Average Medicaid Office Visit Payments in Holyoke, MA: $62.81
Avg. Paid
$62.81
Range
$0.75 – $165.49
Total Claims
500,498
Providers
171
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 Holyoke, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Holyoke Medical Center, Inc.
575 Beech St |
$137.49 | 90,063 | 77,285 |
|
River Valley Counseling Center, Inc
303 Beech St |
$71.50 | 23,997 | 23,226 |
|
Nicole Saramago
306 Race St |
$55.97 | 15,227 | 11,039 |
|
Ana Mercedes Roca Mattei
2 Hospital Dr., Suite 101 Western Mass Physician Associ |
$44.36 | 14,935 | 14,180 |
|
Total Wellness Centers, Llc
59 Bobala Rd |
$87.80 | 13,148 | 8,878 |
|
Purnima S Adlakha
10 Hospital Dr Ste 311 |
$56.31 | 11,595 | 10,951 |
|
Muhammad Zubair Kareem
15 Hospital Dr |
$62.15 | 10,863 | 10,374 |
|
Lorenver O Po
2 Hospital Dr Suite 101 |
$47.18 | 9,935 | 9,403 |
|
Kenneth S Aquilino
2 Hospital Dr |
$45.82 | 9,574 | 9,237 |
|
Mohammad Syed Ali Hazratji
15 Hospital Dr |
$56.11 | 9,190 | 8,877 |
|
Yuri Khibkin
10 Hospital Dr Ste 103 |
$24.11 | 7,932 | 6,742 |
|
Marc J Zerbe
15 Hospital Dr., Suite 501 |
$37.94 | 6,949 | 6,203 |
|
Nicholas John Felton
1221 Main St |
$38.88 | 6,416 | 6,092 |
|
Fred H. Kim
230 Maple St Ste 1 |
$49.85 | 6,091 | 5,548 |
|
Bethany Williams
18 Hospital Dr |
$40.29 | 5,985 | 5,636 |
|
David P Norton
150 Lower Westfield Rd |
$52.76 | 5,961 | 5,815 |
|
Margaret B Rounds
150 Lower Westfield Rd Ste 1 |
$50.06 | 5,867 | 5,661 |
|
Patricia P. Petrosky
150 Lower Westfield Rd |
$51.45 | 5,702 | 5,545 |
|
Kevin William Hulseberg
2 Hospital Dr |
$54.78 | 5,559 | 5,407 |
|
David N Gottsegen
150 Lower Westfield Rd |
$62.44 | 5,469 | 5,341 |
|
Mohammad Saleem Bajwa
10 Hospital Dr |
$29.01 | 5,338 | 5,024 |
|
Renuka Dulala
575 Beech St |
$28.36 | 4,990 | 4,664 |
|
Kalyani Ganjigunte Subramanyam
40 Bobala Rd |
$59.49 | 4,970 | 4,548 |
|
Zubeena Mateen
575 Beech St |
$29.78 | 4,858 | 4,513 |
|
Holyoke Health Center Inc.
230 Maple St |
$11.69 | 4,680 | 4,171 |
|
Owen M Zaret
10 Hospital Dr |
$26.34 | 4,564 | 4,482 |
|
Morris C Lainer
2 Hospital Drive |
$32.60 | 4,560 | 4,252 |
|
Lisa Harvey
230 Maple St |
$68.90 | 4,409 | 2,247 |
|
Thomas James Graziano
10 Hospital Dr Ste 104 |
$36.54 | 4,200 | 3,826 |
|
Hariharan Subramanian
575 Beech St |
$30.50 | 4,188 | 4,050 |
|
Angelica S. Harakas
1727 Northampton St |
$57.14 | 4,144 | 3,995 |
|
Francis M Croke
10 Hospital Dr |
$43.15 | 4,102 | 3,963 |
|
Martin Lesser
1236 Main St |
$52.35 | 4,097 | 3,461 |
|
Kimberly A Bucknor
10 Hospital Dr Ste 106 |
$45.06 | 4,003 | 3,848 |
|
Paula A Condon
150 Lower Westfield Rd |
$53.61 | 3,951 | 3,860 |
|
Scott Lemme
150 Lower Westfield Rd |
$57.07 | 3,921 | 3,822 |
|
Erica H Kates
150 Lower Westfield Rd Ste 1 |
$53.01 | 3,879 | 3,763 |
|
Elias Name
230 Maple St Ste 1 |
$3.82 | 3,719 | 3,453 |
|
Kefah Raed A. Al-Ramahi
230 Maple St Ste 1 |
$33.10 | 3,569 | 3,324 |
|
Lesley B Mugford
150 Lower Westfield Rd |
$53.39 | 3,527 | 3,463 |
|
Robert J Cooper
10 Hospital Dr Ste 104 |
$35.19 | 3,525 | 3,344 |
|
Dilpreet Kaur Singh
10 Hospital Dr |
$45.97 | 3,490 | 3,263 |
|
Joanne M. Kennedy
10 Hospital Dr |
$25.69 | 3,481 | 3,200 |
|
Noah Epstein
10 Hospital Dr |
$29.94 | 3,447 | 3,277 |
|
Lynda Lafountain
303 Beech Street |
$81.11 | 3,404 | 3,247 |
|
Tapestry Health Systems
306 Race St |
$65.68 | 3,392 | 3,300 |
|
Elizabeth C. Langmore-Avila
230 Maple Street |
$79.60 | 3,362 | 3,183 |
|
Thevenin Carl Henry Beauzile
230 Maple St |
$3.60 | 3,115 | 2,806 |
|
Sandip T Maru
2 Hospital Dr Ste 2013 |
$28.43 | 2,967 | 2,767 |
|
Nirav Sheth
575 Beech St |
$26.13 | 2,936 | 2,808 |
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 Holyoke, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Holyoke, MA is $62.81 per claim, based on 500,498 claims from 171 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 Holyoke, MA?
There are 171 Medicaid providers offering Office Visit related services in Holyoke, MA according to public payment data.
What is the price range for Office Visit in Holyoke, MA?
Medicaid reimbursement for Office Visit in Holyoke, MA ranges from $0.75 to $165.49 per claim, with an average of $62.81. 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 Holyoke, MA
Blood Work & Lab Tests
Avg $34.05
1,717,903 claims
Substance Abuse Treatment
Avg $16.53
889,383 claims
Psychiatric Evaluation
Avg $82.95
568,889 claims
Dental Cleaning & Exam
Avg $39.21
407,643 claims
Non-Emergency Medical Transportation
Avg $26.10
278,577 claims
Case Management Services
Avg $108.38
239,233 claims
Emergency Room Visit
Avg $152.02
134,354 claims
Dental Filling
Avg $70.92
118,119 claims