Average Medicaid Office Visit Payments in Dorchester Center, MA: $106.63
Avg. Paid
$106.63
Range
$0.86 – $271.31
Total Claims
209,779
Providers
32
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 Dorchester Center, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Codman Square Health Center
637 Washington St |
$126.08 | 154,949 | 141,150 |
|
Philip Severin
637 Washington St |
$32.74 | 10,643 | 9,937 |
|
Jean B Charles
2110 Dorchester Ave |
$29.65 | 8,491 | 7,904 |
|
Steward Carney Hospital, Inc.
2100 Dorchester Ave |
$198.71 | 5,499 | 5,104 |
|
Salvatore Joseph Molica
637 Washington St |
$41.44 | 5,251 | 5,161 |
|
Sara A Tepperberg
637 Washington St |
$37.68 | 3,731 | 3,641 |
|
Vaishali T Harma
637 Washington St |
$31.32 | 3,122 | 3,088 |
|
Martin J Williams
2100 Dorchester Ave |
$26.07 | 2,639 | 2,195 |
|
Donna L Springs
2100 Dorchester Ave |
$0.86 | 2,105 | 1,831 |
|
Mustafa M Syed
2100 Dorchester Ave |
$37.25 | 1,946 | 1,911 |
|
Unique Michaud
637 Washington St |
$41.61 | 1,802 | 1,734 |
|
Danielle D'Entremont Lam
800 Washington St |
$50.42 | 1,715 | 1,636 |
|
Natalia Ganson-Myshkin
2110 Dorchester Ave |
$38.55 | 1,434 | 1,379 |
|
Anitha Sadasivan Dasari
2100 Dorchester Ave |
$42.44 | 1,410 | 1,369 |
|
Sean Patrick Marker
2100 Dorchester Ave |
$46.00 | 848 | 748 |
|
Codman Square Health Center
637 Washington St |
$71.91 | 843 | 805 |
|
Marvin Diaz-Lacayo
2100 Dorchester Ave |
$58.50 | 773 | 747 |
|
Sheldon S Lockman
2100 Dorchester Ave |
$31.00 | 734 | 714 |
|
Ronald F. Gomes
2100 Dorchester Ave |
$34.93 | 560 | 541 |
|
Vanria V Iyamu
2100 Dorchester Ave |
$41.79 | 262 | 255 |
|
Clifford D Gluck
2100 Dorchester Ave |
$36.50 | 201 | 187 |
|
Gerald Francis Muldoon
2100 Dorchester Ave |
$37.43 | 193 | 175 |
|
Barbara M. Berland
2100 Dorchester Ave |
$47.52 | 180 | 174 |
|
Glen J. Sickorez
2100 Dorchester Ave |
$61.80 | 118 | 114 |
|
Steward Carney Hospital, Inc.
2100 Dorchester Ave |
$271.31 | 81 | 78 |
|
Marie Andree Pierre-Victor
637 Washington St |
$86.11 | 68 | 63 |
|
Elizabeth Mary Maziarka
637 Washington St |
$44.12 | 61 | 60 |
|
Derya Bora Hazar
2100 Dorchester Ave |
$51.21 | 45 | 45 |
|
Mary E Darcy
2100 Dorchester Ave |
$50.52 | 27 | 26 |
|
Gary C Bolgar
2110 Dorchester Ave |
$11.88 | 18 | 12 |
|
Gary L Taylor
2110 Dorchester Ave |
$84.43 | 16 | 12 |
|
Scott Barry Goetz
2100 Dorchester Ave |
$4.30 | 14 | 14 |
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 Dorchester Center, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dorchester Center, MA is $106.63 per claim, based on 209,779 claims from 32 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 Dorchester Center, MA?
There are 32 Medicaid providers offering Office Visit related services in Dorchester Center, MA according to public payment data.
What is the price range for Office Visit in Dorchester Center, MA?
Medicaid reimbursement for Office Visit in Dorchester Center, MA ranges from $0.86 to $271.31 per claim, with an average of $106.63. 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 Dorchester Center, MA
Blood Work & Lab Tests
Avg $8.08
160,105 claims
Emergency Room Visit
Avg $183.58
93,911 claims
Vaccines & Immunizations
Avg $12.34
80,154 claims
Dental Cleaning & Exam
Avg $36.92
54,446 claims
Urinalysis & Urine Tests
Avg $4.06
39,953 claims
Eye Exam
Avg $47.82
37,935 claims
X-Ray
Avg $14.27
22,941 claims
Nursing Facility Care
Avg $10.88
16,267 claims