Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Falmouth, MA: $57.92

Avg. Paid

$57.92

Range

$3.10 – $195.54

Total Claims

95,899

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 Falmouth, MA

Provider	Avg. Paid	Claims	Patients
Annemarie M Armani 100 Dillingham Ave Unit B-111	$8.99	13	13
Peter S Hopewood 210 Jones Rd	$45.34	13	13
Ashley Taylor Costello 40 Davis Straits	$71.83	14	14
Elizabeth G Murray 182 Palmer Ave	$49.22	25	25
Francesca Mary Donaghey 40 Davis Straits	$58.45	25	25
Robert J Davis 100 Ter Heun Drive	$49.97	28	27
Michael John Mendelsohn 100 Ter Haun Drive	$42.21	39	39
Jonathan Li 19 Bramble Bush Dr	$58.76	43	42
Denise Bishop 40 Davis Straits	$65.60	57	55
Ryan J Bemis 100 Ter Heun Dr	$66.83	62	62
Nisha M David 90 Ter Heun Dr	$54.33	68	67
Jennifer H Ladner 90 Ter Heun Drive	$36.62	76	76
Matthew Leonard Gomberg 100 Ter Heun Drive	$53.19	91	91
Denise Kalbach 40 Davis Straits	$64.60	98	95
Michael James O'Connell 100 Ter Heun Dr	$72.20	107	107
Holly Zheng 100 Ter Heun Dr	$51.80	118	117
Jacob Teixeira 100 Ter Heun Dr	$48.19	125	125
Community Health Center Of Cape Cod, Inc. 210 Jones Rd	$31.45	127	114
Richard Alan Armstrong 342A Gifford St	$28.13	127	116
Justin James Cobis 360 Gifford St	$31.15	136	124
The Cardiovascular Specialists Llc 90 Ter Heun Dr	$3.10	156	151
Mir Shuttari 90 Ter Heun Dr	$25.96	160	157
Nancy Graham 182 Palmer Ave	$43.48	179	175
Vladimir Koren 100 Ter Heun Dr	$61.47	196	187
Brian D Bird 5 Bramble Bush Dr	$37.28	226	200
Brittany Whiting 100 Ter Heun Dr	$49.63	241	240
Nicole Marie Salter 90 Ter Heun Dr Ste 2300	$39.55	254	226
Jaclyn Hynes Carper 360 Gifford St	$36.69	267	244
Shawn V. Hennessy 100 Ter Heun Dr	$105.60	298	293
Falmouth Hospital Association Inc 100 Ter Heun Dr	$195.54	299	271
Donald Edmond O'Malley 360 Gifford St	$49.82	303	291
Michelle F Costa 90 Ter Heun Drive	$36.45	315	313
Paul E Demeo 182 Palmer Ave	$38.68	335	317
Dominique Wright 200A Jones Road	$40.63	391	356
Paul M Dimond 360 Gifford St	$42.86	440	418
Bruce Farrell Levy 90 Ter Heun Dr	$41.38	462	456
Nancy A Schaefer 100 Ter Heun Drive	$66.37	471	468
Sarah Beth Callahan 100 Ter Heun Dr	$51.51	492	485
Suzanne A Corrado 21 Bramblebush Park	$88.53	499	454
Lauren Kierian Roslyn Hildreth 40 Davis Straits	$13.97	513	510
Debra I Poletto 100 Ter Heun Drive Falmouth Hospital	$69.19	602	597
Rachel Trosky 100 Ter Heun Dr	$65.05	603	594
Lisa Ann Adams 21 Bramble Bush Dr	$61.79	614	580
Dean Edward Leocadio 19 Bramble Bush Dr	$60.04	645	571
Teresa Ann Allen 340 Gifford St	$30.35	679	522
Aron Randall Nigh 100 Ter Heun Dr	$50.55	723	709
Margaret Gladski 21 Bramblebush Park	$57.32	737	689
John C Hostetter 90 Ter Heun Dr	$41.50	886	879
John J Guerin 90 Ter Heun Dr	$41.46	920	918
Patrick J Flynn 210 Jones Rd	$8.26	922	673

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 Falmouth, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Falmouth, MA is $57.92 per claim, based on 95,899 claims from 72 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 Falmouth, MA?

There are 72 Medicaid providers offering Office Visit related services in Falmouth, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Falmouth, MA ranges from $3.10 to $195.54 per claim, with an average of $57.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Falmouth, MA: $57.92

Providers Offering Office Visit in Falmouth, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Falmouth, MA

Psychiatric Evaluation

Emergency Room Visit

EKG / ECG (Electrocardiogram)

Vaccines & Immunizations

Non-Emergency Medical Transportation

Blood Work & Lab Tests

Substance Abuse Treatment

Ambulance Transport