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
James M Gomes 10 N Main St Fl 2	$25.11	12	12
Jason Lee 795 Middle St	$3.66	12	12
Marina Kuperman-Beade 1030 President Ave Ste 306	$31.22	12	12
Morgan John Meara 702 Robeson St	$19.56	12	12
Kathleen Marie Cayanus 363 Highland Ave	$106.67	12	12
Tricia A Carty 277 Pleasant St Ste 303	$42.10	12	12
Wendy Bernadette Morrow 277 Pleasant Street	$46.41	12	12
Christina Louise Corvo 300 Hanover St Ste 3A	$29.95	13	12
Nitesh Sood 363 Highland Ave	$10.44	13	13
Babak Deyhimpanah 203 Plymouth Ave Ste 701	$3.75	13	12
Danielle Leigh Capece 795 Middle St	$61.38	13	12
Lisa Marie Joyce 170 Pleasant St Ste 100	$133.49	14	13
Christopher A Clyne 365 Highland Avenue	$47.10	14	14
Courtney Ferreira 506 Prospect St	$20.64	14	13
Robert Michael Baginski 795 Middle St	$72.89	14	14
Gerald J Monchik 1030 President Ave	$10.20	15	12
Judith Mund Dischel 386 Stanley St	$0.00	15	15
Rebekah Anne Scanlon Gizzi 363 Highland Ave	$7.72	15	14
River To Recovery, Inc. 1507 Pleasant St	$133.25	16	16
Christien Emiliano Tootell-Quevedo 1822 N Main St Ste 203	$88.14	16	15
Bamidele Adeoye Fagbola 534 Prospect St	$45.67	16	15
Scott D Lauermann 400 Stanley St	$130.90	16	15
The Commonwealth Of Massachusetts 49 Hillside St	$268.48	17	15
Brent Medeiros 1030 President Ave Rm 304	$14.88	17	17
Wayne Christiansen 289 Pleasant St	$7.88	18	15
Kayla Eldayaa 901 S Main St	$9.81	25	24
Rebecca Lynn Smith 1620 President Ave	$27.85	26	26
Renee F Dacosta 534 Prospect St	$38.98	26	25
Christian T Campos 191 Bedford Street	$61.52	26	25
Christina Maria Benevides 1565 N Main St	$40.32	30	28
Jamsheed B Vakharia 300 Hanover St Ste 1F	$47.48	31	30
Ruby Doshi 140 Purchase St	$44.74	35	26
Stephen Zuehlke 289 Pleasant St	$26.35	36	36
Brittany A Frere 933 Pleasant St	$32.01	38	38
Michael Simon 1030 President Ave Ste 210	$58.87	39	39
Christine Lee Powers 10 N Main St	$100.73	40	28
Jessica Lynn Shippee 363 Highland Ave	$24.99	41	39
Rita Martin 117 Valentine St Apt C	$105.07	41	29
Steward Medical Group, Inc 795 Middle St	$44.89	43	40
Kathleen Angela Kohls 484 Highland Ave	$86.51	44	42
Jesus Sosa 1010 S Main St	$17.62	45	39
Belsy Vanessa Gonzalez-Galarza 1620 President Ave	$41.66	46	46
Lucas R Ryback 534 Prospect St	$39.15	59	58
Roger A Boshes 49 Hillside St	$23.77	60	56
Heinrich-Karl Von Moltke Greenblatt 235 Hanover St	$51.14	64	63
Jeffrey D Horowitz 1030 President Ave	$32.76	66	65
Kherri-Lynn Donnelly 851 Middle St Ste 1100	$33.59	67	60
Matthew Prokey 4980 N Main St Apt 126	$2.77	75	71
Kripa Behavioral Health, P.C. 415 Elsbree St Ste 1A	$72.85	76	69
Jessica Chapman 235 Hanover St	$49.46	79	79

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

Substance Abuse Treatment

Blood Work & Lab Tests

Psychiatric Evaluation

Dental Cleaning & Exam

Case Management Services

Emergency Room Visit

Ambulance Transport

Behavioral & Mental Health Therapy