Based on public Medicaid payment data.

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
Susanne M. Maher-Silva 415 Columbia Rd	$49.65	12	12
Eliot Neil Cohen 636 Columbia Rd	$15.57	12	12
Padma Gulur 2100 Dorchester Avenue	$19.76	12	12
An Ngoc Thai 1443B Dorchester Ave	$68.16	12	12
Nkechinyere N Wilson 1353 Dorchester Ave	$43.53	12	12
Abigail Rose Rezendes 415 Columbia Rd	$40.26	12	12
Katherine Danielle Cook 230 Bowdoin St	$75.65	14	13
John T. Hardiman 1353 Dorchester Ave	$7.56	15	15
Norman C Sweet 398 Neponset Ave	$1.17	19	12
Tu Quynh Thi Nguyen 1558 Dorchester Ave	$38.71	25	25
Dorothy Brozek 250 Mount Vernon St	$86.37	41	40
Deborah R. Erlich 2100 Dorchester Ave	$63.29	55	52
Allison Dana Mika Lukacic 1353 Dorchester Ave	$5.00	63	58
Richard Cranson Bird Upham'S Corner Health Center, 500 Columbia Road	$26.00	65	53
Tatiana A Lucien 637 Washington St	$17.21	75	75
Mallika Sabharwal 1353 Dorchester Avenue	$20.32	81	78
Kristin Jennifer Hennessey 398 Neponset Ave	$74.27	83	81
Stephen Vorenberg 230 Bowdoin St	$12.84	87	84
Sarah Swettberg 632 Blue Hill Ave	$51.72	106	82
Joanna Stevens 230 Bowdoin St	$10.26	107	100
Thatiana Jeune 637 Washington St	$19.08	107	103
Sharon R Sloan 637 Washington St	$35.62	119	119
Lisa F Antonelli 2100 Dorchester Avenue	$27.23	132	111
Phyllis Baer 398 Neponset Ave	$8.47	150	144
Sidney Perez 1353 Dorchester Ave	$37.76	188	184
Stephen Vogel 1353 Dorchester Ave	$48.18	189	181
Wha-Ja Woo 632 Blue Hill Avenue	$29.18	189	171
Elly C Tsai 398 Neponset Ave	$56.92	194	177
Omodamola Abisola Aje 2100 Dorchester Ave	$25.09	200	199
Lauren Schroder 398 Neponset Ave	$6.57	217	200
Sarah Bozogan Miller 637 Washington St	$25.15	231	226
Vera Jane Mccullen 637 Washington St	$1.81	233	224
Barbara A Rogers 1353 Dorchester Ave	$48.00	307	300
Yoo Foot And Ankle Podiatry, Llc. 2110 Dorchester Ave Ste 203	$19.36	342	249
Barbara L Mendes 230 Bowdoin St	$32.18	346	330
New Leaf Psychiatry , Pllc 26 Leyland St	$47.50	375	319
Jennifer Le 636 Columbia Rd	$29.87	399	392
Stacyann Hough Ryfa 2100 Dorchester Ave	$35.17	442	431
Stella Athanasopoulos 632 Blue Hill Ave	$8.69	488	476
Eye Services Consultants Inc Pc 2110 Dorchester Ave	$45.54	493	476
Olga L De La Calle 500 Columbia Rd	$22.70	498	491
Tara Bylsma 1353 Dorchester Ave	$28.40	506	495
Christine Marie Cahalan 398 Neponset Ave	$0.76	511	439
Jean Suzin Whitten 398 Neponset Avenue	$43.94	574	559
Patti Rosenfield 398 Neponset Ave	$7.31	585	563
Dominique Dujuan Antoine 1353 Dorchester Ave	$15.77	592	574
Haixia Jia 2100 Dorchester Ave	$47.89	598	584
Ryan O'Hara 2100 Dorchester Ave	$28.27	619	617
Anthony Schlaff 250 Mount Vernon St	$61.78	657	539
Robert Hoch 398 Neponset Ave	$0.00	660	607

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.

Average Medicaid Office Visit Payments in Dorchester, MA: $70.45

Providers Offering Office Visit in Dorchester, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Dorchester, MA

Non-Emergency Medical Transportation

Dental Cleaning & Exam

Vaccines & Immunizations

Home Health Visit

Behavioral & Mental Health Therapy

Blood Work & Lab Tests

Psychiatric Evaluation

Dental Filling