Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Everett, MA: $38.51

Avg. Paid

$38.51

Range

$0.00 – $120.75

Total Claims

46,339

Providers

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 Everett, MA

Provider	Avg. Paid	Claims	Patients
Lynn H Galen 96 Garland St	$52.50	8,754	5,658
German V Crisostomo 173 Chelsea St	$57.67	5,971	5,465
Heather E Coates-Krawitz 19 Norwood St	$36.05	4,770	4,637
Ralph E Talbot 391 Broadway	$46.57	4,418	4,109
David Wayne Harrison 19 Norwood St	$16.06	4,366	4,090
Deepak Thatai 103 Garland St	$36.40	2,871	2,729
Analisa Echeverria 391 Broadway	$20.55	2,310	2,158
Barry N. Kaye 19 Norwood St	$36.73	1,959	1,835
Jocelyn Ronda Mgh Everett Family Care	$30.77	1,476	1,407
Lawrence Wilmer Stratton 19 Norwood Street Ehc	$42.75	1,184	1,151
Jennifer Melissa Cervantes 19 Norwood St	$7.29	978	934
Alexandra Louise Lester 391 Broadway Ste 301	$15.33	848	819
Jennifer Kathleen Scanlon 19 Norwood St	$7.03	833	799
Katherine M Rufo 19 Norwood St	$3.09	769	731
Andrew Staffier 596 Broadway	$21.70	631	599
Jasleen Kaur 19 Norwood St	$22.92	594	569
David Yut-Chee Ting 19-21 Norwood St Evt	$34.85	531	516
Courtney Mcdonald 173 Chelsea St	$61.68	512	500
Elizabeth Bancroft Schlesinger 391 Broadway	$40.11	439	430
Alana E Nagle 173 Chelsea St	$65.36	403	343
Terrin Morgan Gathers 173 Chelsea St	$62.82	257	246
Richard Michael Louissaint 103 Garland St	$39.33	245	239
Jacqueline Shari Hirshberg 391 Broadway Ste 301	$33.77	231	224
John Francis Yee 596 Broadway	$16.55	203	189
Andrew Edward Olsen 391 Broadway	$1.83	175	164
Casey Campbell Frieling 173 Chelsea St	$63.20	145	106
Melissa Jane Jadhav 173 Chelsea St	$1.77	130	79
Lynda Lee Consolo 18 Woodlawn Ave	$26.68	114	112
Phyllis M Chen Emergency Dept., Whidden Memorial Hospital	$80.58	71	67
Dmitriy Kireyev 103 Garland St	$42.26	28	28
Adelaide Evans 103 Garland St	$57.57	27	27
Robert Anthony Medaglio 459 Broadway	$0.00	25	25
Larisa A. Kouperschmidt 103 Garland St	$4.04	17	14
Natella Zaslavsky 173 Chelsea Street	$120.75	16	12
Ralph E Talbot, Md Pc 391 Broadway	$58.39	13	13
Gyorgy Varai 103 Garland St	$98.45	13	13
Stephen Pinals 103 Garland St	$77.47	12	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 Everett, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Everett, MA is $38.51 per claim, based on 46,339 claims from 37 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 Everett, MA?

There are 37 Medicaid providers offering Office Visit related services in Everett, MA according to public payment data.

What is the price range for Office Visit in Everett, MA?

Medicaid reimbursement for Office Visit in Everett, MA ranges from $0.00 to $120.75 per claim, with an average of $38.51. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Everett, MA: $38.51

Providers Offering Office Visit in Everett, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Everett, MA

Non-Emergency Medical Transportation

Dental Cleaning & Exam

Speech Therapy

Physical Therapy

Behavioral & Mental Health Therapy

Emergency Room Visit

EKG / ECG (Electrocardiogram)

Psychiatric Evaluation