Average Medicaid Office Visit Payments in Hopedale, MA: $46.79
Avg. Paid
$46.79
Range
$30.62 – $105.76
Total Claims
8,900
Providers
14
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 Hopedale, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maria Pilar Elisa T. Dayaw
54 Hopedale St |
$46.30 | 1,929 | 1,826 |
|
William Anthony Tosches
54 Hopedale St |
$51.35 | 1,707 | 1,654 |
|
Jayalekshmy B. Kumar
54 Hopedale St |
$53.06 | 1,339 | 1,303 |
|
Alan J. Bell
54 Hopedale St |
$41.14 | 1,133 | 1,117 |
|
Fouad N Aoude
54 Hopedale St Ste 6 |
$58.78 | 604 | 554 |
|
Michael J Mccormick
94 Mendon St |
$42.35 | 595 | 594 |
|
Audrey J Painchaud
54 Hopedale St |
$33.56 | 573 | 566 |
|
Ryan Garman Shipe
94 Mendon St |
$38.88 | 284 | 283 |
|
Deirdre L. Kathman
94 Mendon St |
$41.35 | 245 | 243 |
|
Theresa J Arpin
94 Mendon Rd |
$30.62 | 155 | 152 |
|
Kathleen M Aras-Richard
94 Mendon Street |
$49.13 | 141 | 139 |
|
Jane R Curl
94 Mendon Road |
$36.44 | 123 | 123 |
|
Shahzad Wahed Khan
94 Mendon St |
$51.70 | 57 | 55 |
|
Greater Milford Neurology, Llc
54 Hopedale St |
$105.76 | 15 | 14 |
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 Hopedale, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hopedale, MA is $46.79 per claim, based on 8,900 claims from 14 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 Hopedale, MA?
There are 14 Medicaid providers offering Office Visit related services in Hopedale, MA according to public payment data.
What is the price range for Office Visit in Hopedale, MA?
Medicaid reimbursement for Office Visit in Hopedale, MA ranges from $30.62 to $105.76 per claim, with an average of $46.79. 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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers