Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Framingham, MA: $61.05

Avg. Paid

$61.05

Range

$0.35 – $157.74

Total Claims

311,025

Providers

193

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 Framingham, MA

Provider	Avg. Paid	Claims	Patients
Sarah Hannah Lawrence 959 Concord St Ste 200	$25.82	12	12
Howard A Sussman 99 Lincoln St	$14.80	13	12
Nilam Patil Narasimhan 115 Lincoln St	$71.51	13	13
Lauren Bosnyak 1094 Worcester Rd	$91.64	13	12
Vincent C Yuan 571 Union Ave	$20.19	14	12
William Brazer 260 Cochituate Rd Ste 102	$42.11	14	12
Deval Shah-Canning 72 Union Ave	$157.74	14	13
Raul Landa 85 Lincoln St	$21.30	15	14
Dinah Super 354 Waverly St	$5.79	16	13
Medical Community Psychotherapy Llc 264 Union Ave Apt 2	$68.47	18	18
Marcos Pienasola 115 Lincoln St	$0.35	25	24
Trung Van Bui 545 Union Ave	$36.43	26	25
Julie Ngo 959 Concord St Ste 200	$50.25	29	28
Steven Neil Fine 475 Franklin St	$62.18	29	29
Melissa Lynn Palma 260 Cochituate Rd	$50.31	29	28
Vendetti Wellness Group, Pc 1 Clarks Hl Ste 302	$98.18	30	26
George Dickstein 475 Franklin St	$47.17	37	37
Michael P Brunelli 761 Worcester Rd	$82.91	37	37
Veena R Shankar 571 Union Ave Ste 103	$13.48	38	38
Joseph A Harrington 74 Main St	$19.61	38	38
Liza Kimball Peck 761 Worcester Rd	$36.73	39	38
Rebecca Khezri Jacobson 85 Lincoln St Ste 510	$64.36	43	43
Harvey L Goldfine 99 Lincoln St	$24.89	44	40
Vero L Fon 100 Concord St Ste 2A&B	$20.85	45	41
Praveen Hariharan 223 Walnut St Ste 20	$68.78	55	54
Sew-Leong Kwa 115 Lincoln St	$30.26	55	54
Steven M. Yood 463 Worcester Rd Ste 102A	$22.86	57	56
Rebecca M Weaver 61 Lincoln St	$34.73	58	55
Martin A Bielawski 463 Worcester Rd	$29.37	61	61
James D Alderman 99 Lincoln St	$34.44	62	62
Jeffrey F Dietz 761 Worcester Rd 3Rd Floor	$54.07	63	61
Margaret E Gentile 354 Waverly St	$67.93	65	64
David A. Klegon 463 Worcester Rd	$62.42	65	62
Vikas S Desai 463 Worcester Rd Ste 104	$23.47	72	72
Matthias M Nurnberger 463 Worcester Rd	$21.09	74	69
Lina Zaslavsky 463 Worcester Rd	$45.87	76	76
Jason Matthew Konter 115 Lincoln Street	$28.00	79	79
Emil Yagudin 74 Main St	$32.32	83	73
Gillian Richmond 354 Waverley St	$52.62	92	85
Marisa Ann Rotunno 99 Lincoln St	$19.80	94	83
David Z Young 99 Lincoln St	$25.54	97	95
Rebecca B Tipton Metrowest Emergency Physicians	$30.46	101	99
Olivia Lin Alpert 761 Worcester Rd Ste 302	$34.79	102	91
Patrick J Blomberg 99 Lincoln St	$48.52	104	102
Zahra S Ayub 463 Worcester Rd	$50.94	107	107
Lovelina Taneja 33 Edgell Rd	$69.74	109	100
Daniel J. Muppidi 61 Lincoln St	$84.00	133	131
Samuel Keating Harrell 624 Waverley St	$76.37	133	132
Acadia Behavioral Health Associates 463 Worcester Rd	$62.07	137	133
Sailaja K Reddy 463 Worcester Rd Ste 103	$74.90	141	139

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 Framingham, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Framingham, MA is $61.05 per claim, based on 311,025 claims from 193 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 Framingham, MA?

There are 193 Medicaid providers offering Office Visit related services in Framingham, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Framingham, MA ranges from $0.35 to $157.74 per claim, with an average of $61.05. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Framingham, MA: $61.05

Providers Offering Office Visit in Framingham, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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