Based on public Medicaid payment data.

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
Karon Belunas 55 Federal St	$71.62	12	12
Robert J Austin Austin Family Eye Care	$16.66	12	12
Gabriele C Karparis 48 Sanderson St	$58.67	13	13
Kaitlin P Debbink 48 Sanderson Street	$27.09	14	14
Katie Rebecca Temes 48 Sanderson St	$47.43	15	14
Derek Thomas Luthi 102 Main St	$5.03	17	14
Marcelline Alane Ciuffreda 489 Bernardston Rd	$13.26	17	16
Cynthia C Lodding 164 High Street	$37.30	20	14
Heba S Wassif 164 High St	$32.18	25	25
Anne Malley Corrinet 48 Sanderson St	$48.60	27	27
Shai Lev-King 329 Conway St	$3.06	27	26
Casey May 102 Main St	$38.62	30	30
Leela Jivan Joy 278 Main St Ste 307A	$48.67	34	33
Molly Spatcher 33 Riddell St	$49.85	42	42
Monica Picard 48 Sanderson St	$0.00	43	43
Erica Domeier 329 Conway St	$64.15	44	43
Irene Rose Soulos 329 Conway St	$19.76	44	39
Rebecca V Reed 489 Bernardston Rd	$48.67	45	45
Laura Kirsten Lewis 164 High St	$50.97	54	53
Connie Lee Turner 48 Sanderson St	$68.68	62	47
Michael D Plager 115 Wildwood Ave	$26.77	62	51
Jessica Nitya Eisenheim 70 Federal St Ste 1	$51.14	77	52
Katherine Anne Krauskopf 329 Conway St	$56.69	94	62
Ryan C. Haug 164 High St	$66.67	117	109
Mark P Bombardier 48 Sanderson St	$29.61	130	125
Matthew Burns 164 High St	$42.33	134	132
Mary Bull Seterdahl 329 Conway St	$46.31	141	133
Rajiv Padmanabhan 48 Sanderson Street	$31.85	141	138
Jane Stewart Lyman 474 Main St	$42.84	151	139
Thomas Hagamen 164 High St	$66.09	153	151
Despina E Hoffman 115 Wildwood Ave	$26.30	179	168
Satish B Muthavarapu 48 Sanderson Street	$51.19	181	178
Jennifer Elizabeth Madden 48 Sanderson St	$41.78	191	188
Jessica Marie Biggie 329 Conway St	$69.83	198	184
Kera Monts 48 Sanderson St	$50.78	200	198
Timothy Kang 164 High St	$27.17	212	210
Neil D Bach 146 Federal St	$43.04	217	217
Sylvia Mary Fremerman 329 Conway St Ste 2	$31.69	223	194
Cheryl L Pascucci 164 High St	$7.18	240	194
Sara A Rourke 48 Sanderson St	$28.68	241	239
Community Health Center Of Franklin County Incorporated 102 Main St	$2.59	250	214
John F Warren 33 Riddell St	$65.62	274	267
Sandra A Thomaier 25 Bank Row St Ste 2S	$47.09	276	266
Linda R Polonsky 48 Sanderson St	$48.98	285	283
Thampi K Ampadi 48 Sanderson St	$41.06	285	283
Gage Azeez 48 Sanderson St	$25.54	292	284
Karen M Scott 164 High St	$70.60	305	255
Stephen H Fox 48 Sanderson Street	$9.83	331	167
Tiffany M Doyle 48 Sanderson St	$38.62	366	354
Elisa Danielle Lafayette 164 High St	$11.74	380	346

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.

Average Medicaid Office Visit Payments in Greenfield, MA: $55.82

Providers Offering Office Visit in Greenfield, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Greenfield, MA

Psychiatric Evaluation

Substance Abuse Treatment

Behavioral & Mental Health Therapy

Case Management Services

Blood Work & Lab Tests

Dental Cleaning & Exam

Emergency Room Visit

EKG / ECG (Electrocardiogram)