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 |
|---|---|---|---|
|
Marie C Szczesny
20 Commercial Rd Ste 2 |
$65.79 | 12 | 12 |
|
Bettyann Cirillo
100 Hospital Rd |
$50.10 | 12 | 12 |
|
Amanda Helene Molter
87 N Main St |
$58.82 | 12 | 12 |
|
Toral Shailesh Parikh
1069 Central Street |
$112.99 | 12 | 12 |
|
Lori Rose Sluss
114 Merriam Ave Ste 101 |
$20.85 | 13 | 12 |
|
Nathaniel J Merrell
100 Hospital Rd |
$53.69 | 13 | 13 |
|
Kristin D Cabot
114 Merriam Ave Ste 101 |
$28.60 | 13 | 12 |
|
Hyosim Seon-Spada
50 Memorial Dr Ste 110 |
$444.86 | 14 | 14 |
|
Courtney Letourneau
60 Hospital Rd |
$43.64 | 14 | 14 |
|
Thomas Maher
865 Merriam Ave |
$42.45 | 15 | 15 |
|
Karen E Lybolt
50 Memorial Dr |
$37.23 | 16 | 16 |
|
Community Health Connections, Inc.
165 Mill St |
$3.49 | 23 | 15 |
|
Candice Ellen Marti
26 Indian Ridge Dr |
$56.16 | 24 | 24 |
|
Ellen M Gallant
60 Hospital Rd |
$44.39 | 25 | 25 |
|
Diane T. Power
50 Memorial Dr |
$53.96 | 25 | 24 |
|
Amanda Irene Diffin
100 Hospital Rd Ste 4 |
$67.12 | 26 | 26 |
|
Julie Stomel
60 Hospital Rd |
$43.32 | 26 | 26 |
|
Nicholas Michael Mercadante
100 Hospital Rd |
$26.62 | 27 | 27 |
|
Anna Pozharny
80 Erdman Way Ste 100 |
$52.35 | 31 | 31 |
|
Malia Mccoy
190 Old Farm Rd |
$11.29 | 37 | 36 |
|
Michele Sinopoli
225 New Lancaster Road |
$114.52 | 39 | 39 |
|
Wachusett Emergency Physicians, Pc
60 Hospital Rd |
$60.03 | 49 | 47 |
|
Robert Leslie Shelton
100 Hospital Rd |
$62.72 | 56 | 56 |
|
Steven B Gutwillig
87 N Main St |
$64.48 | 58 | 58 |
|
Wankin J Yu
105 Erdman Way |
$46.70 | 75 | 75 |
|
Erica A Dee
79 Erdman Way |
$38.15 | 84 | 83 |
|
Audrey Celeste Novchich
246 Mill St |
$4.31 | 92 | 85 |
|
Kaleigh Heather O'Neil
79 Erdman Way |
$43.23 | 98 | 96 |
|
Barbara J Laforce
14 Manning Ave |
$91.59 | 100 | 100 |
|
Kristina Gallant
114 Merriam Ave |
$32.61 | 100 | 92 |
|
Gary O Noroian
50 Memorial Dr |
$28.96 | 103 | 103 |
|
Stephen T. Child
50 Memorial Dr |
$60.00 | 106 | 105 |
|
Amanda Leigh Liberty
1069 Central St |
$75.45 | 108 | 89 |
|
Donna R Santimore
40 Spruce St |
$24.51 | 118 | 118 |
|
Yvel Duroseau
60 Hospital Rd |
$31.80 | 118 | 58 |
|
Lourdes Uy
100 Hospital Rd |
$45.24 | 128 | 126 |
|
Tthi Of New England Inc
29 Main St |
$69.08 | 133 | 112 |
|
Inna Ketsler
50 Memorial Dr |
$25.87 | 134 | 130 |
|
Amee Phan
80 Erdman Way Ste 20 |
$58.34 | 141 | 138 |
|
Michael Jonathan Berger
100 Hospital Rd |
$56.37 | 144 | 139 |
|
Marsha C. Olson
100 Hospital Rd Ste 3B |
$32.79 | 155 | 146 |
|
Kathleen Elizabeth Dalton
1069 Central St |
$67.79 | 167 | 150 |
|
Gina Alexis
246 Mill St |
$6.52 | 175 | 170 |
|
Megan Cali
87 N Main St |
$59.88 | 176 | 170 |
|
Sadie Patricia Marciano
220 Merriam Ave |
$32.37 | 176 | 175 |
|
Vernu Visvalingam
105 Erdman Way |
$33.19 | 185 | 154 |
|
Carolyn Tracey
87 N Main St |
$55.25 | 199 | 197 |
|
Alice A S Williams
225 New Lancaster Road |
$91.57 | 203 | 200 |
|
Hayden B. Rockson
100 Hospital Rd Ste 3C |
$58.46 | 211 | 205 |
|
Eileen Marie Cheever
100 Hospital Rd Ste 2D |
$22.82 | 212 | 210 |
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