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 |
|---|---|---|---|
|
Vhs Acquisition Subsidiary Number 9 Inc
115 Lincoln St |
$134.85 | 14,701 | 13,680 |
|
South Middlesex Opportunity Council Inc
7 Bishop St |
$55.46 | 14,436 | 13,454 |
|
Sarah Rogers
99 Loring Ave |
$56.31 | 13,492 | 8,455 |
|
Katie Tawakol
61 Lincoln St Ste 203 |
$58.32 | 12,124 | 10,926 |
|
Jill Elise Becker
7 Eaton Rd |
$64.83 | 9,732 | 4,049 |
|
Karen Desio
85 Lincoln St |
$41.62 | 9,576 | 9,088 |
|
Khalid Aziz
43 Lincoln St |
$60.89 | 9,112 | 8,659 |
|
George Olusola Akinkuoye
264 Union Ave |
$52.41 | 7,713 | 7,035 |
|
Wayside Youth And Family Support Network
1 Frederick Abbott Way |
$68.35 | 7,466 | 6,772 |
|
Lynnetta Dean Loveland
61 Lincoln St Ste 203 |
$71.38 | 6,700 | 5,691 |
|
Jeffrey Ian Zaref
761 Worcester Rd |
$89.11 | 6,484 | 6,283 |
|
Robert Merle Johnston
354 Waverly St |
$58.80 | 6,469 | 5,984 |
|
Eduardo H Ribeiro
600 Worcester Rd Ste 303 |
$49.75 | 6,455 | 5,538 |
|
Luila F Baron
761 Worcester Rd Fl 4 |
$83.76 | 6,430 | 6,244 |
|
Carol Renee Counts Robinson
1881 Worcester Rd |
$54.75 | 5,560 | 4,656 |
|
Lawrence Elliott Yellen
803 Concord Street |
$60.59 | 5,500 | 5,421 |
|
Annie T Chemmanur
855 Worcester Rd |
$56.13 | 5,224 | 5,038 |
|
Adam C Urato
115 Lincoln St |
$62.50 | 4,914 | 4,666 |
|
Charles River Medical Associates Pc
600 Worcester Rd |
$45.76 | 4,839 | 4,002 |
|
Laura Abrantes Hovsepian
761 Worcester Rd |
$88.57 | 4,751 | 4,572 |
|
Liliya Yanovskaya
1101 Worcester Rd Ste 100 |
$9.45 | 4,699 | 3,914 |
|
Anita N Nartey
600 Worcester Rd Ste Ll2 |
$46.83 | 4,410 | 4,212 |
|
Laurie A Abruzzi
300 Howard St |
$42.15 | 4,386 | 4,058 |
|
Kristen L. Baker
300 Howard St |
$54.67 | 4,280 | 3,859 |
|
Emily Joy Swilling
354 Waverley St |
$54.62 | 4,177 | 4,126 |
|
Barbara Jean Hignite
61 Lincoln St Ste 203 |
$19.16 | 3,858 | 2,506 |
|
Irma Eugenia Rasmussen
400 Waverly St |
$56.69 | 3,851 | 3,678 |
|
Jacob Goldberg
359 Union Ave |
$13.69 | 3,795 | 2,314 |
|
Stacey Dawn Maslow
761 Worcester Rd |
$120.12 | 3,418 | 3,287 |
|
William Dale Zimmerman
61 Lincoln St |
$43.56 | 3,405 | 3,274 |
|
Lauren Harris
761 Worcester Rd |
$77.74 | 3,362 | 3,205 |
|
Convenientmd Llc
236 Cochituate Rd |
$96.99 | 3,293 | 2,924 |
|
Ana Maria Espila Navarro
761 Worcester Rd |
$99.78 | 3,195 | 3,046 |
|
Abdul R Bhat
761 Worcester Rd |
$89.30 | 3,140 | 2,976 |
|
Joan Asperin Zamberletti
761 Worcester Rd |
$78.76 | 3,125 | 2,994 |
|
Thomas L Treadwell
115 Lincoln St |
$27.03 | 2,549 | 2,420 |
|
Nancy C Rosselot
125 Newbury St |
$43.87 | 2,515 | 2,359 |
|
Yonghyun Lee
571 Union Ave Ste 101 |
$58.35 | 2,322 | 2,059 |
|
Dana Kraus Hagarty
761 Worcester Rd |
$79.80 | 2,267 | 2,194 |
|
Nicole Emily Morgan
761 Worcester Rd Ste 331 |
$38.49 | 2,190 | 2,031 |
|
Convenientmd - Ffs Uc Llc
236 Cochituate Rd |
$87.84 | 2,180 | 1,841 |
|
Spectrum Neuro Behavioral Care Llc
61 Lincoln St Ste 203 |
$93.51 | 2,131 | 1,678 |
|
Nouha Georges
761 Worcester Rd |
$58.63 | 2,035 | 1,926 |
|
James F Whitman
125 Newbury St |
$43.74 | 2,028 | 1,948 |
|
Xiaolong Shawn Liu
161 Worcester Rd Ste 601 |
$25.85 | 1,906 | 1,688 |
|
Maryjean Richner
236 Cochituate Rd |
$75.71 | 1,892 | 1,442 |
|
Mona Bhan
61 Lincoln St |
$10.99 | 1,828 | 1,774 |
|
Stanley E Kraus
161 Worcester Rd |
$24.90 | 1,731 | 1,557 |
|
Robin P Hicks
125 Newbury St |
$57.93 | 1,676 | 1,578 |
|
Christina Elizabeth Acocella
761 Worcester Rd |
$42.75 | 1,529 | 1,405 |
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.
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 Framingham, MA
Case Management Services
Avg $30.64
366,983 claims
Substance Abuse Treatment
Avg $53.68
345,950 claims
Blood Work & Lab Tests
Avg $9.87
312,830 claims
Psychiatric Evaluation
Avg $67.95
275,260 claims
Behavioral & Mental Health Therapy
Avg $99.96
273,359 claims
Non-Emergency Medical Transportation
Avg $24.65
160,821 claims
Personal Care Services
Avg $64.30
153,995 claims
Dental Cleaning & Exam
Avg $39.23
149,799 claims