Average Medicaid Office Visit Payments in Lenox, MA: $38.09
Avg. Paid
$38.09
Range
$3.15 – $104.80
Total Claims
10,909
Providers
17
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 Lenox, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Terra Lampiasi
55 Pittsfield Rd |
$34.92 | 2,446 | 2,385 |
|
Kathleen D Friend
25 Franklin St |
$51.42 | 1,894 | 1,726 |
|
Michael P Nancollas
3 Melville Ct |
$48.23 | 1,052 | 1,021 |
|
Georgia Bettina Martin
55 Pittsfield Rd Ste 12D |
$36.73 | 978 | 954 |
|
Amanda M Staples Opperman
55 Pittsfield Lenox Rd |
$14.02 | 888 | 851 |
|
Joanne M Michonski
450 Pittsfield Rd |
$43.98 | 846 | 813 |
|
Maureen Elizabeth Monteleone
48 Westminster Rd |
$40.64 | 470 | 464 |
|
Dana Frank
12 Church St |
$3.15 | 448 | 429 |
|
Kim Charlotta Bladh-Silverstein
55 Pittsfield Rd |
$34.76 | 400 | 388 |
|
Calla Rae Delsignore
55 Pittsfield Rd |
$37.11 | 356 | 335 |
|
John Paul Hickey
55 Pittsfield Rd |
$50.66 | 356 | 330 |
|
Amanda Lee Hughes
55 Pittsfield Rd |
$12.26 | 204 | 198 |
|
Jesse Adam Goodman
38 Church St |
$65.52 | 189 | 136 |
|
Herbert Eldon Gregg
91 West Street |
$38.61 | 157 | 157 |
|
Philip Malm
55 Pittsfield Rd Ste 12D |
$9.05 | 125 | 124 |
|
Mari Kaymakcian Kayajian
55 Pittsfield Rd Ste 9 |
$75.60 | 64 | 64 |
|
Gabriella Kovi
4 Woods Ln |
$104.80 | 36 | 36 |
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 Lenox, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lenox, MA is $38.09 per claim, based on 10,909 claims from 17 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 Lenox, MA?
There are 17 Medicaid providers offering Office Visit related services in Lenox, MA according to public payment data.
What is the price range for Office Visit in Lenox, MA?
Medicaid reimbursement for Office Visit in Lenox, MA ranges from $3.15 to $104.80 per claim, with an average of $38.09. 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 Lenox, MA
Psychiatric Evaluation
Avg $65.35
5,789 claims
Ultrasound
Avg $32.97
4,181 claims
Nursing Facility Care
Avg $16.74
1,974 claims
Ambulance Transport
Avg $51.64
1,287 claims
Physical Therapy
Avg $12.04
1,218 claims
Dental Cleaning & Exam
Avg $35.98
857 claims
X-Ray
Avg $7.44
799 claims
Vaccines & Immunizations
Avg $14.76
96 claims