Average Medicaid Office Visit Payments in Lowell, MA: $51.92
Avg. Paid
$51.92
Range
$0.00 – $191.68
Total Claims
557,559
Providers
235
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 Lowell, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Lowell General Hospital
295 Varnum Ave |
$156.28 | 40,722 | 35,571 |
|
Bridgewell, Inc
35 Market St |
$52.80 | 39,420 | 36,791 |
|
Flora F Sadri-Azarbayejani
161 Jackson St |
$51.85 | 27,563 | 14,370 |
|
Stephen A Conway
33 Bartlett St |
$53.92 | 19,388 | 18,541 |
|
Mary Gealow
33 Bartlett St |
$46.75 | 16,682 | 16,075 |
|
Jennifer O'Shea
33 Bartlett St |
$48.52 | 14,404 | 13,968 |
|
Hamid Reza Danesh
585 Merrimack St |
$43.42 | 14,205 | 11,671 |
|
Sachin B Patel
275 Varnum Avenue |
$50.70 | 14,200 | 11,151 |
|
Sivaram K Yamajala
871 Varnum Ave |
$45.65 | 14,138 | 10,471 |
|
Zaheer Ahmed
33 Bartlett St |
$45.42 | 13,898 | 12,202 |
|
John N Grieveson
33 Bartlett St Ste 204 |
$38.12 | 13,134 | 12,005 |
|
Devon E Hinton
10 Bridge St |
$37.21 | 12,392 | 9,433 |
|
Purnima Baranwal
275 Varnum Ave Ste 204 |
$49.16 | 12,163 | 10,945 |
|
John Capino
1230 Bridge St |
$57.25 | 11,823 | 11,715 |
|
Jennifer Bell
33 Bartlett St |
$41.78 | 10,734 | 10,433 |
|
Lowell Community Health Center, Inc.
161 Jackson St |
$41.20 | 10,722 | 10,060 |
|
Zinabu Maxwell
135 Jackson St |
$47.78 | 10,403 | 9,666 |
|
Benjamin Osborn Henkle
2 Hospital Dr |
$35.09 | 9,829 | 9,331 |
|
Stuart Jay Arbesfeld
275 Varnum Ave |
$51.39 | 8,723 | 8,343 |
|
Michael Andrew Fischer
33 Bartlett St Ste 305 |
$44.07 | 8,210 | 7,977 |
|
Gregory Mcnamara
33 Bartlett St |
$26.98 | 8,003 | 7,239 |
|
David S Tarr
92 Merrimack St |
$21.45 | 7,720 | 7,282 |
|
Phillip R Hill
10 Bridge St |
$40.94 | 6,548 | 6,229 |
|
Dragan S Petakov
275 Varnum Ave |
$39.62 | 6,323 | 5,815 |
|
Chhan D Touch
135 Jackson St |
$50.48 | 6,016 | 5,507 |
|
Maria Aurora Gayanilo Lim
135 Jackson St |
$24.40 | 5,947 | 5,610 |
|
Robert Carl Sampson
21 George St Ste 1 |
$58.48 | 5,733 | 3,454 |
|
Jonathan Moray
10 George St |
$39.26 | 5,722 | 5,661 |
|
Dimitre Sirakov
275 Varnum Ave |
$46.11 | 5,175 | 4,696 |
|
Tushar M Patel
275 Varnum Ave/#201 |
$42.41 | 4,933 | 4,553 |
|
Nalyne Sokun Dom
135 Jackson St |
$57.78 | 4,872 | 4,434 |
|
Supriya Rao
41 Wellman St Ste 400 |
$63.90 | 4,626 | 3,906 |
|
Martha Sue Root
22 Old Canal Dr |
$49.72 | 4,329 | 4,074 |
|
Kristine Naughton-Chapman
295 Varnum Ave |
$48.47 | 4,168 | 3,566 |
|
Brenda Vigue
40 Church St |
$18.29 | 3,943 | 3,519 |
|
Krishnamoorthy Baikady Rao
585 Merrimack St |
$20.89 | 3,842 | 3,446 |
|
Montu Patel
Riverside Medical Group |
$61.42 | 3,654 | 3,186 |
|
Lgh Medical Group, Inc.
295 Varnum Ave |
$32.89 | 3,598 | 3,331 |
|
Health Independent Providers Inc
9 Central Street |
$83.53 | 3,595 | 2,702 |
|
Rekha Bains
275 Varnum Ave |
$69.97 | 3,523 | 3,025 |
|
Northeast Medical Group, Inc.
275 Varnum Ave |
$60.59 | 3,453 | 3,157 |
|
Franklin Charles Marinelli
41 Wellman St Ste 400 |
$52.30 | 3,406 | 3,371 |
|
Loretta Y Chou
161 Jackson St |
$40.63 | 3,377 | 2,930 |
|
Anna Riera
275 Varnum Ave |
$22.69 | 3,284 | 3,167 |
|
Bruce E Hutchinson
222 Merrimack St |
$31.24 | 3,078 | 2,806 |
|
Richard S. Tilson
41 Wellman St Ste 400 |
$56.79 | 2,644 | 2,602 |
|
Catherine S. Yu
161 Jackson St |
$4.90 | 2,422 | 2,279 |
|
Riverside Medical Group Pc
275 Varnum Ave |
$40.18 | 2,221 | 2,018 |
|
Peter Kuhlmann
585-597 Merrimack St |
$3.65 | 2,198 | 1,986 |
|
Daniel W Dubner
33 Bartlett St |
$63.89 | 2,113 | 2,075 |
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 Lowell, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lowell, MA is $51.92 per claim, based on 557,559 claims from 235 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 Lowell, MA?
There are 235 Medicaid providers offering Office Visit related services in Lowell, MA according to public payment data.
What is the price range for Office Visit in Lowell, MA?
Medicaid reimbursement for Office Visit in Lowell, MA ranges from $0.00 to $191.68 per claim, with an average of $51.92. 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 Lowell, MA
Blood Work & Lab Tests
Avg $9.11
779,592 claims
Non-Emergency Medical Transportation
Avg $23.07
439,248 claims
Psychiatric Evaluation
Avg $72.86
380,689 claims
Ambulance Transport
Avg $82.10
359,826 claims
Dental Cleaning & Exam
Avg $39.02
354,994 claims
Emergency Room Visit
Avg $141.93
292,245 claims
Home Health Visit
Avg $29.93
225,240 claims
Behavioral & Mental Health Therapy
Avg $111.51
191,707 claims