Average Medicaid Office Visit Payments in Fairhaven, MA: $47.67
Avg. Paid
$47.67
Range
$1.06 – $77.09
Total Claims
184,647
Providers
90
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 Fairhaven, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ronald J. Mastrolia
70 Huttleston Ave |
$17.70 | 12 | 12 |
|
Jessica Boldridge
208 Mill Rd |
$74.77 | 12 | 12 |
|
Wendy Lapointe
200 Mill Rd |
$7.74 | 13 | 13 |
|
Michael L Barretti
208 Mill Rd |
$29.53 | 48 | 48 |
|
Patrick James Gagnon
206 Mill Rd |
$40.32 | 49 | 49 |
|
Kelly A Gunn
206 Mill Rd |
$37.67 | 56 | 55 |
|
William E Rockett
208 Mill Rd |
$77.09 | 71 | 71 |
|
Erin J Senay
208 Mill Rd |
$1.06 | 77 | 73 |
|
Ashley L Racette
208 Mill Rd |
$19.86 | 77 | 77 |
|
Elizabeth Meadows Galvin
208 Mill Rd |
$47.24 | 80 | 76 |
|
Lily E Khoury
404 Huttleston Ave |
$65.85 | 84 | 81 |
|
Carolyn Davidson
208 Mill Rd |
$34.05 | 111 | 89 |
|
Kimberley H. Estes
200 Mill Rd Ste 120 |
$28.20 | 115 | 113 |
|
Jennifer Gudmundsson
208 Mill Rd |
$49.34 | 117 | 117 |
|
Susan S. Quinby
208 Mill Rd |
$43.73 | 129 | 129 |
|
Marcelo Montorzi
208 Mill Rd |
$34.14 | 129 | 121 |
|
Susan Wareing
200 Mill Road |
$57.35 | 162 | 155 |
|
Joseph Greco
200 Mill Rd |
$45.38 | 182 | 182 |
|
Keri Fazzino
208 Mill Rd |
$25.44 | 202 | 201 |
|
Drew L Nahigyan
208 Mill Rd |
$31.69 | 218 | 215 |
|
Linda B Adelberg
208 Mill Rd |
$45.79 | 227 | 227 |
|
Jean Elizabeth Sheets
208 Mill Rd |
$60.87 | 255 | 251 |
|
Alysa Lopes
208 Mill Rd |
$51.27 | 289 | 286 |
|
Kimberly Ann Moniz
200 Mill Road |
$40.76 | 290 | 286 |
|
Rachel Marie Finney
206 Mill Rd |
$38.87 | 297 | 296 |
|
Nirmal Pathak
206 Mill Rd |
$28.86 | 344 | 328 |
|
Kelsey Soares
206 Mill Rd |
$14.87 | 349 | 306 |
|
Karen Lynn Jeffrey
200 Mill Rd |
$12.78 | 357 | 333 |
|
Tammy Lynn Gleeson
208 Mill Rd |
$29.68 | 363 | 348 |
|
Theodore W Schafer
208 Mill Rd |
$58.10 | 368 | 364 |
|
Waihong Chung
208 Mill Rd |
$74.75 | 389 | 386 |
|
Sarah Elizabeth Sullivan
208 Mill Rd |
$53.33 | 457 | 455 |
|
Sinaro Men
208 Mill Rd |
$27.71 | 517 | 514 |
|
Sarah Baily
208 Mill Rd |
$49.04 | 520 | 516 |
|
John J. Podkowa
208 Mill Rd |
$44.33 | 562 | 531 |
|
John Wilburn Acord
208 Mill Rd |
$45.18 | 728 | 719 |
|
Camille Frias
208 Mill Rd |
$53.44 | 737 | 724 |
|
Nicholas Robert Ondrasik
208 Mill Rd |
$40.26 | 801 | 779 |
|
Michelle V Wong
208 Mill Rd |
$37.73 | 839 | 823 |
|
Sandra Diane Johnson
208 Mill Road |
$62.45 | 869 | 858 |
|
Michelle R. Freitas
208 Mill Rd |
$36.27 | 922 | 891 |
|
Valentina Dacunha
208 Mill Rd |
$56.57 | 978 | 921 |
|
Tyler Hill
208 Mill Rd |
$38.85 | 1,026 | 1,013 |
|
Kayla Pleiss
208 Mill Rd |
$44.82 | 1,074 | 1,064 |
|
Alexandra H. Armitage
208 Mill Rd |
$47.35 | 1,173 | 1,167 |
|
Audrey J Webb
404 Huttleston Ave |
$3.29 | 1,187 | 1,035 |
|
Patricia L Andrade
208 Mill Rd |
$51.48 | 1,211 | 1,205 |
|
Kristen Erin Medeiros
208 Mill Rd |
$32.76 | 1,218 | 1,211 |
|
Michael Scott Gerlach
208 Mill Rd |
$35.63 | 1,232 | 1,219 |
|
Lindsey A Sullivan
208 Mill Rd |
$40.40 | 1,285 | 1,254 |
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 Fairhaven, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fairhaven, MA is $47.67 per claim, based on 184,647 claims from 90 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 Fairhaven, MA?
There are 90 Medicaid providers offering Office Visit related services in Fairhaven, MA according to public payment data.
What is the price range for Office Visit in Fairhaven, MA?
Medicaid reimbursement for Office Visit in Fairhaven, MA ranges from $1.06 to $77.09 per claim, with an average of $47.67. 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 Fairhaven, MA
Home Health Visit
Avg $64.97
90,017 claims
Non-Emergency Medical Transportation
Avg $21.24
74,478 claims
Behavioral & Mental Health Therapy
Avg $230.56
33,567 claims
Eye Exam
Avg $28.26
15,076 claims
Podiatry (Foot Care)
Avg $4.99
14,776 claims
EKG / ECG (Electrocardiogram)
Avg $5.71
14,622 claims
Nursing Facility Care
Avg $8.55
14,468 claims
Urinalysis & Urine Tests
Avg $3.61
13,747 claims