Average Medicaid Office Visit Payments in Ipswich, MA: $51.82
Avg. Paid
$51.82
Range
$1.19 – $61.30
Total Claims
7,638
Providers
10
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 Ipswich, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carl A Soderland
36 Essex St |
$40.85 | 13 | 12 |
|
Marisa Modini Bochman
36 Essex Rd |
$3.29 | 13 | 12 |
|
Erin F Heiskell
130 County Rd |
$33.93 | 61 | 60 |
|
Joshua Nathan Eigen
25 R Market St. |
$1.19 | 113 | 86 |
|
Nicole Anna Louis-Jean
36 Essex Rd Ste 1 |
$42.90 | 220 | 214 |
|
Curtis P Ersing
130 County Rd |
$38.77 | 1,104 | 1,000 |
|
Kathleen Townes
36 Essex Rd |
$53.74 | 1,209 | 1,155 |
|
Eugene J. Boss
36 Essex Rd |
$46.98 | 1,355 | 1,280 |
|
Laura Lea Jett
36 Essex Rd |
$61.30 | 1,714 | 1,570 |
|
Francis V Mcdermott
130 County Rd |
$58.31 | 1,836 | 1,747 |
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 Ipswich, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ipswich, MA is $51.82 per claim, based on 7,638 claims from 10 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 Ipswich, MA?
There are 10 Medicaid providers offering Office Visit related services in Ipswich, MA according to public payment data.
What is the price range for Office Visit in Ipswich, MA?
Medicaid reimbursement for Office Visit in Ipswich, MA ranges from $1.19 to $61.30 per claim, with an average of $51.82. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Ipswich, MA
Psychiatric Evaluation
Avg $12.59
4,634 claims
Dental Cleaning & Exam
Avg $41.42
3,593 claims
Physical Therapy
Avg $19.88
2,840 claims
Speech Therapy
Avg $29.54
2,369 claims
Substance Abuse Treatment
Avg $1.17
1,858 claims
Nursing Facility Care
Avg $7.65
1,379 claims
Dental Filling
Avg $73.62
1,066 claims
Vaccines & Immunizations
Avg $12.91
872 claims