Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Fall River, MA: $45.39

Avg. Paid

$45.39

Range

$0.00 – $268.48

Total Claims

1,119,590

Providers

466

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 Fall River, MA

Provider	Avg. Paid	Claims	Patients
Ali R Tural 465 Walnut St	$51.63	58,745	51,673
Richard Stuart Fox 851 Middle St Ste 3500	$33.57	27,345	14,884
Steward St. Annes Hospital Corporation 795 Middle St	$144.33	19,608	18,423
Eric Dominguez 795 Middle St	$36.26	17,732	16,950
Claude Augustine Curran 198 Hanover St	$5.74	16,671	16,013
Robert S Crausman 528 Newton St	$53.25	16,222	13,808
Manuela Mendes 289 Pleasant St	$24.92	15,960	14,432
Southcoast Hospitals Group, Inc 363 Highland Ave	$155.88	14,990	13,489
Hany Mistikawy 289 Pleasant St	$37.55	13,827	13,220
David Brooks Walker 1030 President Ave	$49.73	13,674	13,158
Jorge M Andrade 851 Middle St	$45.68	12,953	12,267
Alejandro Lorenzana 203 Plymouth Ave Ste 702	$23.61	12,025	11,269
Dina Paiva Mello 795 Middle St	$20.19	11,974	11,666
Ann Marie Mccabe 331 Elsbree St	$53.79	9,946	9,645
Edward Cyburt 851 Middle St	$57.86	9,742	9,177
Melanie B. Araujo 289 Pleasant St	$27.94	9,334	8,706
Saint Vincent'S Services, Inc. 2425 Highland Ave	$105.99	9,311	8,670
Jessica Denise Rome 829 S Main St	$53.95	9,276	8,929
Neveen N. Bassaly 277 Pleasant St	$41.30	9,046	8,481
Kelby Maher 1030 President Ave	$60.96	8,867	8,517
Shobhita Sundar 1030 President Ave	$41.51	8,753	8,065
Walter J Rok 851 Middle St	$56.53	8,415	8,092
Brian L Medeiros 1030 President Ave	$61.32	8,254	7,920
Christopher C Stowe 795 Middle St	$35.28	8,205	8,029
Veronica Bernardo 1030 President Ave	$58.41	7,963	7,711
Mary Goncalo 101 Sullivan Dr	$36.23	7,842	6,485
Mary E Hoppe-Coakley 1030 President Ave	$47.42	7,771	7,491
Amy Lynn Mauricio 851 Middle St	$44.25	7,762	7,433
Steppingstone Inc 279 N Main St	$86.95	7,761	5,897
Joseph S Zhou 277 Pleasant St Ste 309B	$54.81	7,554	5,833
Staci M Resnick 851 Middle St	$51.61	7,398	7,106
Raju Singla 289 Pleasant St	$32.26	7,139	6,152
William E Guptill 795 Middle Street	$28.32	6,654	6,509
Bianca Fontes Thorpe 289 Pleasant St	$27.83	6,532	6,158
Melanie L Cardoza 211 Milliken Blvd	$51.39	6,496	6,002
Charles Delacuadra 203 Plymouth Ave Ste 701	$52.30	6,380	4,833
Stephen T Gagliardi 1565 N Main St	$63.60	6,322	5,968
Karl M Zuzarte 1565 North Main Street	$40.73	6,127	5,864
Joseph A Spirito 101 Sullivan Dr	$47.94	6,118	5,428
Jerald Katz 235 Hanover St	$46.01	6,103	5,918
Achilles Romualdo E Alcaraz 277 Pleasant St Ste 204	$60.61	5,966	5,598
Patricia A Tweedie 289 Pleasant St	$39.71	5,818	4,951
Tiffany Lorraine Hodgson 289 Pleasant St	$43.11	5,725	5,629
Amy Gifford 1030 President Ave Ste 2001	$45.78	5,708	5,480
Ossama Labib 1200 Robeson St	$44.86	5,695	5,398
Richard N Waldman 1151 Robeson St Ste 201	$36.05	5,428	5,230
Charles H Cummings 1010 S Main St	$35.30	5,423	4,915
Hannah Jane Campanell 400 Stanley St	$1.29	5,391	4,465
Ashley Melissa Weber 400 Stanley St	$1.90	5,190	4,923
Jose A L Monteiro 211 Milliken Blvd	$29.13	5,167	4,945

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 Fall River, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fall River, MA is $45.39 per claim, based on 1,119,590 claims from 466 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 Fall River, MA?

There are 466 Medicaid providers offering Office Visit related services in Fall River, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Fall River, MA ranges from $0.00 to $268.48 per claim, with an average of $45.39. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Fall River, MA: $45.39

Providers Offering Office Visit in Fall River, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Fall River, MA

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Blood Work & Lab Tests

Psychiatric Evaluation

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Case Management Services

Emergency Room Visit

Ambulance Transport

Behavioral & Mental Health Therapy