Average Medicaid Office Visit Payments in Leominster, MA: $74.91
Avg. Paid
$74.91
Range
$1.29 – $444.86
Total Claims
300,728
Providers
172
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 Leominster, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Umass Memorial Healthalliance Clinton Hospital Inc
60 Hospital Rd |
$188.35 | 41,179 | 37,980 |
|
Michael Lyons
100 Hospital Rd |
$53.24 | 18,655 | 17,951 |
|
Sameeksha Meel
60 Hospital Rd |
$67.36 | 13,164 | 12,292 |
|
Fernando Catalina
100 Hospital Rd |
$54.11 | 13,036 | 12,666 |
|
Audrey Tracey
87 North Main Street |
$69.38 | 12,846 | 12,114 |
|
Ingrid Cruse
100 Hospital Rd |
$41.68 | 9,834 | 9,511 |
|
Sejal Daga
100 Hospital Rd |
$51.64 | 9,086 | 8,873 |
|
Theresa Callahan
100 Hospital Rd |
$56.22 | 8,959 | 8,743 |
|
Charles Myers
100 Hospital Rd |
$55.97 | 7,534 | 7,369 |
|
Ramteen Rezai
1069 Central St |
$91.35 | 7,012 | 5,881 |
|
Plutarco E Castellanos
50 Memorial Drive |
$49.85 | 6,645 | 6,566 |
|
Community Health Connections, Inc.
14 Manning Avenue |
$1.29 | 5,858 | 5,511 |
|
Ryan Chua Chua
100 Hospital Rd |
$42.02 | 4,095 | 4,049 |
|
Bruce Man
100 Hospital Rd |
$68.69 | 4,065 | 3,957 |
|
Payam Aghassi
50 Memorial Drive |
$47.05 | 3,969 | 3,918 |
|
Julianne M Miller
45 Summer St |
$36.13 | 3,866 | 3,737 |
|
Kyle Patrick Lavery
100 Hospital Rd |
$34.79 | 3,616 | 2,923 |
|
Mandeep Hundal
100 Hospital Rd Ste 2A |
$42.88 | 3,605 | 3,578 |
|
Danilo Tolentino Funa
50 Memorial Dr Ste 214 |
$50.47 | 3,519 | 2,829 |
|
Elzira A Deoliveira
40 Spruce Street |
$31.95 | 3,415 | 3,305 |
|
Renee Beaulieu
225 New Lancaster Road |
$70.86 | 3,378 | 3,290 |
|
Naveen C Pandaraboyina
50 Memorial Drive |
$59.38 | 3,370 | 3,314 |
|
Jordan E. Scott
79 Erdman Way |
$69.04 | 3,319 | 3,198 |
|
Babatunde O. Thomas
14 Manning Avenue |
$40.27 | 2,962 | 2,522 |
|
Cynthia A Royal
225 New Lancaster Road |
$83.34 | 2,834 | 2,701 |
|
Jie Yin
50 Memorial Dr |
$42.81 | 2,770 | 2,741 |
|
Heidi J Foley
225 New Lancaster Rd |
$50.01 | 2,564 | 1,692 |
|
Kelli Locke
225 New Lancaster Rd |
$76.59 | 2,556 | 2,480 |
|
Mariann C. Padron Gleich
105 Erdman Way |
$53.50 | 2,468 | 2,446 |
|
Amanda Vitko
225 New Lancaster Road |
$82.08 | 2,325 | 2,241 |
|
Janice L Kennedy
165 Mill St |
$101.33 | 2,275 | 2,210 |
|
Jackie Raymond
225 New Lancaster Rd |
$88.78 | 2,266 | 2,210 |
|
Toby M Milgrome
165 Mill St |
$96.02 | 2,213 | 2,172 |
|
Bency K. Louidor
225 New Lancaster Rd |
$67.64 | 2,122 | 1,372 |
|
Elizabeth Lapointe
510 Main Street |
$89.52 | 2,080 | 2,070 |
|
Stephanie Oliva
225 New Lancaster Rd |
$61.21 | 1,965 | 1,795 |
|
Agnieszka B Snioch
225 New Lancaster Rd |
$82.58 | 1,959 | 1,899 |
|
Jyoti Dhananjay Nagarkar
80 Erdman Way |
$44.28 | 1,920 | 1,851 |
|
Charles H Loucraft
60 Hospital Rd |
$59.45 | 1,860 | 1,836 |
|
Convenientmd Llc
20 Commercial Rd Ste 2 |
$103.25 | 1,821 | 1,609 |
|
Michael J. Shih
50 Memorial Dr |
$22.73 | 1,805 | 1,795 |
|
Julie Tucker
20 Commercial Rd Ste 2 |
$55.52 | 1,747 | 1,576 |
|
Benjamin J Brill
100 Hospital Rd Ste 3C |
$38.82 | 1,739 | 1,675 |
|
Andrew Ahearn
225 New Lancaster Rd |
$63.61 | 1,734 | 1,657 |
|
Shabbir A Abbasi
50 Memorial Dr |
$63.08 | 1,718 | 1,706 |
|
Robert Francis Jones
100 Hospital Rd |
$34.47 | 1,705 | 1,620 |
|
Stephen J Hoenig
50 Memorial Dr |
$17.08 | 1,685 | 1,350 |
|
Alfride Prevost-Ricardo
40 Spruce St |
$32.25 | 1,527 | 1,322 |
|
Ali Khodabandeh
100 Hospital Road |
$41.12 | 1,525 | 1,485 |
|
Dionyssios A. Robotis
50 Memorial Dr |
$37.79 | 1,521 | 1,436 |
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 Leominster, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Leominster, MA is $74.91 per claim, based on 300,728 claims from 172 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 Leominster, MA?
There are 172 Medicaid providers offering Office Visit related services in Leominster, MA according to public payment data.
What is the price range for Office Visit in Leominster, MA?
Medicaid reimbursement for Office Visit in Leominster, MA ranges from $1.29 to $444.86 per claim, with an average of $74.91. 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 Leominster, MA
Dental Cleaning & Exam
Avg $38.10
179,062 claims
Ambulance Transport
Avg $97.38
178,129 claims
Blood Work & Lab Tests
Avg $7.22
155,932 claims
Personal Care Services
Avg $86.87
143,959 claims
Home Health Visit
Avg $76.04
126,081 claims
Emergency Room Visit
Avg $143.57
96,862 claims
Vaccines & Immunizations
Avg $23.63
81,757 claims
EKG / ECG (Electrocardiogram)
Avg $4.45
67,143 claims