Average Medicaid Office Visit Payments in Longmeadow, MA: $55.54
Avg. Paid
$55.54
Range
$0.00 – $134.31
Total Claims
61,535
Providers
43
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 Longmeadow, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Heather A Taylor
21 Dwight Rd Fl 1 |
$0.00 | 14 | 13 |
|
Andrew Scott Wetstone
21 Dwight Road |
$0.00 | 15 | 15 |
|
Jeffrey Lawrence Hammond
21 Dwight Road |
$47.02 | 27 | 27 |
|
Robin E Powers
21 Dwight Rd Ste 104 |
$1.77 | 33 | 31 |
|
Erin Mary Ferraro
21 Dwight Road |
$36.33 | 39 | 38 |
|
Ema Uko-Abasi
171 Dwight Rd Ste 102 |
$134.31 | 44 | 42 |
|
Jacob Freeman
21 Dwight Rd Ste 104 |
$40.88 | 82 | 82 |
|
Karen Linda Shore
734 Bliss Rd |
$62.27 | 104 | 97 |
|
Max Chorowski
123 Dwight Rd Ste 204 |
$24.11 | 107 | 100 |
|
Jonathan R Moldover
21 Dwight Road |
$34.18 | 183 | 182 |
|
Cary M Dash
21 Dwight Road |
$49.49 | 211 | 201 |
|
Stephanie Lepage
776 Longmeadow St |
$51.99 | 222 | 216 |
|
Atul K Soreng
21 Dwight Road |
$3.81 | 241 | 230 |
|
Richard J Tredeau
123 Dwight Rd |
$56.74 | 276 | 258 |
|
Juan Carlos Mejia
588 Longmeadow St |
$0.00 | 304 | 249 |
|
Barry M Rodstein
21 Dwight Rd Ste 204 |
$46.09 | 307 | 302 |
|
Malgorzata Platz
21 Dwight Road |
$17.63 | 321 | 316 |
|
Meghan Marie Provost
21 Dwight Road |
$52.91 | 366 | 356 |
|
Sally H Ginsburg
123 Dwight Rd |
$59.52 | 375 | 360 |
|
Western Massachusetts Psychiatric Specialists, Llc
175 Dwight Rd Ste 103 |
$107.84 | 452 | 429 |
|
Helene M Houston
175 Dwight Rd |
$48.47 | 488 | 478 |
|
Rosette Perseveranda Odulio
21 Dwight Road |
$41.20 | 514 | 493 |
|
Madeline Mathias
588 Longmeadow St |
$30.08 | 525 | 278 |
|
Mandana Naderi Mehr
21 Dwight Road |
$13.01 | 817 | 800 |
|
Robert Phillip Leavitt
734 Bliss Rd |
$61.23 | 825 | 725 |
|
Adriana Canizales
588 Longmeadow St |
$0.00 | 852 | 527 |
|
Loic Rickel Assobmo
21 Dwight Rd |
$47.94 | 1,129 | 1,106 |
|
Judith E Tapper
123 Dwight Rd |
$60.93 | 1,230 | 1,166 |
|
Janet Louise Helliwell
770 Converse St |
$38.87 | 1,231 | 683 |
|
Scott M Barnett
21 Dwight Road |
$39.09 | 1,248 | 1,193 |
|
Victoria Murray
21 Dwight Rd Ste 104 |
$41.93 | 1,261 | 1,227 |
|
Julio A Martinez-Silvestrini
21 Dwight Rd Ste 204 |
$53.25 | 1,353 | 1,334 |
|
Saad Wasiq Usmani
21 Dwight Road |
$52.12 | 1,625 | 1,570 |
|
Heather Tirpaeck
123 Dwight Rd |
$75.43 | 1,699 | 1,595 |
|
Niloufar H Shoushtari
21 Dwight Road |
$33.12 | 1,711 | 1,634 |
|
Sarah Germani
123 Dwight Rd |
$62.72 | 1,970 | 1,864 |
|
Mina Farkhondeh
123 Dwight Rd |
$63.89 | 1,989 | 1,824 |
|
Tiffany Le
21 Dwight Rd Ste 104 |
$41.55 | 2,050 | 1,774 |
|
Karen Camera
123 Dwight Rd |
$66.54 | 2,691 | 2,564 |
|
Dirk A Johns
10 Brookside Dr |
$13.23 | 2,755 | 2,445 |
|
Joseph E Yunis
123 Dwight Rd |
$64.17 | 3,957 | 3,747 |
|
Helena C Gabriel
21 Dwight Rd Ste 104 |
$58.53 | 7,830 | 7,477 |
|
Nicholas Tobin
175 Dwight Rd Ste 103 |
$68.44 | 18,062 | 17,035 |
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 Longmeadow, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Longmeadow, MA is $55.54 per claim, based on 61,535 claims from 43 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 Longmeadow, MA?
There are 43 Medicaid providers offering Office Visit related services in Longmeadow, MA according to public payment data.
What is the price range for Office Visit in Longmeadow, MA?
Medicaid reimbursement for Office Visit in Longmeadow, MA ranges from $0.00 to $134.31 per claim, with an average of $55.54. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Longmeadow, MA
Psychiatric Evaluation
Avg $35.45
35,540 claims
Dental Cleaning & Exam
Avg $39.42
26,277 claims
Nursing Facility Care
Avg $10.53
14,872 claims
Physical Therapy
Avg $16.28
11,246 claims
Vaccines & Immunizations
Avg $14.70
9,310 claims
Speech Therapy
Avg $20.12
9,072 claims
Blood Work & Lab Tests
Avg $11.61
4,648 claims
Non-Emergency Medical Transportation
Avg $15.89
3,638 claims