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Based on public Medicaid payment data.

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

Other Procedures in Leominster, MA