Average Medicaid Office Visit Payments in Duxbury, MA: $58.03
Avg. Paid
$58.03
Range
$7.86 – $78.14
Total Claims
7,000
Providers
14
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 Duxbury, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Leo R Muido
20 Tremont St |
$78.14 | 1,966 | 1,835 |
|
Ulrike B Kohler
95 Tremont St |
$45.31 | 1,246 | 1,186 |
|
Colin Mcwilliams
251 Tremont St |
$64.81 | 1,215 | 1,097 |
|
James Lee
20 Tremont St |
$48.92 | 1,024 | 990 |
|
Jeannine Stanwood
20 Tremont St |
$58.71 | 860 | 830 |
|
Susan Michele Leighton
20 Tremont St |
$7.86 | 285 | 277 |
|
Benjamin Matthew Snyder
95 Tremont St Ste 1 |
$35.05 | 122 | 117 |
|
Christine Alanna Cocchiaro
286 Kingstown Way |
$50.03 | 105 | 104 |
|
Bryna J Mcconarty
95 Tremont St Ste 10 |
$20.03 | 79 | 68 |
|
Russell Atkin
95 Tremont St |
$46.68 | 28 | 27 |
|
Perfect Health Pc
286 Kingstown Way |
$40.78 | 26 | 26 |
|
Paul James Karr
11 Standish St |
$14.45 | 16 | 13 |
|
Jason C Rowles
95 Tremont St |
$10.43 | 14 | 13 |
|
Ryan Eid
40 Tremont St Ste 52 |
$48.65 | 14 | 12 |
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 Duxbury, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Duxbury, MA is $58.03 per claim, based on 7,000 claims from 14 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 Duxbury, MA?
There are 14 Medicaid providers offering Office Visit related services in Duxbury, MA according to public payment data.
What is the price range for Office Visit in Duxbury, MA?
Medicaid reimbursement for Office Visit in Duxbury, MA ranges from $7.86 to $78.14 per claim, with an average of $58.03. 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 Duxbury, MA
Nursing Facility Care
Avg $8.47
6,151 claims
Chiropractic Care
Avg $25.39
3,263 claims
Vaccines & Immunizations
Avg $25.96
1,977 claims
Psychiatric Evaluation
Avg $42.76
1,455 claims
Speech Therapy
Avg $34.86
1,118 claims
Ambulance Transport
Avg $40.24
1,108 claims
Eye Exam
Avg $34.01
995 claims
Podiatry (Foot Care)
Avg $8.15
549 claims