Average Medicaid Office Visit Payments in Hyannis, MA: $53.14
Avg. Paid
$53.14
Range
$0.00 – $177.68
Total Claims
251,266
Providers
226
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 Hyannis, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vimal Patel
105 Park St |
$60.32 | 31,671 | 26,315 |
|
Cape Cod Healthcare Inc.
460 W Main St |
$75.27 | 25,534 | 24,493 |
|
Mamdouh M Riad
700 Attucks Ln |
$44.55 | 8,435 | 8,084 |
|
Cape Cod Hospital Inc
27 Park St |
$177.68 | 7,884 | 7,239 |
|
Medical Affiliates Of Cape Cod, Inc.
27 Park St |
$28.73 | 5,589 | 5,131 |
|
Victor J Cillis
100 Independence Dr |
$85.87 | 5,005 | 4,670 |
|
Brian C Najarian
130 North St |
$59.79 | 4,675 | 4,529 |
|
John W Ten Broeke
25 Main St |
$44.91 | 4,212 | 3,743 |
|
John Morris Bete
46 North St |
$30.60 | 3,563 | 3,384 |
|
Margaret Putnam
27 Park St |
$59.55 | 3,480 | 3,405 |
|
Rajeev Sharma
27 Park St |
$56.07 | 3,208 | 3,008 |
|
Richard E Baker
68 Camp St Ste 2 |
$22.89 | 3,207 | 3,087 |
|
Mark William Wolfe
25 Main St |
$42.08 | 3,205 | 3,149 |
|
David J Brown
700 Attucks Ln Unit 1C |
$39.04 | 3,192 | 3,129 |
|
Kyle Matthew Rickstad
130 North St |
$63.91 | 3,109 | 2,979 |
|
Jose Manuel Reyes
110 Main Street |
$38.76 | 3,012 | 2,923 |
|
Michael Foster Neel
43 Lewis Bay Rd |
$33.18 | 2,862 | 1,793 |
|
Health Imperatives Inc.
1019 Iyannough Rd |
$63.45 | 2,846 | 2,781 |
|
Lindley Gifford
30 Elm Ave |
$1.70 | 2,788 | 2,581 |
|
James A Mccarthy
40 Quinlan Way |
$38.34 | 2,781 | 2,765 |
|
Wesley Neal Klein
68 Camp St Ste 1 |
$33.77 | 2,658 | 2,380 |
|
Muhammad Usman Qadir
130 North St |
$50.53 | 2,553 | 2,386 |
|
Physicians Of Cape Cod Hospital
27 Park St |
$61.21 | 2,440 | 2,022 |
|
Kara Fleming
735 Attucks Lane |
$0.65 | 2,353 | 2,163 |
|
Neena Chaturvedi
100 Independence Dr |
$5.33 | 2,304 | 2,118 |
|
Anne L Bateman
259 North St Ste 1A |
$16.28 | 2,303 | 2,100 |
|
Edward Farrow Caldwell
65 Cedar St |
$44.53 | 2,208 | 2,187 |
|
Cynthia M Rodriguez
22 Lewis Bay Rd |
$34.34 | 2,180 | 2,101 |
|
Sarita Bajracharya
22 Lewis Bay Rd |
$41.34 | 2,146 | 2,075 |
|
Harbor Health Services, Inc.
735 Attucks Ln |
$42.51 | 2,072 | 1,801 |
|
Roger Craig Rosen
100 Camp St |
$30.13 | 2,064 | 1,984 |
|
Ann Trout
700 Attucks Ln |
$84.83 | 1,988 | 1,943 |
|
Steven B Blumberg
68 Camp St |
$38.09 | 1,774 | 1,562 |
|
Lori Ann Turner
735 Attucks Ln |
$0.43 | 1,687 | 1,554 |
|
Luke Francis Daley
25 Main Street |
$51.48 | 1,637 | 1,600 |
|
Michael A Mecley
140 Yarmouth Rd |
$44.55 | 1,621 | 1,576 |
|
John J. Homa
110 Main St |
$38.27 | 1,611 | 1,530 |
|
Richard Joseph Angelo
34 Park St |
$37.79 | 1,608 | 1,556 |
|
Krzysztof Rosadzinski
1030 Falmouth Rd |
$51.81 | 1,605 | 1,597 |
|
Elissa Cooke Thompson
25 Main St |
$44.73 | 1,595 | 1,556 |
|
Brian F Kowal
110 Main St |
$31.17 | 1,591 | 1,498 |
|
Claude-Laurent Sader
25 Main St |
$43.49 | 1,560 | 1,549 |
|
Maria Tereza Dias
1019 Iyannough Rd Ste 1 |
$25.98 | 1,558 | 1,537 |
|
David Alden Wood
65 Cedar St |
$48.22 | 1,542 | 1,527 |
|
Joseph Michael Falank
27 Park Street |
$56.81 | 1,529 | 1,521 |
|
Courtney Marie Lyons
66 Lewis Bay Rd |
$59.39 | 1,448 | 1,420 |
|
Craig Cornwall
27 Park St |
$68.79 | 1,424 | 1,416 |
|
Steven Kohler
27 Park St |
$71.58 | 1,357 | 1,346 |
|
Lura Wendy Marks
46 North St |
$29.68 | 1,262 | 1,248 |
|
Ashley Childers
27 Park St |
$55.17 | 1,234 | 1,220 |
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 Hyannis, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hyannis, MA is $53.14 per claim, based on 251,266 claims from 226 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 Hyannis, MA?
There are 226 Medicaid providers offering Office Visit related services in Hyannis, MA according to public payment data.
What is the price range for Office Visit in Hyannis, MA?
Medicaid reimbursement for Office Visit in Hyannis, MA ranges from $0.00 to $177.68 per claim, with an average of $53.14. 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 Hyannis, MA
Non-Emergency Medical Transportation
Avg $27.24
509,620 claims
Ambulance Transport
Avg $86.05
262,035 claims
Dental Cleaning & Exam
Avg $32.42
197,956 claims
Emergency Room Visit
Avg $127.55
122,041 claims
Behavioral & Mental Health Therapy
Avg $83.93
102,117 claims
Blood Work & Lab Tests
Avg $12.07
98,268 claims
Home Health Visit
Avg $39.19
91,491 claims
EKG / ECG (Electrocardiogram)
Avg $4.72
82,102 claims