Average Medicaid Office Visit Payments in Florence, MA: $45.58
Avg. Paid
$45.58
Range
$0.00 – $110.06
Total Claims
56,833
Providers
53
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 Florence, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kelly Ann Ostrowski
74 Maple St |
$46.11 | 12 | 12 |
|
James Greenman
176 Emerson Way |
$40.02 | 12 | 12 |
|
Virginia L Miller
74 Maple St |
$46.48 | 14 | 12 |
|
David Wilson Chastain-Stultz
70 Main St |
$16.98 | 15 | 14 |
|
Lakesha Nicole Williams
10 Main St |
$0.00 | 18 | 18 |
|
Simone Topal
40 Main St Ste 202 |
$110.06 | 42 | 40 |
|
Madelyn Mccadden
70 Main St |
$68.27 | 49 | 46 |
|
Raymond E. Hubbe
40 Main St |
$36.59 | 54 | 52 |
|
Joanne Levin
15 Straw Ave |
$36.45 | 73 | 72 |
|
Lauren Shatz
40 Main St |
$37.08 | 104 | 89 |
|
Anne C Bauer
70 Main St |
$70.31 | 113 | 105 |
|
Erin Megan Kolb
269 Locust St Ste 108 |
$57.53 | 142 | 133 |
|
Janet Ann Willemain
10 Main St |
$75.77 | 172 | 172 |
|
Elizabeth Kate Reale
10 Main St |
$52.50 | 209 | 205 |
|
David Rauschenberg Shield
40 Main St |
$49.64 | 213 | 189 |
|
Kayla Knotts
269 Locust St |
$14.68 | 218 | 205 |
|
Emily Talley
70 Main St |
$83.85 | 231 | 184 |
|
Jaya R Agrawal
10 Main St |
$34.66 | 246 | 243 |
|
Lindsay E Rockwell
15 Straw Ave |
$23.81 | 254 | 237 |
|
Paul Steven Thaler
70 Main St |
$55.00 | 259 | 245 |
|
Margaret E Sharron
269 Locust St Ste 201 |
$45.79 | 276 | 261 |
|
Sara Ghohestani-Bojd
70 Main St |
$49.35 | 332 | 325 |
|
Naomi Graybill Bliss
10 Main St |
$60.68 | 499 | 438 |
|
Devin Donohoe
29 North Main St |
$25.44 | 531 | 502 |
|
Alyssa L Gabai
10 Main St |
$29.32 | 582 | 564 |
|
Julie B Feinland
92 Main St |
$24.48 | 647 | 638 |
|
Ashley Brown
10 Main St |
$37.37 | 693 | 653 |
|
Ann S Esrick
70 Main St |
$53.49 | 710 | 680 |
|
Laura Goldstein
70 Main St |
$58.72 | 759 | 707 |
|
Christine M Normandin
70 Main St |
$55.96 | 911 | 829 |
|
Gail Blanchard
70 Main St |
$58.23 | 918 | 852 |
|
David Kaufman
70 Main St |
$45.41 | 1,260 | 1,216 |
|
Betsy S Green
70 Main St |
$57.19 | 1,360 | 1,291 |
|
Michal Ganz
10 Main St |
$47.50 | 1,430 | 1,410 |
|
Lisa Maureen Rivera
70 Main St |
$46.51 | 1,465 | 1,313 |
|
Edward J. Patton
190 Nonotuck St |
$48.29 | 1,470 | 1,391 |
|
Fuad B Mudawwar
269 Locust St |
$48.27 | 1,508 | 1,419 |
|
Vikram Budhraja
10 Main St Ste 2 |
$58.32 | 1,513 | 1,474 |
|
Andrew Cronyn
10 Main St |
$44.38 | 1,514 | 1,429 |
|
Stephen C Degurski
10 Main St |
$61.67 | 1,535 | 1,096 |
|
Julie Waight
70 Main St |
$31.45 | 1,606 | 971 |
|
Jennifer Aleah Nesteby
123 Main St |
$58.06 | 1,615 | 1,516 |
|
Joseph P. Tassoni
10 Main St |
$45.57 | 1,638 | 1,608 |
|
David A. Berkman
10 Main St |
$49.38 | 1,828 | 1,795 |
|
Wayne A. Schweitzer
190 Nonotuck St |
$30.39 | 1,849 | 1,807 |
|
Stephen J. Gallant
70 Main St |
$70.01 | 1,998 | 1,873 |
|
Katherine A Markelz
70 Main St |
$56.87 | 2,182 | 2,126 |
|
David R Kalman
10 Main St |
$46.78 | 2,183 | 2,141 |
|
Cathleen M O'Connell
10 Main St |
$57.62 | 2,247 | 1,867 |
|
Henry Eric Simkin
70 Main St |
$39.94 | 3,033 | 2,883 |
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 Florence, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Florence, MA is $45.58 per claim, based on 56,833 claims from 53 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 Florence, MA?
There are 53 Medicaid providers offering Office Visit related services in Florence, MA according to public payment data.
What is the price range for Office Visit in Florence, MA?
Medicaid reimbursement for Office Visit in Florence, MA ranges from $0.00 to $110.06 per claim, with an average of $45.58. 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 Florence, MA
Personal Care Services
Avg $198.65
39,344 claims
Home Health Visit
Avg $157.29
32,441 claims
Blood Work & Lab Tests
Avg $10.71
15,187 claims
Eye Exam
Avg $43.74
5,672 claims
Ultrasound
Avg $48.65
4,705 claims
Dental Cleaning & Exam
Avg $31.94
3,905 claims
Emergency Room Visit
Avg $83.07
3,277 claims
Psychiatric Evaluation
Avg $88.94
3,173 claims