Average Medicaid Office Visit Payments in East Boston, MA: $35.86
Avg. Paid
$35.86
Range
$0.00 – $165.49
Total Claims
606,020
Providers
143
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 East Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Medical Associates Of Ebnhc
10 Gove St |
$44.01 | 314,439 | 284,739 |
|
Neighborhealth Corporation
10 Gove St |
$21.40 | 160,481 | 138,764 |
|
North Suffolk Community Services Inc.
14 Porter St |
$71.18 | 33,495 | 29,648 |
|
Juan Avila
10 Gove St |
$31.99 | 5,869 | 5,335 |
|
Celia Megha Bora
10 Gove St |
$37.49 | 5,503 | 3,367 |
|
Molly Mcdonnell Lemoine
10 Gove St |
$37.56 | 4,965 | 3,292 |
|
Mary A Breen
10 Gove St |
$29.75 | 4,607 | 3,052 |
|
Bethany Ann Sanders
10 Gove St |
$42.86 | 3,481 | 2,353 |
|
Sibyl Salisbury
10 Gove St |
$70.40 | 2,340 | 1,876 |
|
Robyn Jill Howard
10 Gove St |
$28.85 | 2,298 | 1,381 |
|
Galen G. Harnden
10 Gove St |
$0.66 | 2,164 | 2,086 |
|
Suzanne Marie Bradshaw
10 Gove St |
$16.61 | 2,102 | 2,063 |
|
Carolyn Olson Walsh
10 Gove St |
$50.26 | 1,859 | 1,775 |
|
Nicole Marie Ciolfi
10 Gove St |
$0.14 | 1,824 | 1,772 |
|
Dorothy Y Chen
10 Gove St |
$2.01 | 1,823 | 1,787 |
|
Jasmin Irizarry
10 Gove St |
$34.81 | 1,812 | 1,008 |
|
Megan Julia Aitro
10 Gove St |
$0.06 | 1,733 | 1,700 |
|
Charmalie G Heller
10 Gove St |
$3.51 | 1,670 | 1,658 |
|
Kaitlin Hammon
10 Gove St |
$0.10 | 1,566 | 1,531 |
|
Samuel Kang
10 Gove St |
$78.49 | 1,544 | 1,470 |
|
Aynslee M Velarde
10 Gove St |
$3.86 | 1,527 | 1,517 |
|
Mollie Elizabeth Fitzgerald
10 Gove St |
$0.14 | 1,523 | 1,476 |
|
Julanne P Phillips
10 Gove St |
$2.22 | 1,444 | 1,417 |
|
Julia Elizabeth Murphy
10 Gove St |
$0.15 | 1,409 | 1,392 |
|
Alexandra Andrea Price
10 Gove St |
$2.34 | 1,331 | 1,303 |
|
Jessica Wilcoxson
10 Gove St |
$27.72 | 1,331 | 665 |
|
Jan G Dohlman
10 Gove St |
$11.72 | 1,252 | 1,089 |
|
Leah H. Braun
10 Gove St |
$98.49 | 1,244 | 1,061 |
|
Allison A Brown
10 Gove St |
$5.69 | 1,167 | 1,145 |
|
Lara Z. Jirmanus
10 Gove St |
$59.54 | 1,139 | 1,114 |
|
Beth E Wigden
10 Gove St |
$4.74 | 1,130 | 1,110 |
|
Aline M Hutner
10 Gove St |
$2.50 | 1,109 | 1,087 |
|
Ricardo De Castro Fonseca Ribeiro
10 Gove St |
$61.82 | 1,078 | 1,042 |
|
Bianca Ann Farro
10 Gove St |
$4.77 | 1,050 | 1,038 |
|
Camila Elizondo
10 Gove St |
$5.09 | 1,036 | 1,003 |
|
Kathleen M Klein
10 Gove St |
$5.69 | 973 | 964 |
|
Stephanie R Friend
10 Gove St |
$0.13 | 970 | 954 |
|
Nikolai Velev
10 Gove St |
$6.85 | 899 | 747 |
|
Stephen J Simon
10 Gove St |
$9.57 | 875 | 738 |
|
Loulya Chahine
10 Gove St |
$3.64 | 834 | 792 |
|
Melissa Gardner
59 Meridian St |
$63.62 | 828 | 648 |
|
Barbara Anne Murphy
10 Gove St |
$3.78 | 810 | 804 |
|
Carolina Martinez-Castaldi
10 Gove St |
$0.12 | 804 | 790 |
|
Priya Sapra
10 Gove St |
$5.27 | 731 | 628 |
|
John Paul O'Brien
10 Gove St |
$2.32 | 721 | 652 |
|
Anne Dwyer-Wilmer
10 Gove St |
$2.14 | 692 | 588 |
|
Boram Han
10 Gove St |
$1.91 | 681 | 580 |
|
Rima Olga Gemayel
10 Gove St |
$2.92 | 680 | 571 |
|
Juan Huanuco
10 Gove St |
$9.25 | 647 | 561 |
|
Ewa B Smoczkiewicz
10 Gove St |
$8.23 | 623 | 603 |
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 East Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Boston, MA is $35.86 per claim, based on 606,020 claims from 143 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 East Boston, MA?
There are 143 Medicaid providers offering Office Visit related services in East Boston, MA according to public payment data.
What is the price range for Office Visit in East Boston, MA?
Medicaid reimbursement for Office Visit in East Boston, MA ranges from $0.00 to $165.49 per claim, with an average of $35.86. 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 East Boston, MA
Vaccines & Immunizations
Avg $9.74
170,490 claims
Dental Cleaning & Exam
Avg $32.46
161,308 claims
Psychiatric Evaluation
Avg $59.28
155,304 claims
Substance Abuse Treatment
Avg $54.95
140,212 claims
Emergency Room Visit
Avg $86.63
98,842 claims
Behavioral & Mental Health Therapy
Avg $92.47
84,843 claims
Eye Exam
Avg $64.10
60,811 claims
Dental Filling
Avg $61.48
49,045 claims