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 |
|---|---|---|---|
|
Jennifer L Pfau
10 Gove St |
$0.00 | 12 | 12 |
|
Shauna Kathleen Sullivan
10 Gove St |
$0.00 | 12 | 12 |
|
Dominique Caruso Murphy
10 Gove St |
$1.67 | 13 | 12 |
|
Adriana Martinez
10 Gove St |
$2.49 | 13 | 12 |
|
Rachel Blake
20 Maverick Sq |
$34.06 | 17 | 15 |
|
Zoe Blatt
10 Gove St |
$87.90 | 29 | 25 |
|
Daniela C Ramirez-Schrempp
10 Gove St |
$165.49 | 30 | 29 |
|
Jessica Syswerda
10 Gove St |
$0.40 | 30 | 30 |
|
Kelly E. Hennessy
10 Gove St |
$0.00 | 34 | 31 |
|
Monica Lee Mendiola
20 Maverick Sq |
$32.62 | 35 | 28 |
|
Frances A Kuebler
10 Gove St |
$17.77 | 36 | 26 |
|
Maria Kafer Bastos
20 Maverick Sq |
$0.00 | 42 | 40 |
|
Karen Sweeney Chun
10 Gove St |
$0.46 | 43 | 41 |
|
Julio M Mazul
10 Gove St |
$40.96 | 45 | 41 |
|
Shannon Lynne Johnson
10 Gove St |
$24.12 | 46 | 46 |
|
Heba Haddad
10 Gove St |
$13.10 | 50 | 42 |
|
Leigh Ann Oppenheimer Thomas
10 Gove St |
$0.86 | 55 | 52 |
|
Pamela Mae Schuster
10 Gove St |
$0.00 | 59 | 59 |
|
Michele H Crissman
10 Gove St |
$1.02 | 64 | 62 |
|
Melissa J De Leon
10 Gove St |
$2.27 | 64 | 62 |
|
Manish Shah
10 Gove St |
$3.94 | 69 | 63 |
|
Maya Davida Poorvu
10 Gove St |
$0.66 | 71 | 69 |
|
Daniela Vadala Poles
10 Gove St |
$5.73 | 75 | 69 |
|
Michelle Catherine Dolan
10 Gove St |
$1.60 | 75 | 66 |
|
Thomas J Silva
10 Gove St |
$87.49 | 78 | 78 |
|
Rose-Marie Khnaizir
10 Gove St |
$74.60 | 84 | 84 |
|
Suzanne C Sarfaty
10 Gove St |
$1.85 | 100 | 89 |
|
Tyler Matthew Sullivan
14 Porter St |
$47.07 | 101 | 94 |
|
Erin Regan Malenick
10 Gove St |
$43.36 | 108 | 101 |
|
Eileen Marie Pierce
10 Gove St |
$6.52 | 112 | 104 |
|
Katherine Henao-Martinez
20 Maverick Sq |
$0.61 | 113 | 109 |
|
Ashley Ann Altmann
10 Gove St |
$2.76 | 113 | 104 |
|
Katherine E O'Brien
10 Gove St |
$7.78 | 124 | 120 |
|
Cheryl A Mcsweeney
10 Gove St |
$3.46 | 131 | 115 |
|
Emily A Chase
10 Gove St |
$40.23 | 137 | 132 |
|
Michael Hitchner
10 Gove St |
$1.68 | 137 | 133 |
|
Ida E. Zarraga-Forsyth
10 Gove St |
$1.11 | 140 | 135 |
|
Estee E Fleischman
10 Gove St |
$17.68 | 141 | 131 |
|
Michael Alan Brendel
10 Gove St |
$1.68 | 145 | 141 |
|
Rachel K Mott Keis
10 Gove St |
$9.74 | 149 | 128 |
|
Jill A Hallisey
10 Gove St |
$18.51 | 155 | 147 |
|
Erin Meghan Walsh-Mulkerrin
10 Gove St |
$0.09 | 167 | 162 |
|
Eliza J. Newman
10 Gove St |
$0.62 | 167 | 159 |
|
Kimberly Kilfoyle
10 Gove St |
$40.87 | 171 | 166 |
|
Maria Lopez
10 Gove St |
$0.41 | 172 | 166 |
|
Caroline Castleforte
10 Gove St |
$0.00 | 173 | 172 |
|
Amy Elizabeth Kuhle
10 Gove St |
$4.90 | 175 | 158 |
|
Katherine Love
20 Maverick Sq |
$1.52 | 182 | 174 |
|
Elizabeth Fessler Dougherty
10 Gove St |
$0.40 | 184 | 176 |
|
Valerie Goodman
10 Gove St |
$2.59 | 186 | 176 |
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