Average Medicaid Office Visit Payments in Easthampton, MA: $48.11
Avg. Paid
$48.11
Range
$3.94 – $110.66
Total Claims
60,379
Providers
25
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 Easthampton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Katherine Siobhan Rivest
2 Mechanic St |
$34.31 | 133 | 126 |
|
Anthony David Lecours
15 Prospect St |
$3.94 | 168 | 108 |
|
Rebecca D Lansky
179 Northampton St Unit C-1 |
$27.72 | 216 | 183 |
|
Allyson Lee Boucher
238 Northampton St |
$58.01 | 254 | 235 |
|
Claudia R Viele
238 Northampton St |
$57.78 | 314 | 309 |
|
Kani Brown
250 Northampton St Ste A |
$20.13 | 422 | 376 |
|
Hannah M Wzorek
238 Northampton St |
$63.65 | 816 | 766 |
|
Trisha Lynn Rogers
238 Northampton St |
$61.05 | 932 | 874 |
|
Julianne Oberle Tauscher
238 Northampton Street |
$62.46 | 1,057 | 986 |
|
Lauren Gorski
238 Northampton St |
$60.41 | 1,097 | 1,026 |
|
Susan G. Ray-Lamond
179 Northampton St |
$62.32 | 1,155 | 1,043 |
|
Rachel Wasserman
238 Northampton St |
$46.06 | 1,210 | 1,166 |
|
Laura Adams Aierstuck
238 Northampton St |
$66.78 | 1,217 | 1,131 |
|
Heather Lynne Kirby Clarke
238 Northampton St |
$54.83 | 1,530 | 1,412 |
|
Aaron Grinstein
238 Northampton St |
$27.44 | 1,689 | 1,563 |
|
Justine Sarah Mccarthy
238 Northampton St |
$64.20 | 1,758 | 1,617 |
|
Mark Albert Bigda
179 Northampton St Ste D |
$54.87 | 1,858 | 1,734 |
|
Annastasia Maria Fernandes
238 Northampton St |
$52.37 | 2,464 | 2,357 |
|
Kathryn Mckenna-Weiss
238 Northampton St |
$59.71 | 3,394 | 2,554 |
|
Sarah Tsang
238 Northampton St |
$15.54 | 3,683 | 3,495 |
|
Northeast Center For Youth And Families, Inc.
203 East St |
$110.66 | 4,073 | 3,774 |
|
Kharmen Lopez Del Castillo
238 Northampton Street |
$39.89 | 6,558 | 6,279 |
|
Lauren C Schwartz
238 Northampton St |
$40.91 | 7,868 | 7,391 |
|
David M. Slack
179 Northampton St |
$37.26 | 8,000 | 7,431 |
|
Jerald B. Feinland
238 Northampton St |
$39.48 | 8,513 | 8,020 |
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 Easthampton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Easthampton, MA is $48.11 per claim, based on 60,379 claims from 25 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 Easthampton, MA?
There are 25 Medicaid providers offering Office Visit related services in Easthampton, MA according to public payment data.
What is the price range for Office Visit in Easthampton, MA?
Medicaid reimbursement for Office Visit in Easthampton, MA ranges from $3.94 to $110.66 per claim, with an average of $48.11. 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 Easthampton, MA
Behavioral & Mental Health Therapy
Avg $102.91
68,200 claims
Blood Work & Lab Tests
Avg $5.04
49,763 claims
Psychiatric Evaluation
Avg $91.10
37,030 claims
Substance Abuse Treatment
Avg $56.81
34,255 claims
Eye Exam
Avg $28.02
12,096 claims
Home Health Visit
Avg $63.80
9,557 claims
Ambulance Transport
Avg $94.02
9,441 claims
Speech Therapy
Avg $16.14
7,099 claims