Average Medicaid Office Visit Payments in Lawrence, MA: $45.78
Avg. Paid
$45.78
Range
$0.00 – $165.49
Total Claims
722,961
Providers
249
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 Lawrence, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Column Health, Llc
290 Merrimack St Ste 106 |
$38.82 | 59,447 | 35,909 |
|
Greater Lawrence Family Health Center, Inc.
34 Haverhill St |
$10.83 | 48,636 | 43,746 |
|
Joel A Gorn
101 Amesbury St |
$47.39 | 30,303 | 27,307 |
|
Jose R Baez
25 Marston St |
$53.51 | 30,263 | 27,576 |
|
Wensheng Winston Yao
410 Essex St |
$71.60 | 25,680 | 25,534 |
|
Phi Van Tran
34 Haverhill St |
$27.93 | 23,114 | 22,096 |
|
Kenneth Patrick Fowler
500 Merrimack St |
$58.26 | 19,948 | 18,071 |
|
Vladan P Milosavljevic
354 Merrimack St |
$49.54 | 19,196 | 18,774 |
|
Suzanne Maria Damiani
500 Merrimack St |
$54.01 | 16,358 | 15,462 |
|
Asia Zaheen
25 Marston St |
$59.18 | 14,938 | 12,910 |
|
Ramon Alberto Suarez-Martinez
320 Essex St |
$56.34 | 13,802 | 10,772 |
|
Emily Ying Liu
500 Merrimack St |
$49.47 | 13,752 | 13,556 |
|
Moshe Abraham Rancier
500 Merrimack St |
$41.99 | 13,010 | 12,287 |
|
Fcp, Inc
360 Merrimack St |
$68.93 | 12,797 | 11,935 |
|
Julia Tse
34 Haverhill St |
$4.52 | 11,724 | 7,247 |
|
Sonja K Raslavicus
370 Merrimack St |
$54.45 | 11,692 | 11,478 |
|
Maosong Qi
354 Merrimack St Ste 1 |
$56.15 | 11,557 | 11,304 |
|
Jeffrey S Geller
360 Merrimack St Ste 9 |
$38.07 | 11,030 | 8,944 |
|
Myrta Ines Otero
354 Merrimack St |
$91.60 | 10,840 | 10,742 |
|
Gail Beaven Wangerin
599 Canal St |
$41.92 | 9,561 | 8,765 |
|
Mary Lynn Joe
360 Merrimack St |
$38.01 | 7,192 | 7,014 |
|
James A Cheverie
500 Merrimack St |
$73.67 | 7,153 | 3,592 |
|
David Farzan
25 Marston St |
$58.63 | 7,119 | 6,470 |
|
Christina Zinna Meade
280 Merrimack St Ste 141 |
$18.80 | 7,025 | 6,306 |
|
Lawrence General Hospital
1 General St |
$10.52 | 6,835 | 6,165 |
|
Karen Ingrid Hunt
25 Marston St 3Rd Fl |
$55.20 | 6,486 | 5,950 |
|
Bryan D Stone
500 Merrimack St |
$74.17 | 6,383 | 6,242 |
|
Lanny Y Xue
354 Merrimack St Ste 1 |
$48.65 | 6,189 | 5,812 |
|
Grace K Corbi
34 Haverhill St |
$28.82 | 5,795 | 5,459 |
|
Andreas P Schoeck
354 Merrimack St |
$51.05 | 5,565 | 5,495 |
|
Rami Rustum
280 Merrimack St |
$20.60 | 5,198 | 4,916 |
|
Mathew Kiio
599 Canal St Fl 6E |
$76.73 | 4,951 | 4,571 |
|
Diane Elizabeth Hazel
500 Merrimack St |
$38.28 | 4,748 | 4,548 |
|
Igor Stavitsky
1 General St |
$73.15 | 4,708 | 3,437 |
|
Vidal Primiterio
25 Marston St |
$44.56 | 4,356 | 4,139 |
|
Marie A. Levesque
25 Marston St |
$59.65 | 4,251 | 2,993 |
|
Neil Martin
500 Merrimack St |
$51.21 | 4,103 | 4,035 |
|
Geoffrey Alan Pechinsky
34 Haverhill St |
$2.07 | 4,067 | 2,758 |
|
Ani Pavli
290 Merrimack St Ste 205 |
$38.06 | 4,006 | 3,853 |
|
Torkom Armen Garabedian
25 Marston Street |
$41.89 | 3,961 | 3,792 |
|
Jennifer Marie Genta
360 Merrimack St |
$37.76 | 3,925 | 3,440 |
|
Robert Godefroi
500 Merrimack St |
$72.50 | 3,826 | 3,248 |
|
Goslyn Rheuben Sylvan
500 Merrimack St |
$49.52 | 3,817 | 3,712 |
|
Thomas Joseph Mclaughlin
599 Canal Street 5Th Floor |
$54.01 | 3,659 | 2,761 |
|
Kruti Parikh
500 Merrimack St |
$30.12 | 3,550 | 3,387 |
|
Ernesto Lopez
101 Amesbury St |
$46.44 | 3,478 | 2,984 |
|
Sangeeta S Nadkarni
500 Merrimack St |
$40.00 | 3,456 | 3,410 |
|
Rebecca Marie Cianciolo
370 Merrimack St |
$59.07 | 3,364 | 3,319 |
|
Leah Fiorante
500 Merrimack St |
$38.09 | 3,357 | 3,216 |
|
Richard Choi
25 Marston St Ste 105 |
$65.14 | 3,351 | 3,198 |
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 Lawrence, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lawrence, MA is $45.78 per claim, based on 722,961 claims from 249 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 Lawrence, MA?
There are 249 Medicaid providers offering Office Visit related services in Lawrence, MA according to public payment data.
What is the price range for Office Visit in Lawrence, MA?
Medicaid reimbursement for Office Visit in Lawrence, MA ranges from $0.00 to $165.49 per claim, with an average of $45.78. 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 Lawrence, MA
Home Health Visit
Avg $118.51
808,183 claims
Blood Work & Lab Tests
Avg $3.75
595,109 claims
Case Management Services
Avg $69.85
556,223 claims
Non-Emergency Medical Transportation
Avg $33.62
493,539 claims
Dental Cleaning & Exam
Avg $37.45
448,583 claims
Psychiatric Evaluation
Avg $74.66
447,839 claims
Substance Abuse Treatment
Avg $39.57
402,897 claims
Personal Care Services
Avg $111.34
341,169 claims