Average Medicaid Office Visit Payments in Hadley, MA: $100.49
Avg. Paid
$100.49
Range
$25.19 – $546.89
Total Claims
41,070
Providers
17
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 Hadley, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kent Steven Hesse
138 Russell St |
$26.04 | 6,587 | 6,544 |
|
Ileana Miranda-Velazquez
108 Russell St |
$28.16 | 5,354 | 4,971 |
|
Rebekah B Diky
424 Russell St |
$546.89 | 5,036 | 4,564 |
|
Paul Francis Sahd
234 Russell Street |
$44.48 | 4,950 | 4,545 |
|
Christopher S Footit
8 River Dr |
$41.15 | 4,759 | 4,402 |
|
Michael L Rossen
31 Campus Plaza Rd Ste B |
$56.53 | 2,872 | 2,616 |
|
Bruce I Goderez
8 River Dr |
$25.63 | 1,939 | 1,738 |
|
Amy Zurba
234 Russell St # 7 |
$45.74 | 1,907 | 1,796 |
|
Robert B Weitzman
234 Russell St |
$50.93 | 1,579 | 1,463 |
|
Allan P. Baustin
234 Russell St |
$38.97 | 1,504 | 1,444 |
|
Jessica Zeuli Dacus
234 Russell St |
$46.50 | 1,144 | 1,078 |
|
Emily S Marsters
234 Russell St |
$30.33 | 1,017 | 953 |
|
Kathleen M Sylvester
234 Russell St Ste 7 |
$25.19 | 922 | 737 |
|
Peter A. Weitzman
234 Russell St |
$60.73 | 886 | 825 |
|
Julie M. Stanton
234 Russell St |
$52.12 | 332 | 322 |
|
Medexpress Urgent Care, Pc - Massachusetts
424 Russell St |
$66.44 | 236 | 235 |
|
Kaileen Riley Canon
234 Russell St # 7 |
$52.44 | 46 | 46 |
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 Hadley, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hadley, MA is $100.49 per claim, based on 41,070 claims from 17 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 Hadley, MA?
There are 17 Medicaid providers offering Office Visit related services in Hadley, MA according to public payment data.
What is the price range for Office Visit in Hadley, MA?
Medicaid reimbursement for Office Visit in Hadley, MA ranges from $25.19 to $546.89 per claim, with an average of $100.49. 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 Hadley, MA
Non-Emergency Medical Transportation
Avg $17.37
49,313 claims
Behavioral & Mental Health Therapy
Avg $206.16
11,948 claims
Dental Cleaning & Exam
Avg $42.72
8,474 claims
Psychiatric Evaluation
Avg $26.77
7,222 claims
Eye Exam
Avg $29.13
6,800 claims
Physical Therapy
Avg $21.74
4,446 claims
Dental Filling
Avg $99.29
1,049 claims
Vaccines & Immunizations
Avg $50.66
674 claims