Average Medicaid Office Visit Payments in East Longmeadow, MA: $56.65
Avg. Paid
$56.65
Range
$3.60 – $70.78
Total Claims
56,974
Providers
23
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 Longmeadow, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark E. Belemjian
294 N Main St |
$65.09 | 11,289 | 10,167 |
|
Keith R Ruppel
15 Vreeland Ave |
$69.24 | 6,195 | 5,908 |
|
Greer A Clarke
15 Vreeland Ave |
$70.78 | 5,252 | 5,006 |
|
Muhammad A Gul
40 Crane Ave |
$47.75 | 4,839 | 4,412 |
|
Michelle E. Adams
294 N Main St |
$44.88 | 4,642 | 4,359 |
|
Leif George Nordstrom
294 N Main St |
$63.94 | 4,452 | 4,115 |
|
John R Kelley
15 Vreeland Ave |
$68.28 | 4,150 | 3,948 |
|
Elizabeth Ann Schwartz
250 N Main St Ste 201 |
$34.46 | 2,850 | 2,809 |
|
Shannon E West-Buxton
15 Vreeland Ave |
$63.39 | 2,652 | 2,542 |
|
Erica Lee Teles
15 Benton Dr Ste 10 |
$56.88 | 2,232 | 1,530 |
|
Kayla O'Malley
250 N Main St Ste 102 |
$48.71 | 1,867 | 1,813 |
|
Jamie Steinberg
135 Benton Dr |
$38.60 | 1,596 | 1,482 |
|
Alicia Hurlburt
1 Denslow Rd |
$23.62 | 1,276 | 1,209 |
|
Meagan Elizabeth Hudak
294 N Main St |
$3.60 | 1,008 | 981 |
|
Katherine Mary Rice
15 Vreeland Ave |
$57.19 | 622 | 603 |
|
Valerie C. Sharpe
200 North Main Street |
$41.72 | 609 | 576 |
|
Brian James Beauvais
265 Benton Dr. |
$7.23 | 447 | 412 |
|
David A Ballan
98 Shaker Rd |
$48.18 | 412 | 396 |
|
Michael J Woods
265 Benton Dr Ste 202 |
$44.46 | 367 | 365 |
|
Matthew J Filippi
313 Maple Street |
$9.51 | 139 | 133 |
|
Samantha Beaudoin
250 N Main St |
$56.95 | 29 | 28 |
|
William R Bazin
200 N Main St |
$43.14 | 25 | 25 |
|
Thenu Manikantan
265 Benton Dr |
$31.37 | 24 | 24 |
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 Longmeadow, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Longmeadow, MA is $56.65 per claim, based on 56,974 claims from 23 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 Longmeadow, MA?
There are 23 Medicaid providers offering Office Visit related services in East Longmeadow, MA according to public payment data.
What is the price range for Office Visit in East Longmeadow, MA?
Medicaid reimbursement for Office Visit in East Longmeadow, MA ranges from $3.60 to $70.78 per claim, with an average of $56.65. 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 Longmeadow, MA
Personal Care Services
Avg $311.37
112,024 claims
Psychiatric Evaluation
Avg $55.13
51,540 claims
Tooth Extraction
Avg $151.96
39,258 claims
Home Health Visit
Avg $11.63
35,615 claims
Dental Cleaning & Exam
Avg $37.94
30,849 claims
Vaccines & Immunizations
Avg $17.64
24,594 claims
Nursing Facility Care
Avg $15.73
20,331 claims
Chiropractic Care
Avg $21.65
13,624 claims