Average Medicaid Office Visit Payments in Foxborough, MA: $46.98
Avg. Paid
$46.98
Range
$1.45 – $81.21
Total Claims
7,788
Providers
20
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 Foxborough, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Keri Lee Grothe
20 Patriot Pl |
$44.46 | 1,475 | 1,309 |
|
Meetal Mehta
20 Patriot Pl |
$70.13 | 1,169 | 1,163 |
|
Jennifer Louisa Kurz
20 Patriot Place |
$27.61 | 1,126 | 1,044 |
|
Colleen E. Ammidown
70 Walnut St |
$50.25 | 835 | 798 |
|
Dominique Serio
20 Patriot Pl |
$81.21 | 774 | 680 |
|
Jennifer Sammarco
16 Chestnut St |
$47.21 | 514 | 482 |
|
Michelle Pacheco
132 Central St Ste 116 |
$1.45 | 472 | 449 |
|
Austin Ryan Meeker
22 Patriot Pl Fl 3 |
$41.76 | 340 | 332 |
|
Anna Shapiro
20 Patriot Pl |
$40.19 | 226 | 224 |
|
Kimberly A. Masood
22 Patriot Pl Fl 4 |
$54.65 | 186 | 179 |
|
Paula J Reis
20 Patriot Pl |
$42.05 | 170 | 168 |
|
Zachary R Witter
22 Patriot Pl |
$16.11 | 160 | 146 |
|
Laila Akhund
20 Patriot Pl |
$39.18 | 107 | 103 |
|
Carlos Suero
20 Patriot Pl |
$46.18 | 61 | 61 |
|
Joshua Abrahams
113 Washington St |
$8.79 | 39 | 39 |
|
Jodi Macleod
20 Patriot Pl |
$37.73 | 37 | 37 |
|
Marie Laudie Nelson
225 Foxborough Blvd Ste 201 |
$66.59 | 37 | 34 |
|
David W Faling
20 Patriot Pl |
$53.12 | 27 | 27 |
|
Emily Thaxter Cidado
20 Patriot Pl |
$26.16 | 18 | 18 |
|
Danielle L Brook
20 Patriot Pl |
$80.49 | 15 | 15 |
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 Foxborough, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Foxborough, MA is $46.98 per claim, based on 7,788 claims from 20 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 Foxborough, MA?
There are 20 Medicaid providers offering Office Visit related services in Foxborough, MA according to public payment data.
What is the price range for Office Visit in Foxborough, MA?
Medicaid reimbursement for Office Visit in Foxborough, MA ranges from $1.45 to $81.21 per claim, with an average of $46.98. 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 Foxborough, MA
Non-Emergency Medical Transportation
Avg $22.20
112,753 claims
Physical Therapy
Avg $25.87
13,392 claims
Ambulance Transport
Avg $113.75
6,578 claims
Eye Exam
Avg $38.51
462 claims
Nursing Facility Care
Avg $3.24
370 claims
Vaccines & Immunizations
Avg $3.43
324 claims
Blood Work & Lab Tests
Avg $6.51
74 claims
Psychiatric Evaluation
Avg $67.82
43 claims