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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Hopkinton, MA: $37.45

Avg. Paid

$37.45

Range

$3.13 – $76.63

Total Claims

13,020

Providers

24

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 Hopkinton, MA

Provider Avg. Paid Claims Patients
Stephanie M. Bodor

77 W. Main St.

 $36.06 1,972 1,852
Michael A Connors

1 Lumber St

 $45.88 1,799 1,772
Arielle Johnson

1 Lumber St

 $39.09 1,609 1,579
Kerri Marie Rothwell

77 Main Street

 $21.01 1,419 1,333
Patty-Ann Krajewski

1 Lumber St

 $41.77 1,093 1,088
Robert D Basow

77 W. Main St.

 $44.73 975 938
Wade D Buckley

1 Lumber St Ste 101

 $40.05 795 788
Marielle Pitts

50 W Main St

 $13.42 673 632
Anne F. Meyer

1 Lumber St

 $47.60 490 486
Kathryn Mcgrath

1 Lumber St

 $19.21 478 451
Irfan M Rahim

77 W Main St

 $45.91 429 386
Claire Y Price

77 W. Main St.

 $44.42 393 376
Melissa Robbins Mahr

77 W Main St Ste 204

 $76.63 204 196
Carrie M Davies

Main Street Pediatrics

 $43.34 157 151
Emily Katherine Blake

12 Jackson St

 $56.37 99 91
Stacey Beberman

77 W Main St

 $14.08 98 94
Danielle Eileen Lacroix

1 Lumber St Ste 200

 $3.13 69 67
Jessica Fedorka

35 Parkwood Dr Ste 205

 $36.93 60 58
Benjamin L. Lieberman

77 W Main St

 $68.63 58 52
Charlotte Beth Delaney

77R W Main Street

 $15.93 55 54
Andrew R. Willment

1 Lumber St Ste 200

 $59.17 40 39
Kevin C. Jillson

1 Lumber St Ste 200

 $37.11 29 27
Cindy Handler Steinberg

77 W Main St

 $65.86 14 13
Sonal Bhavesh Patel

20 Wedgewood Dr

 $30.45 12 12

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 Hopkinton, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hopkinton, MA is $37.45 per claim, based on 13,020 claims from 24 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 Hopkinton, MA?

There are 24 Medicaid providers offering Office Visit related services in Hopkinton, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Hopkinton, MA ranges from $3.13 to $76.63 per claim, with an average of $37.45. 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 Hopkinton, MA

Non-Emergency Medical Transportation

Avg $24.08

116,104 claims

Durable Medical Equipment (DME)

Avg $74.00

6,227 claims

Psychiatric Evaluation

Avg $23.68

4,458 claims

Speech Therapy

Avg $73.40

2,086 claims

Dental Cleaning & Exam

Avg $37.11

1,406 claims

Vaccines & Immunizations

Avg $23.88

1,369 claims

Ambulance Transport

Avg $54.44

1,339 claims

Emergency Room Visit

Avg $52.64

1,255 claims