Shirin Jafari-Lloyd
1 Lyons St |
$65.92 | 1,146 | 989 |
|
Michael E. Corea
910 Washington St Ste 200 |
$48.06 | 1,179 | 1,069 |
|
Micah Lanford Hemani
910 Washington St |
$39.97 | 1,224 | 1,190 |
|
Michael S Shusterman
1 Lyons St |
$61.72 | 1,394 | 1,300 |
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 Dedham, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dedham, MA is $54.41 per claim, based on 70,924 claims from 59 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 Dedham, MA?
There are 59 Medicaid providers offering Office Visit related services in Dedham, MA according to public payment data.
What is the price range for Office Visit in Dedham, MA?
Medicaid reimbursement for Office Visit in Dedham, MA ranges from $4.61 to $149.12 per claim, with an average of $54.41. 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 Dedham, MA
Psychiatric Evaluation
Avg $83.13
91,078 claims
Behavioral & Mental Health Therapy
Avg $170.53
65,694 claims
Home Health Visit
Avg $42.57
37,183 claims
Nursing Facility Care
Avg $13.20
19,895 claims
Case Management Services
Avg $50.52
16,345 claims
Physical Therapy
Avg $20.94
14,201 claims
EKG / ECG (Electrocardiogram)
Avg $5.55
11,609 claims
Dental Cleaning & Exam
Avg $40.02
9,999 claims