Average Medicaid Office Visit Payments in Dorchester, MA: $70.45
Avg. Paid
$70.45
Range
$0.00 – $140.89
Total Claims
519,593
Providers
150
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, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dothouse Health Inc.
1353 Dorchester Ave |
$120.61 | 117,376 | 106,142 |
|
Codman Square Health Center, Inc
637 Washington Street |
$140.89 | 48,398 | 45,215 |
|
Dorchester House Multi Service Center
1353 Dorchester Ave |
$139.51 | 31,289 | 29,447 |
|
Caroline Pahk
1353 Dorchester Ave |
$23.35 | 14,862 | 14,227 |
|
Stephenson Bernard Tobierre
637 Washington Street |
$31.88 | 13,565 | 13,262 |
|
Fuchsia Y Mitchell
637 Washington St |
$36.45 | 8,239 | 7,999 |
|
Ivy Lynn Brackup
1353 Dorchester Ave |
$29.13 | 8,183 | 7,624 |
|
Emma Coe
1353 Dorchester Ave |
$29.21 | 8,020 | 7,701 |
|
Julie M Crosson
1353 Dorchester Ave |
$26.45 | 7,707 | 7,401 |
|
Iris A Montijo
637 Washington St |
$46.61 | 7,687 | 7,407 |
|
Carme Danielle Ogando-Saintil
637 Washington St |
$36.53 | 6,855 | 6,668 |
|
Nsa Henshaw
1353 Dorchester Ave |
$43.00 | 6,788 | 6,529 |
|
Ki-Hyuk Yoo
2110 Dorchester Ave Ste 203 |
$45.80 | 6,702 | 5,723 |
|
Sharene B Nubani
398 Neponset Ave |
$47.91 | 6,523 | 6,081 |
|
Eric L. Hwang
637 Washington St |
$37.32 | 6,348 | 5,992 |
|
Kathryn Jane Harris
1353 Dorchester Ave |
$28.52 | 6,136 | 5,977 |
|
Huy Nguyen
1353 Dorchester Ave |
$23.33 | 5,984 | 5,753 |
|
Stephen M Tringale
637 Washington St |
$21.26 | 5,914 | 5,467 |
|
Craig Ushkurnis
1353 Dorchester Ave |
$36.61 | 5,844 | 5,621 |
|
Rachel Debra Hindin
637 Washington St |
$41.01 | 5,543 | 5,329 |
|
Christine Farrell-Riley
637 Washington St |
$39.19 | 5,237 | 5,166 |
|
Linh Xuan Huynh
1100 Washington St |
$44.74 | 5,195 | 4,776 |
|
Denise Marie Croken
637 Washington St |
$53.21 | 5,055 | 4,156 |
|
May Riad
632 Blue Hill Ave |
$3.36 | 4,623 | 4,352 |
|
Ha Tien Le
1350 Dorchester Ave |
$58.99 | 4,523 | 3,933 |
|
Jean J Alves
230 Bowdoin St |
$24.02 | 4,488 | 4,309 |
|
Kristopher Teti
398 Neponset Ave |
$0.81 | 4,370 | 3,933 |
|
Claude Resil
2110 Dorchester Ave |
$70.46 | 4,258 | 4,131 |
|
Hyasmine J Verdieu
637 Washington St |
$38.32 | 4,035 | 3,916 |
|
Ying Buckley
2100 Dorchester Ave |
$33.31 | 4,017 | 3,733 |
|
Mary Lunsford
1353 Dorchester Ave |
$33.38 | 3,990 | 3,891 |
|
Elise Marie Henricks
415 Columbia Rd |
$13.65 | 3,794 | 3,529 |
|
Ankur Patel
2100 Dorchester Ave Bldg Suite314 |
$51.90 | 3,768 | 3,393 |
|
Jennifer Trinh
1353 Dorchester Ave |
$34.81 | 3,711 | 3,483 |
|
Harbor Health Services, Inc.
398 Neponset Ave |
$28.01 | 3,581 | 3,136 |
|
Jennifer J. Vanderweele
637 Washington Street |
$27.36 | 3,541 | 3,387 |
|
Marjorie Smerlas
70 Train St |
$65.45 | 3,393 | 3,176 |
|
Nancy Torres
637 Washington St |
$0.39 | 3,382 | 2,947 |
|
Jean C. Kelley
1353 Dorchester Ave |
$33.47 | 3,351 | 3,089 |
|
Amy Baron
1353 Dorchester Ave |
$37.45 | 3,340 | 3,216 |
|
Jessica Elizabeth Isom
637 Washington St |
$90.90 | 3,288 | 3,000 |
|
Holly L Goodale
1353 Dorchester Ave |
$37.57 | 3,261 | 3,104 |
|
Elisabeth Joan Moths-Rebrovic
415 Columbia Rd |
$4.91 | 3,253 | 3,176 |
|
Kathleen Louise Barry
230 Bowdoin St |
$82.23 | 3,061 | 2,854 |
|
Emmanuel Bouloute
637 Washington St |
$30.59 | 3,053 | 2,817 |
|
Ann Nutt
398 Neponset Ave |
$1.80 | 2,893 | 2,583 |
|
Yu Na Kim
1353 Dorchester Ave |
$33.51 | 2,848 | 2,708 |
|
Danielle Crowell
398 Neponset Ave |
$61.12 | 2,811 | 2,660 |
|
Harvard Street Neighborhood Health Center Inc
632 Blue Hill Avenue |
$66.47 | 2,763 | 2,476 |
|
Nnemdi O Azubuko
637 Washington St |
$26.88 | 2,530 | 2,482 |
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, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dorchester, MA is $70.45 per claim, based on 519,593 claims from 150 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, MA?
There are 150 Medicaid providers offering Office Visit related services in Dorchester, MA according to public payment data.
What is the price range for Office Visit in Dorchester, MA?
Medicaid reimbursement for Office Visit in Dorchester, MA ranges from $0.00 to $140.89 per claim, with an average of $70.45. 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, MA
Non-Emergency Medical Transportation
Avg $27.45
731,877 claims
Dental Cleaning & Exam
Avg $29.47
295,773 claims
Vaccines & Immunizations
Avg $11.00
179,872 claims
Home Health Visit
Avg $21.67
103,316 claims
Behavioral & Mental Health Therapy
Avg $170.90
96,032 claims
Blood Work & Lab Tests
Avg $8.93
91,221 claims
Psychiatric Evaluation
Avg $70.64
80,039 claims
Dental Filling
Avg $37.25
71,999 claims