Average Medicaid Office Visit Payments in Fitchburg, MA: $46.06
Avg. Paid
$46.06
Range
$0.00 – $102.75
Total Claims
197,018
Providers
74
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 Fitchburg, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Health Connections, Inc.
326 Nichols Rd |
$2.34 | 25,105 | 22,869 |
|
Omar Rashid Qureshi
33 Electric Ave Ste 102 |
$52.20 | 21,549 | 17,707 |
|
Lynette M Knight
881 South St |
$70.29 | 15,741 | 14,265 |
|
Daria M Karos
881 South St |
$68.96 | 11,828 | 8,090 |
|
Beth Kurtz Mazyck
326 Nichols Rd |
$30.75 | 10,639 | 9,525 |
|
Behzad Goharfar
19 Pierce Ave Ste B |
$56.58 | 7,820 | 7,346 |
|
Eric J. Rosenthal
326 Nichols Rd |
$38.47 | 7,448 | 7,073 |
|
Urgent Care Centers Of Central Massachusetts, Llc
380 John Fitch Hwy |
$87.76 | 6,581 | 6,330 |
|
Karla Christo
155 Franklin Road |
$62.07 | 6,534 | 5,326 |
|
Susan Voute
19 Pierce Ave |
$52.87 | 6,064 | 5,658 |
|
Community Health Connections, Inc.
130 Water Street |
$15.83 | 5,861 | 5,544 |
|
Sharon Machado
326 Nichols Rd |
$36.06 | 5,280 | 4,732 |
|
Imelda A Garcia
881 South St |
$62.39 | 4,503 | 4,229 |
|
Terry Osborne
326 Nichols Road |
$58.38 | 4,441 | 4,139 |
|
Kathleen A. Sweeney
326 Nichols Road |
$39.58 | 4,412 | 3,971 |
|
Francis Lee
33 Electric Ave |
$40.44 | 4,327 | 3,900 |
|
Cheryl T Divito
326 Nichols Rd |
$51.91 | 4,213 | 3,659 |
|
William Coit Hubbard
680 Ashburnham Hill Rd |
$16.65 | 4,157 | 4,094 |
|
Jeannette L Ryan Alkasab
275 Nichols Rd |
$32.15 | 3,891 | 3,741 |
|
Luk Crisis Center Inc.
545 Westminster St |
$95.29 | 3,887 | 3,266 |
|
Mary Digangi
326 Nichols Rd |
$29.32 | 3,492 | 3,231 |
|
Grant Pierre
326 Nichols Rd |
$32.04 | 3,102 | 2,982 |
|
Daryl Deandre Mcclendon
326 Nichols Rd |
$55.41 | 2,567 | 2,416 |
|
Chidinma Jennifer Onyegwu
76 Summer St Ste 200A |
$90.46 | 2,402 | 2,121 |
|
Erica L. Magaziner
370 Lunenburg St |
$47.55 | 1,946 | 1,714 |
|
Arlene Flynn
326 Nichols Rd |
$60.35 | 1,653 | 1,490 |
|
Elite Feet Llc
680 Ashburnham Hill Rd |
$36.15 | 1,513 | 1,500 |
|
Deepthi Pandraju
104 Whalon St Ste 2A |
$63.99 | 1,385 | 1,338 |
|
Sarita M. Fage
326 Nichols Road |
$102.75 | 1,357 | 1,346 |
|
Dajia Angell
380 John Fitch Highway |
$53.39 | 1,297 | 1,226 |
|
Making Opportunity Count, Inc.
49 Nursery Ln Ste 201 |
$99.42 | 1,200 | 950 |
|
Laquita Sherrelle Morris
326 Nichols Rd |
$13.74 | 1,135 | 1,105 |
|
Aaron M Fay
33 Electric Ave |
$72.98 | 1,009 | 999 |
|
Matthew Ross Zanghi
370 Lunenburg St |
$38.28 | 749 | 718 |
|
Hannah M. Coates
370 Lunenburg St |
$43.02 | 707 | 672 |
|
Elizabeth Fraser
275 Nichols Rd |
$24.63 | 598 | 566 |
|
Vu Hoang Tran
76 Summer St |
$36.87 | 561 | 525 |
|
Iris Sullivan
64 Whalon Street |
$61.86 | 479 | 461 |
|
Lynsie Rae Adams
275 Nichols Rd |
$29.39 | 442 | 392 |
|
Amanda J. Eastman
155 Franklin Street |
$47.94 | 437 | 409 |
|
Thomas Robert Wickham
155 Franklin Rd |
$5.96 | 394 | 360 |
|
Jesus Blanco
104 Whalon St |
$34.42 | 382 | 348 |
|
Julie Ann Pelletier
326 Nichols Rd |
$27.05 | 342 | 333 |
|
Eric Lloyd Knutson
370 Lunenburg St |
$34.91 | 305 | 279 |
|
Wendy Wheeler
881 South St |
$37.07 | 300 | 264 |
|
Andrew Robert Nosal
380 John Fitch Hwy |
$95.52 | 293 | 283 |
|
Wendy M Barry
545 Westminster St |
$71.94 | 291 | 212 |
|
New Dawn Integrated Behavioral Health Center Inc.
33 Electric Ave |
$86.35 | 281 | 260 |
|
John Herbert Stevenson
275 Nichols Rd |
$40.81 | 265 | 243 |
|
Melyssa Abby Price
380 John Fitch Hwy |
$50.53 | 258 | 247 |
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 Fitchburg, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fitchburg, MA is $46.06 per claim, based on 197,018 claims from 74 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 Fitchburg, MA?
There are 74 Medicaid providers offering Office Visit related services in Fitchburg, MA according to public payment data.
What is the price range for Office Visit in Fitchburg, MA?
Medicaid reimbursement for Office Visit in Fitchburg, MA ranges from $0.00 to $102.75 per claim, with an average of $46.06. 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 Fitchburg, MA
Non-Emergency Medical Transportation
Avg $23.31
302,754 claims
Dental Cleaning & Exam
Avg $31.09
207,941 claims
Psychiatric Evaluation
Avg $84.86
106,917 claims
Behavioral & Mental Health Therapy
Avg $105.48
83,614 claims
Dental Filling
Avg $47.92
64,752 claims
Substance Abuse Treatment
Avg $15.78
56,985 claims
Case Management Services
Avg $464.67
55,565 claims
Vaccines & Immunizations
Avg $14.53
48,042 claims