Average Medicaid Office Visit Payments in Kingston, MA: $77.84
Avg. Paid
$77.84
Range
$0.94 – $119.32
Total Claims
10,358
Providers
14
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 Kingston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jonathan P Metzger
5 Tarkiln Rd |
$79.34 | 12 | 12 |
|
Rachel Ceccarelli
214 Main St |
$4.71 | 15 | 14 |
|
Brenna L. Curran
214 Main St |
$0.94 | 26 | 26 |
|
Mara Linscott
5 Tarkiln Road |
$40.63 | 41 | 38 |
|
Lindsay Mae Murphy
431 Country Club Way |
$55.09 | 45 | 45 |
|
Michael Mario Ignagni
52 Ocean Hill Dr |
$44.30 | 55 | 55 |
|
South Shore Health Express, Inc
182 Summer St # 1277 |
$105.73 | 57 | 54 |
|
Maureen Whitaker
189 Summer St |
$30.64 | 84 | 82 |
|
Thomas Frank Castiglione
5 Tarkiln Rd |
$52.16 | 93 | 89 |
|
Margaret T Anastasi
5 Tarkiln Rd |
$33.26 | 416 | 399 |
|
Rachel Conner
214 Main St |
$37.94 | 847 | 818 |
|
Peter Mciver
214 Main St |
$119.32 | 960 | 929 |
|
Adnan Kamel El-Amine
11 Tremont St |
$47.61 | 2,766 | 2,466 |
|
Thomas Cody
214 Main St |
$99.78 | 4,941 | 4,719 |
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 Kingston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kingston, MA is $77.84 per claim, based on 10,358 claims from 14 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 Kingston, MA?
There are 14 Medicaid providers offering Office Visit related services in Kingston, MA according to public payment data.
What is the price range for Office Visit in Kingston, MA?
Medicaid reimbursement for Office Visit in Kingston, MA ranges from $0.94 to $119.32 per claim, with an average of $77.84. 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 Kingston, MA
Ambulance Transport
Avg $94.92
5,390 claims
Vaccines & Immunizations
Avg $23.16
4,010 claims
Speech Therapy
Avg $16.45
2,835 claims
Physical Therapy
Avg $21.00
2,659 claims
Nursing Facility Care
Avg $10.24
1,145 claims
Psychiatric Evaluation
Avg $115.11
1,069 claims
Culture & Microbiology Tests
Avg $8.93
813 claims
Urinalysis & Urine Tests
Avg $2.36
498 claims