Average Medicaid Office Visit Payments in Great Barrington, MA: $80.33
Avg. Paid
$80.33
Range
$12.95 – $297.53
Total Claims
44,810
Providers
25
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 Great Barrington, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Linda F Smothers
Cottage Street |
$38.42 | 11,171 | 10,720 |
|
Ronald J Sunog
100 Maple Ave |
$53.12 | 7,149 | 6,878 |
|
Mitali Saha
100 Maple Ave Ste 1 |
$62.98 | 6,716 | 6,234 |
|
Fairview Hospital
780 Main St |
$297.53 | 4,933 | 4,650 |
|
Fairview Hospital
29 Lewis Ave |
$47.91 | 3,494 | 3,105 |
|
Lisa M Sylvia
100 Maple Ave |
$49.07 | 2,745 | 2,569 |
|
Ruby Chang
100 Maple Ave |
$71.72 | 2,197 | 2,009 |
|
Lisa Marie Marie Chism Fraine
780 Main Street |
$90.36 | 2,109 | 1,419 |
|
Deborah Buccino
100 Maple Ave Ste 1 |
$62.54 | 923 | 891 |
|
Denise Marie Kincaid
780 Main St |
$62.02 | 614 | 539 |
|
Yi-Lo Yu
27 Lewis Ave |
$59.50 | 471 | 463 |
|
Stephen A Alsdorf
444 Stockbridge Road |
$48.23 | 470 | 460 |
|
Kenneth Patterson
29 Lewis Ave |
$72.89 | 337 | 181 |
|
Susan B. Lord
33 Rossetter St |
$76.66 | 228 | 117 |
|
Blake Kent Williams
780 Main St Ste 102 |
$47.46 | 203 | 180 |
|
Laurie Jean Basinait
29 Lewis Ave |
$51.46 | 196 | 180 |
|
Nic'Cole Ashley Lambert-Talhaoui
29 Lewis Ave |
$53.65 | 182 | 159 |
|
Kari Mendel
780 Main St Ste 1 |
$48.58 | 161 | 154 |
|
Edward J Weiner
116 West Ave |
$51.42 | 135 | 130 |
|
Katherine Ryan Waiveris
60 Cottage St |
$31.23 | 110 | 105 |
|
Lisa B Nelson
444 Stockbridge Road |
$57.77 | 91 | 82 |
|
Dawn Marie Scarbro
780 S Main St |
$46.64 | 72 | 63 |
|
Susan N Thompson
63 State Rd |
$61.36 | 46 | 43 |
|
Diane Elizabeth Singer
409 Stockbridge Rd |
$54.26 | 29 | 29 |
|
Kathleen A Floyd
444 Stockbridge Rd |
$12.95 | 28 | 28 |
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 Great Barrington, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Great Barrington, MA is $80.33 per claim, based on 44,810 claims from 25 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 Great Barrington, MA?
There are 25 Medicaid providers offering Office Visit related services in Great Barrington, MA according to public payment data.
What is the price range for Office Visit in Great Barrington, MA?
Medicaid reimbursement for Office Visit in Great Barrington, MA ranges from $12.95 to $297.53 per claim, with an average of $80.33. 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 Great Barrington, MA
Blood Work & Lab Tests
Avg $27.25
38,406 claims
Dental Cleaning & Exam
Avg $27.37
33,127 claims
Emergency Room Visit
Avg $358.90
22,323 claims
Vaccines & Immunizations
Avg $13.47
21,798 claims
Physical Therapy
Avg $60.47
19,426 claims
Psychiatric Evaluation
Avg $63.19
15,184 claims
Ambulance Transport
Avg $65.64
11,472 claims
Dental Filling
Avg $49.59
9,485 claims