Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Gardner, MA: $62.74

Avg. Paid

$62.74

Range

$0.00 – $153.73

Total Claims

160,889

Providers

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
Henry Heywood Memorial Hospital 242 Green St	$153.73	29,649	26,735
Community Health Connections, Inc. 175 Connors Street	$3.85	15,856	14,047
Kalyan Kalava 242 Green St	$28.62	14,552	14,198
Tricia L Vorderstrasse 725 Timpany Blvd	$47.16	11,343	9,988
Thomas Bryan Miller 266 Main St	$60.01	9,642	9,160
Katherine E Fitzgerald 266 Main St	$55.78	9,117	7,128
Jennifer Ryan 57 City Hall Ave	$43.96	6,874	6,259
Carol Anne Furnari 57 City Hall Ave	$42.46	4,305	3,991
Vivian Lee Thorsen 242 Green St Ste 107	$69.61	4,224	2,479
Erin O'Hara 266 Main St	$63.91	3,969	3,795
Matthew J Enos 57 City Hall Ave	$44.29	3,461	3,148
Jared A Toman 250 Green St Ste 205	$33.64	3,460	3,251
Francis John Mclaughlin 250 Green St Ste 110	$61.78	3,372	3,145
Erik William Wisniewski 57 City Hall Ave	$54.33	3,081	2,815
Alice J. Vaine 242 Green St	$45.64	2,375	2,323
Tiffany Osborne 242 Green St	$46.11	2,217	1,892
Elizabeth Ew Temple 242 Green St	$38.52	2,134	2,085
Mariyan Montaque 242 Green St	$42.39	1,933	1,763
William M Griffin 31 Lake St	$32.14	1,855	1,809
Kristina Lahtinen 266 Main St	$44.30	1,594	1,544
Kathryn Oldfield 266 Main St	$47.92	1,577	1,564
Andrew Markwith 250 Green St	$76.73	1,392	1,349
Richard E. Genovese 31 Lake St	$17.61	1,320	1,315
Erin Kate Dooley 250 Green St	$67.15	1,286	1,239
Sarah Leonard 232 Main St	$69.07	1,244	783
Robert John Perry 242 Green St	$63.37	1,185	1,055
Kathleen Marie Telepciak 242 Green St	$48.57	1,125	1,084
Taylor K Boudreau 242 Green St	$27.21	1,060	1,047
Christine M. Mcmahon 250 Green St	$48.19	863	656
Craig Anthony Napolitano 242 Green St	$38.00	837	817
Kim D Houde 175 Connors St	$44.41	818	769
Jeffrey D. Blake 250 Green St	$39.45	749	736
Rebecca M. Worden 250 Green St	$47.08	727	670
Katy-Ann E. Hannigan 250 Green St	$53.71	719	699
Jessica Leblanc 242 Green St	$47.00	713	683
Joseph W Walek 242 Green St	$31.91	664	654
Michael O. Azzoni 250 Green St	$22.13	664	631
Odalys Machin Croteau 374 Elm St	$61.70	636	608
Francis W. Sweeney 250 Green St	$45.57	625	589
Sadie A Eichel 250 Green St	$38.55	622	591
Inna V. Russell 250 Green Street	$78.11	597	521
Erica Lasorsa 266 Main St	$53.46	596	587
Leanne Belcher 266 Main St	$51.82	564	545
Francis Anthony Garofalo 250 Green St	$33.91	523	518
Phani Kishore Molakatalla 250 Green St	$38.20	475	471
Timothy J Eddy 529 Timpany Blvd	$48.23	443	404
Heywood Affiliated Medical Group Inc. 266 Main St	$63.05	399	382
Aimee St Hilaire 242 Green St	$28.13	347	339
Motkar V. Reddy 250 Green St	$37.21	347	346
Tina Vo 266 Main St	$63.08	332	318

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.

Average Medicaid Office Visit Payments in Gardner, MA: $62.74

Providers Offering Office Visit in Gardner, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Gardner, MA

Blood Work & Lab Tests

Emergency Room Visit

Non-Emergency Medical Transportation

Ambulance Transport

Home Health Visit

Psychiatric Evaluation

Behavioral & Mental Health Therapy

Urinalysis & Urine Tests