Average Medicaid Office Visit Payments in Gardner, MA: $62.74
Avg. Paid
$62.74
Range
$0.00 – $153.73
Total Claims
160,889
Providers
72
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 Gardner, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sherry Lillian Rickan
242 Green St |
$43.78 | 12 | 12 |
|
Emily Kathryn Diconza Smith
59 Eastwood Cir |
$30.72 | 12 | 12 |
|
Samuel Tyler Leger
242 Green St |
$28.32 | 12 | 12 |
|
M. Sheila Donnelly
242 Green St |
$52.35 | 14 | 14 |
|
Casie Hurd Short
175 Connors St |
$0.00 | 14 | 14 |
|
Rachael Brow
175 Connors St |
$0.00 | 19 | 19 |
|
Tina M Griffin
266 Main St |
$33.44 | 24 | 24 |
|
Kelley Ann Prendergast
175 Connors Street |
$0.00 | 28 | 28 |
|
Melissa Vaine
242 Green St |
$26.67 | 28 | 28 |
|
Wendy J Coutu
242 Green St |
$27.85 | 37 | 37 |
|
John Worden
250 Green St |
$45.82 | 57 | 52 |
|
Christina Lynn Morse
242 Green St |
$23.70 | 125 | 125 |
|
Michael S. Stauder
250 Green St |
$35.88 | 126 | 122 |
|
Michael J. Mutchler
250 Green St |
$52.22 | 134 | 132 |
|
Michael A. Shear
242 Green St |
$77.48 | 141 | 140 |
|
Maria Castells
358 Elm St |
$46.13 | 158 | 146 |
|
Kristin N Schofield
250 Green St |
$49.13 | 199 | 189 |
|
Aparna Panja
266 Main St |
$64.17 | 202 | 187 |
|
Andrea M. Damour
250 Green St |
$30.08 | 213 | 207 |
|
Kami S Phillips
250 Green St |
$47.98 | 262 | 250 |
|
Chelsea Lee Gagne
57 City Hall Ave |
$53.24 | 280 | 255 |
|
Michele C. Parker
250 Green St |
$42.99 | 330 | 293 |
|
Tina Vo
266 Main St |
$63.08 | 332 | 318 |
|
Aimee St Hilaire
242 Green St |
$28.13 | 347 | 339 |
|
Motkar V. Reddy
250 Green St |
$37.21 | 347 | 346 |
|
Heywood Affiliated Medical Group Inc.
266 Main St |
$63.05 | 399 | 382 |
|
Timothy J Eddy
529 Timpany Blvd |
$48.23 | 443 | 404 |
|
Phani Kishore Molakatalla
250 Green St |
$38.20 | 475 | 471 |
|
Francis Anthony Garofalo
250 Green St |
$33.91 | 523 | 518 |
|
Leanne Belcher
266 Main St |
$51.82 | 564 | 545 |
|
Erica Lasorsa
266 Main St |
$53.46 | 596 | 587 |
|
Inna V. Russell
250 Green Street |
$78.11 | 597 | 521 |
|
Sadie A Eichel
250 Green St |
$38.55 | 622 | 591 |
|
Francis W. Sweeney
250 Green St |
$45.57 | 625 | 589 |
|
Odalys Machin Croteau
374 Elm St |
$61.70 | 636 | 608 |
|
Michael O. Azzoni
250 Green St |
$22.13 | 664 | 631 |
|
Joseph W Walek
242 Green St |
$31.91 | 664 | 654 |
|
Jessica Leblanc
242 Green St |
$47.00 | 713 | 683 |
|
Katy-Ann E. Hannigan
250 Green St |
$53.71 | 719 | 699 |
|
Rebecca M. Worden
250 Green St |
$47.08 | 727 | 670 |
|
Jeffrey D. Blake
250 Green St |
$39.45 | 749 | 736 |
|
Kim D Houde
175 Connors St |
$44.41 | 818 | 769 |
|
Craig Anthony Napolitano
242 Green St |
$38.00 | 837 | 817 |
|
Christine M. Mcmahon
250 Green St |
$48.19 | 863 | 656 |
|
Taylor K Boudreau
242 Green St |
$27.21 | 1,060 | 1,047 |
|
Kathleen Marie Telepciak
242 Green St |
$48.57 | 1,125 | 1,084 |
|
Robert John Perry
242 Green St |
$63.37 | 1,185 | 1,055 |
|
Sarah Leonard
232 Main St |
$69.07 | 1,244 | 783 |
|
Erin Kate Dooley
250 Green St |
$67.15 | 1,286 | 1,239 |
|
Richard E. Genovese
31 Lake St |
$17.61 | 1,320 | 1,315 |
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 Gardner, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gardner, MA is $62.74 per claim, based on 160,889 claims from 72 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 Gardner, MA?
There are 72 Medicaid providers offering Office Visit related services in Gardner, MA according to public payment data.
What is the price range for Office Visit in Gardner, MA?
Medicaid reimbursement for Office Visit in Gardner, MA ranges from $0.00 to $153.73 per claim, with an average of $62.74. 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 Gardner, MA
Blood Work & Lab Tests
Avg $8.81
132,814 claims
Emergency Room Visit
Avg $114.93
72,139 claims
Non-Emergency Medical Transportation
Avg $22.94
63,712 claims
Ambulance Transport
Avg $88.77
63,367 claims
Home Health Visit
Avg $21.44
39,730 claims
Psychiatric Evaluation
Avg $80.12
36,396 claims
Behavioral & Mental Health Therapy
Avg $86.86
35,286 claims
Urinalysis & Urine Tests
Avg $3.09
29,898 claims