Average Medicaid Office Visit Payments in Greenfield, MA: $55.82
Avg. Paid
$55.82
Range
$0.00 – $166.25
Total Claims
312,097
Providers
135
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 Greenfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Clinical & Support Options, Inc
1 Arch Pl |
$59.38 | 71,504 | 65,726 |
|
Suzanne Margaret Smith
489 Bernardston Rd Ste 108 |
$72.73 | 30,337 | 19,538 |
|
Sarah Elizabeth Kells
21 Kenwood St |
$51.84 | 11,865 | 8,697 |
|
Baystate Franklin Medical Center
164 High St |
$166.25 | 10,973 | 9,319 |
|
Nitin Bhatnagar
146 Federal St |
$45.55 | 9,885 | 9,668 |
|
Laura Ann Labombard
137 Federal St |
$68.72 | 9,187 | 5,563 |
|
Marguerite C Gump
329 Conway St |
$40.77 | 8,657 | 8,025 |
|
Michael Jay Reeves
329 Conway St |
$41.65 | 8,109 | 7,608 |
|
Anna D. Bingham
329 Conway St |
$42.97 | 7,084 | 6,655 |
|
Servicenet Inc
53 Beacon St |
$81.11 | 6,553 | 6,293 |
|
Peter Brooks Koppenheffer
48 Sanderson St |
$27.93 | 5,846 | 5,673 |
|
Paul David Carlan
329 Conway St |
$38.86 | 5,769 | 5,469 |
|
Joaquin Carral
102 Main St |
$10.94 | 5,181 | 4,148 |
|
Margit Lisa Walker
329 Conway St |
$55.78 | 4,814 | 4,594 |
|
Fabiola Claudia Cancino Ticona
1 Arch Pl |
$26.71 | 4,607 | 4,321 |
|
Dean W. Singer
55 Federal St Ste 220 |
$60.47 | 3,817 | 3,565 |
|
Patricia A Iverson
329 Conway St |
$36.08 | 3,689 | 3,443 |
|
Gloria White
13 Prospect St |
$37.78 | 3,666 | 3,574 |
|
Natalie Harding
329 Conway St |
$10.09 | 3,564 | 3,080 |
|
Jeannette M Tokarz
48 Sanderson St |
$54.35 | 3,510 | 3,418 |
|
Christa M Morris
48 Sanderson St |
$39.13 | 3,197 | 3,062 |
|
Melinda Roldan
6 Arch St |
$58.55 | 2,917 | 2,286 |
|
Nathan J. Macedo
48 Sanderson St |
$41.64 | 2,789 | 2,682 |
|
P Subakeesan
48 Sanderson St Ste 102 |
$24.02 | 2,787 | 2,622 |
|
Sarah Elizabeth Rury
102 Main St |
$16.31 | 2,741 | 2,402 |
|
Katrina Hull
48 Sanderson St |
$67.89 | 2,679 | 2,525 |
|
Laura Duffy
329 Conway St |
$63.67 | 2,663 | 2,412 |
|
Emily C Urquhart
48 Sanderson St |
$53.23 | 2,554 | 2,465 |
|
Nancy D Doubleday
329 Conway St |
$57.19 | 2,546 | 1,768 |
|
Jennifer Lobik
1 Arch Pl |
$38.41 | 2,386 | 1,970 |
|
Matthew Jonathan Spitzer
329 Conway St |
$46.24 | 2,244 | 2,219 |
|
Sherry H Weitzen
48 Sanderson St |
$50.80 | 2,114 | 2,035 |
|
Lisa J Appleton
329 Conway St |
$62.52 | 2,110 | 1,926 |
|
Margaret Anne Ferry
33 Riddell St |
$44.17 | 2,030 | 1,991 |
|
Ariel S Gallant Bernstein
48 Sanderson Street |
$27.86 | 1,953 | 1,818 |
|
Hugh D Roberts
48 Sanderson Street |
$64.76 | 1,888 | 1,798 |
|
Gregory R Murphy
329 Conway St |
$56.22 | 1,809 | 1,767 |
|
Jeffrey Paul Palmer
329 Conway St |
$48.10 | 1,769 | 1,723 |
|
Timothy J Lepore
48 Sanderson St |
$60.27 | 1,609 | 1,525 |
|
Adam C Lau
164 High Street |
$18.44 | 1,566 | 1,450 |
|
James A Arcoleo
164 High St |
$31.92 | 1,542 | 1,507 |
|
Jeffrey Michael Hayer
48 Sanderson Street |
$28.27 | 1,542 | 1,386 |
|
Valley Medical Group, P.C.
329 Conway St |
$94.18 | 1,505 | 1,457 |
|
Pikeshkumar J Patel
48 Sanderson Street |
$44.83 | 1,473 | 1,453 |
|
Adele Marie Checchi
48 Sanderson St |
$59.57 | 1,448 | 1,401 |
|
Ashlee Costa
55 Federal St Ste 220 |
$55.57 | 1,385 | 1,106 |
|
Barbara Jean Berthiaume
329 Conway St |
$70.91 | 1,373 | 1,298 |
|
Paul Tomas Cabral
329 Conway St |
$24.37 | 1,357 | 1,305 |
|
Kathleen Faith Murtland
329 Conway St |
$60.28 | 1,319 | 1,265 |
|
Carol Lynn Conolly
329 Conway St |
$58.69 | 1,296 | 1,239 |
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 Greenfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Greenfield, MA is $55.82 per claim, based on 312,097 claims from 135 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 Greenfield, MA?
There are 135 Medicaid providers offering Office Visit related services in Greenfield, MA according to public payment data.
What is the price range for Office Visit in Greenfield, MA?
Medicaid reimbursement for Office Visit in Greenfield, MA ranges from $0.00 to $166.25 per claim, with an average of $55.82. 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 Greenfield, MA
Psychiatric Evaluation
Avg $73.91
675,880 claims
Substance Abuse Treatment
Avg $30.35
330,296 claims
Behavioral & Mental Health Therapy
Avg $129.70
235,579 claims
Case Management Services
Avg $63.47
188,250 claims
Blood Work & Lab Tests
Avg $19.55
121,769 claims
Dental Cleaning & Exam
Avg $34.46
75,523 claims
Emergency Room Visit
Avg $98.36
73,913 claims
EKG / ECG (Electrocardiogram)
Avg $3.89
67,835 claims