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
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