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 |
|---|---|---|---|
|
Catherine M Thompson
40 Quinlan Way |
$40.09 | 12 | 12 |
|
Robyn Amy Sachs
100 Camp Street |
$26.79 | 12 | 12 |
|
Karin L Dauphinee
22 Lewis Bay Rd |
$40.91 | 12 | 12 |
|
Patrice Nichole O'Sullivan
27 Park St |
$21.33 | 12 | 12 |
|
Cape Cod Orthopedics And Sports Medicine Pc
130 North St |
$27.93 | 12 | 12 |
|
Deborah Ann Chapin
40 Quinlan Way |
$17.00 | 12 | 12 |
|
Katelyn Hobill
700 Attucks Ln |
$31.84 | 12 | 12 |
|
Michael Levangie
25 Main St |
$66.95 | 12 | 12 |
|
Jeffrey J Spillane
100 Camp St |
$35.74 | 12 | 12 |
|
Karin A Sloan
46 North St Ste 7 |
$49.42 | 12 | 12 |
|
Susan Colli Wasseluk
105 Park St |
$17.73 | 14 | 13 |
|
William Churchill Lary
89 Lewis Bay Rd Ste 4 |
$21.61 | 14 | 12 |
|
Cari Zigouras
25 Communication Way |
$25.97 | 14 | 14 |
|
Michael Edward Markowski
433 W Main St |
$59.01 | 14 | 12 |
|
Lawrence A Fontana
94 Main St |
$44.13 | 15 | 12 |
|
Holly Rebecca Womack
1030 Falmouth Rd Ste 101 |
$5.63 | 15 | 14 |
|
Abraham P Dietz
63 Camp St |
$88.46 | 15 | 13 |
|
Stephanie Ellis
46 North St |
$42.95 | 15 | 14 |
|
Lauren Murphey Wolff
51 Main St Ste 3 |
$20.15 | 17 | 14 |
|
Timothy Kirk O'Rourke
110 Main St |
$50.61 | 19 | 18 |
|
Lisa Dutra
46 North St |
$27.79 | 24 | 24 |
|
George Fellipe Carvalho
735 Attucks Ln |
$0.00 | 25 | 25 |
|
Glenn Hoffman
27 Park St |
$16.62 | 26 | 25 |
|
Gordon Kenji Nakata
46 North St |
$53.42 | 26 | 26 |
|
Faith Marion Fusco
94 Main St |
$9.62 | 28 | 27 |
|
Monique Danielle Lariviere
65 Cedar St |
$108.12 | 29 | 28 |
|
Kalpna Thuraisamy
1070 Iyannough Rd Ste I10 |
$22.07 | 30 | 23 |
|
Brian M Wolff
51 Main St Ste 3 |
$25.57 | 31 | 30 |
|
John E Oghene
1030 Falmouth Rd |
$56.40 | 31 | 24 |
|
Kelsey Marie Barber
43 Lewis Bay Rd |
$33.39 | 31 | 31 |
|
Raymond Theodore Escher
583 Iyannough Rd |
$24.50 | 32 | 29 |
|
Heather Nicole Holland
43 Lewis Bay Rd |
$29.34 | 33 | 33 |
|
Haven William Spencer
27 Park St |
$67.61 | 35 | 35 |
|
Andrea M. Lyonnais
89 Lewis Bay Rd Unit 4 |
$63.22 | 35 | 24 |
|
Scott A. Barron
27 Park St |
$38.20 | 38 | 38 |
|
Elizabeth R Mclaughlin
65 Cedar St |
$41.72 | 38 | 38 |
|
Jill S Oxley
40 Lewis Bay Rd |
$84.75 | 39 | 39 |
|
Heather Canterbury Lowes Malcomson
433 W Main St |
$28.44 | 39 | 36 |
|
Debra Ann Landry
1030 Falmouth Rd |
$3.69 | 41 | 40 |
|
Claire-Marie Strauss
46 North St |
$58.16 | 41 | 40 |
|
Courtney Miller
65 Cedar St |
$80.01 | 42 | 38 |
|
Philip N Chiotellis
52 Park St |
$44.56 | 42 | 40 |
|
Cardiovascular Consultants Of Cape Cod Llc
140 Yarmouth Road |
$3.44 | 43 | 43 |
|
Albert A Barrows
63 Main St |
$26.68 | 44 | 44 |
|
Amy Louise Gardner
433 W Main St |
$65.91 | 50 | 50 |
|
Lawrence Stephen Mcauliffe
25 Main St |
$53.88 | 52 | 52 |
|
Diane M Ofria
60 Perseverance Way |
$4.33 | 53 | 25 |
|
Brittany Taylor
27 Park St |
$65.17 | 54 | 54 |
|
Shannon Rex
46 North St |
$49.68 | 56 | 56 |
|
Dana Louise Cobb
1030 Falmouth Rd |
$40.83 | 57 | 57 |
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