Average Medicaid Office Visit Payments in Hingham, MA: $53.21
Avg. Paid
$53.21
Range
$0.00 – $131.47
Total Claims
29,848
Providers
26
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 Hingham, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marilyne Jones-Jenkins
62 Derby St |
$44.40 | 8,196 | 7,862 |
|
Michael W. Geary
2 Pond Park Rd. |
$44.56 | 3,839 | 3,511 |
|
Ravinder S Soodan
72 Sharp St |
$78.09 | 3,166 | 3,047 |
|
Glen D Seidman
2 Pond Park Rd. |
$49.78 | 2,950 | 2,738 |
|
Michael Todd Rowland
2 Pond Park Rd. |
$46.07 | 1,904 | 1,755 |
|
Betty S Lee
300 Linden Ponds Way |
$104.66 | 1,591 | 1,390 |
|
Michael Edward Ayers
2 Pond Park Rd. |
$38.53 | 1,278 | 1,199 |
|
Richard Irving Netsky
175 Derby St Ste 7 |
$51.71 | 1,214 | 1,186 |
|
Rachael A Darian
210 Whiting St Ste 6 |
$55.66 | 1,085 | 620 |
|
Owen Robert Mcconville
2 Pond Park Rd. |
$45.19 | 1,073 | 1,028 |
|
Michael E Marchetti
2 Pond Park Rd. |
$36.89 | 711 | 686 |
|
Jamie Lee Rhynd
210 Whiting St Ste 7 |
$66.30 | 675 | 659 |
|
Maria Clarinda Buencamino-Francisco
25 Recreation Park Dr Ste 112 |
$49.09 | 589 | 556 |
|
Casey Kuripla
2 Pond Park Rd Ste 102 |
$45.05 | 392 | 382 |
|
Steven F Will
20 Myers Farm Rd |
$36.68 | 244 | 238 |
|
Carole Vincent
6 Shipyard Dr Ste 2A |
$114.67 | 216 | 215 |
|
The Rested Mind, Llc
62 Derby St |
$63.43 | 193 | 189 |
|
Larisa Belisle
300 Linden Ponds Way |
$19.20 | 179 | 147 |
|
Katherine Mary Merra
2 Pond Park Rd. |
$53.91 | 96 | 94 |
|
Anne Marie Mingolelli
160 Old Derby St Ste 457 |
$22.28 | 94 | 93 |
|
Olivia Lanna
350 Lincoln St Ste 1102 |
$70.43 | 42 | 41 |
|
Casey O'Donnell
2 Pond Park Rd Ste 303 |
$36.87 | 40 | 37 |
|
Francis Paul Duggan
111 Fitzroy Dr Ste 319 |
$82.63 | 30 | 30 |
|
Julie Parker Haviland
2 Pond Park Rd. |
$45.60 | 27 | 27 |
|
Alyssa Yamartino
6 Shipyard Dr Ste 2A |
$0.00 | 12 | 12 |
|
Michael Patrick O'Reilly
2 Pond Park Rd Ste 102 |
$131.47 | 12 | 12 |
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 Hingham, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hingham, MA is $53.21 per claim, based on 29,848 claims from 26 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 Hingham, MA?
There are 26 Medicaid providers offering Office Visit related services in Hingham, MA according to public payment data.
What is the price range for Office Visit in Hingham, MA?
Medicaid reimbursement for Office Visit in Hingham, MA ranges from $0.00 to $131.47 per claim, with an average of $53.21. 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 Hingham, MA
Behavioral & Mental Health Therapy
Avg $176.21
188,159 claims
Case Management Services
Avg $54.47
92,638 claims
Durable Medical Equipment (DME)
Avg $27.49
45,581 claims
Psychiatric Evaluation
Avg $72.25
9,321 claims
Nursing Facility Care
Avg $13.03
7,973 claims
Home Health Visit
Avg $47.65
5,933 claims
Dental Cleaning & Exam
Avg $43.15
5,071 claims
Ambulance Transport
Avg $90.03
3,519 claims