Average Medicaid Office Visit Payments in Jamaica Plain, MA: $35.24
Avg. Paid
$35.24
Range
$2.39 – $148.78
Total Claims
157,859
Providers
97
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 Jamaica Plain, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jose E Ruano
373 S Huntington Ave |
$33.78 | 13,423 | 11,085 |
|
Wanda Lopez-Rodriguez
3297 Washington Street |
$28.57 | 8,731 | 8,473 |
|
Mayra Ivelisse Cruz Polanco
545A Centre St |
$36.06 | 6,510 | 6,046 |
|
Anne Margaret Welch-Cameron
3297 Washington St |
$30.27 | 6,172 | 5,797 |
|
Bevin E Kenney
3297 Washington St |
$29.83 | 5,881 | 5,677 |
|
Barbara Sisson
640 Centre St |
$37.58 | 5,274 | 5,088 |
|
Laura Osmond Marcus
640 Centre St |
$25.17 | 5,237 | 5,015 |
|
Mary-Christine Sullivan
3297 Washington St |
$27.96 | 5,010 | 4,706 |
|
Hubertus F Kiefl
3297 Washington Street |
$30.11 | 4,503 | 4,180 |
|
Daniel F Melville
545 A Centre St |
$34.11 | 4,429 | 4,102 |
|
Sonia Diaz
3297 Washington St |
$26.19 | 4,236 | 4,051 |
|
Barbara Rose Gottlieb
3297 Washington Street |
$26.89 | 4,083 | 3,912 |
|
Robert Milton Hartley
3297 Washington St |
$36.74 | 3,983 | 3,869 |
|
Maura E Stanton
170 Morton St |
$60.14 | 3,851 | 3,422 |
|
Mohammed A. Issa
1153 Centre St |
$30.82 | 3,358 | 3,191 |
|
Carolyn Rundquist
640 Centre St |
$39.89 | 3,294 | 3,176 |
|
Ho-Wen Hsu
Umass Medical School |
$59.63 | 3,224 | 2,948 |
|
Liliana Rosselli Risal
640 Centre Street |
$44.63 | 3,150 | 3,044 |
|
Gail Shai Levine
640 Centre Street |
$53.23 | 3,055 | 2,891 |
|
Michael Whitfield Mcdonald
1153 Centre St |
$34.39 | 2,857 | 2,820 |
|
Staci R Eisenberg
1153 Centre St |
$47.85 | 2,844 | 2,767 |
|
Gonzalo Josue Graupera
640 Centre St |
$33.69 | 2,843 | 2,750 |
|
John Jewett
3297 Washington St |
$34.09 | 2,576 | 2,444 |
|
Jennice Batista
3297 Washington St |
$2.58 | 2,509 | 2,222 |
|
Victoria Elizabeth Hill
3297 Washington St |
$26.17 | 2,468 | 2,316 |
|
Michael Aaron Lambert
640 Centre St |
$35.49 | 2,301 | 2,248 |
|
Clyde L Smith
640 Centre St |
$39.17 | 2,283 | 2,148 |
|
Colleen A Monaghan
75 Bickford St |
$48.01 | 2,261 | 2,217 |
|
Kamel Gherbi
180 Morton St |
$32.67 | 2,246 | 2,002 |
|
Robert Calabresi Oldshue
640 Centre Street |
$25.91 | 2,118 | 1,951 |
|
Anna Elisabeth Daren
3297 Washington St |
$14.70 | 1,992 | 1,817 |
|
Yulia Santa
640 Centre St |
$2.39 | 1,764 | 1,683 |
|
Zoe Haemer
640 Centre St |
$10.62 | 1,749 | 1,605 |
|
Mohini A Daya
3297 Washington St |
$40.81 | 1,743 | 1,677 |
|
James Forster Bastian
640 Centre Street |
$45.45 | 1,569 | 1,530 |
|
Karen Ann Siller
640 Centre St |
$43.86 | 1,539 | 1,475 |
|
Laura Reis
545A Centre St |
$37.95 | 1,535 | 1,458 |
|
Jeremy Taylor Smith
1153 Centre Street |
$44.77 | 1,506 | 1,482 |
|
Eric Michael Bluman
1153 Centre Street |
$34.93 | 1,295 | 1,250 |
|
Christa L Jean-Baptiste
3297 Washington St |
$7.00 | 1,119 | 1,054 |
|
Mary Susan Schilling
3297 Washington St |
$41.09 | 1,107 | 1,096 |
|
Soraya Naqvi
3297 Washington St |
$17.21 | 914 | 862 |
|
Iris Vicencio-Rasku
150 S Huntington Ave Bldg 9 |
$73.20 | 806 | 725 |
|
Amy Leazes
301 S Huntington Ave |
$38.23 | 797 | 745 |
|
Kasey Lynn Hamel
1153 Centre St |
$43.30 | 764 | 740 |
|
Rahul Gupta
1153 Centre Street |
$57.94 | 698 | 682 |
|
Tomoko Okada
1153 Centre St |
$52.21 | 646 | 629 |
|
Eileen Jan Wong
180 Morton St |
$34.47 | 645 | 568 |
|
Anthony Edward Webber
1153 Centre St |
$15.82 | 615 | 571 |
|
Daniel Luther
170 Morton St |
$37.23 | 605 | 578 |
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 Jamaica Plain, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jamaica Plain, MA is $35.24 per claim, based on 157,859 claims from 97 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 Jamaica Plain, MA?
There are 97 Medicaid providers offering Office Visit related services in Jamaica Plain, MA according to public payment data.
What is the price range for Office Visit in Jamaica Plain, MA?
Medicaid reimbursement for Office Visit in Jamaica Plain, MA ranges from $2.39 to $148.78 per claim, with an average of $35.24. 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 Jamaica Plain, MA
Home Health Visit
Avg $104.56
229,400 claims
Case Management Services
Avg $92.25
207,350 claims
Personal Care Services
Avg $168.53
162,285 claims
Substance Abuse Treatment
Avg $128.33
61,997 claims
Dental Cleaning & Exam
Avg $37.31
54,904 claims
EKG / ECG (Electrocardiogram)
Avg $4.27
37,466 claims
Behavioral & Mental Health Therapy
Avg $140.32
33,401 claims
Psychiatric Evaluation
Avg $66.42
31,964 claims