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Based on public Medicaid payment data.

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
Dionne Botas

230 Maple St

$6.65 12 12
Kristen Heldmann

150 Lower Westfield Road

$115.42 14 12
Cristina M Culcea

18 Hospital Dr

$165.49 14 12
Jessica Lynne Sanky Weir

575 Beech St

$74.06 14 14
Abdonne Ngo Nyele Mbouadeu

98 Lower Westfield Rd Ste 101

$44.28 15 12
Corina Valvo

10 Hospital Dr

$4.62 16 12
Marilyn Cabral

15 Hospital Dr

$42.75 16 16
Johanna Valerie-Elisabeth Mailloux

230 Maple St

$57.26 17 16
Robert J Roose

1233 Main St

$61.26 19 14
Cecilia M Anson-Wonkka

575 Beech Street

$46.88 24 24
Joy Brock

303 Beech St

$126.31 26 26
Jaehyun Byun

230 Maple St

$13.74 28 28
Faith Woodside

230 Maple St Ste 1

$2.35 28 27
Tedd H Ackerman

Holyoke Hospital

$24.90 28 25
Amy Desorgher

15 Hospital Dr

$43.21 30 30
Geena Elizabeth Whittredge

494 Appleton St

$34.72 36 36
Andrew Scott Allard

10 Hospital Dr Ste 203

$28.69 41 40
Juliann Aisha Broderick Allen

10 Hospital Dr

$40.77 42 42
Elise Thomson

306 Race St

$46.76 44 43
Nicole Carretta Phalen

230 Maple St Ste 1

$0.94 49 26
Sara B Eggemeier

15 Hospital Dr Ste 501

$45.91 51 51
Amy Elizabeth Simko

303 Beech St

$76.91 52 51
Martha S Spiro

247 Cabot St

$47.82 53 42
Aysha Khan

10 Hospital Dr Ste 104

$41.86 67 67
Rochelly Maldonado

230 Maple St

$45.95 87 86
Carol J. Patterson

230 Maple St Ste 1

$2.19 88 86
Arielle Jordan Crawford

11 Hospital Dr Fl 3

$17.16 90 84
Melissa Savino

575 Beech St

$41.20 94 90
Heather Marie Roose

1233 Main St

$39.45 96 68
Joel Adam Leconte

575 Beech St

$12.66 147 140
Marie Jane Carrier-Manley

1045 Main St Fl 1

$63.50 162 109
Stephen John Levine

1221 Main St

$53.62 173 154
Megan Filadelfo

230 Maple St

$7.50 178 177
Nina J Kleinberg

230 Maple Street

$42.44 181 178
Deborah Panitch

10 Hospital Dr

$23.84 184 175
Bernard D Clifford

10 Hospital Dr

$30.47 186 185
Glen P Bombardier

10 Hospital Drive

$32.07 210 181
Holyoke Capital Jv, Llc

1233 Main St

$68.82 218 197
David J. Barth

1233 Main St

$63.39 274 171
Melinda Therese Hurteau

2 Hospital Dr

$9.61 279 272
Jodi Ripka

150 Lower Westfield Rd Ste 1

$77.93 300 286
Elaine Skawski

10 Hospital Dr

$46.36 334 315
Jacqueline L. Pleet

150 Lower Westfield Rd

$69.92 345 340
Mary E Norris

2 Hospital Dr

$29.85 351 346
Susanita Mcnabb

575 Beech St

$29.27 428 407
Chhewang Norsang

Providence Behavioral Health Hospital

$27.32 430 422
Colleen Frances Kubisch

489 Whitney Ave

$93.63 436 409
Jeanne Allen

230 Maple St

$2.05 450 439
Meaghan Quist

40 Bobala Rd

$27.51 471 423
Robert M Weiss

10 Hospital Dr

$42.33 475 471

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

Other Procedures in Holyoke, MA