Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Holden, MA: $68.87

Avg. Paid

$68.87

Range

$26.83 – $106.08

Total Claims

40,797

Providers

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 Holden, MA

Provider	Avg. Paid	Claims	Patients
Frederic Baker 52 Boyden Rd	$71.60	13	13
Allison Nourielle Darvish 10 Lexington Cir	$53.28	64	64
John C Whiting 64 Boyden Rd	$55.51	77	71
Kimberly J Adamson 64 Boyden Rd	$26.83	94	93
Elizabeth M Benjevin 24 Ash Cir	$106.08	98	98
Martha Borges Waite 64 Boyden Rd	$66.65	106	104
Joseph Sarmento Silva 64 Boyden Rd	$65.46	112	107
Kristen Elizabeth Newsom 64 Boyden Rd	$105.85	160	151
William Charles O'Callahan 5 Shrewsbury St Ste D	$50.12	214	204
Maglenes Fay Hoogasian 64 Boyden Rd	$45.83	302	276
Asjad Mahmood Ali 27 Shrewsbury St	$68.47	317	309
Morgan E. Brescia 64 Boyden Rd	$88.08	325	316
Donald P Jackel 5 Shrewsbury St Ste D	$53.16	337	323
Richard Julien Freniere 5 Shrewsbury St Ste D	$47.11	364	355
Peter W Rugg 5 Shrewsbury St Ste D	$56.77	392	375
Estela Trebicka 64 Boyden Rd	$73.07	392	384
Karen-Whitley Bishop 5 Shrewsbury St Ste D	$47.66	420	403
Lisa Anne Masciarelli 64 Boyden Rd	$69.41	505	489
Robert Jay Cooke 5 Shrewsbury St Ste D	$48.02	508	478
Perry Psychiatry, Llc 1161 Main St Fl 2	$59.56	532	511
Karin Rondeau 64 Boyden Rd	$67.41	650	597
Stephen J Smith 27 Shrewsbury St	$77.78	700	662
Alyssa M Bellino 64 Boyden Rd	$78.40	777	748
David Scott Shepro 48 Lexington Circle	$38.08	885	787
Urgent Care Specialists Pc 5 Shrewsbury St Ste D	$64.29	903	870
Sunita N Godiwala 11 Mayo Dr	$92.07	974	940
Megan M. Persenaire 64 Boyden Rd	$59.10	988	967
Leonard A Waice Wachusett Family Practice	$50.39	1,206	1,163
Rock H. Jean-Guillaume 5 Shrewsbury St Ste D	$28.00	1,300	1,201
Mary Poulias Mitchell 64 Boyden Rd	$93.75	1,323	1,264
Jared James Scaramuzzi 1355 Main St	$63.97	1,619	1,537
Ronald S Tadiri 64 Boyden Rd	$90.57	3,067	2,941
Pamela J Sansoucy 64 Boyden Rd	$63.09	4,289	3,987
Saima Kane 64 Boyden Rd	$47.88	4,370	3,896
Erica Perry 1161 Main St Fl 2	$80.83	12,414	11,040

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 Holden, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Holden, MA is $68.87 per claim, based on 40,797 claims from 35 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 Holden, MA?

There are 35 Medicaid providers offering Office Visit related services in Holden, MA according to public payment data.

What is the price range for Office Visit in Holden, MA?

Medicaid reimbursement for Office Visit in Holden, MA ranges from $26.83 to $106.08 per claim, with an average of $68.87. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Holden, MA: $68.87

Providers Offering Office Visit in Holden, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Holden, MA

Physical Therapy

Eye Exam

Emergency Room Visit

Non-Emergency Medical Transportation

Ambulance Transport

Vaccines & Immunizations

Psychiatric Evaluation

Nursing Facility Care