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 |
|---|---|---|---|
|
Samantha Gianna Delahanty
41 Wellman St # 400 |
$3.17 | 12 | 12 |
|
Monicah Rivera
59 Lowes Way |
$51.41 | 12 | 12 |
|
Suman Bhushan Koganti
275 Varnum Ave Ste 203 |
$44.50 | 12 | 12 |
|
Dorothee M Louis
148 Warren St |
$71.70 | 12 | 12 |
|
Jana Simonds
275 Varnum Ave Ste 203 |
$53.33 | 12 | 12 |
|
Pauline Tsirigotis
45 Palmer St |
$0.00 | 13 | 13 |
|
Addulmeth Eang
50 Puffer St |
$5.31 | 13 | 13 |
|
Christopher A Karalekas
850 Chelmsford St |
$10.00 | 13 | 13 |
|
Mariana Zacharias Andre Chemaly
45 Palmer St |
$6.50 | 13 | 12 |
|
Lerna Ozcan
275 Varnum Ave Ste 203 |
$29.51 | 14 | 13 |
|
William P O'Meara
295 Varnum Ave |
$10.74 | 14 | 14 |
|
Susan Adam Tuscher
585 Merrimack Street |
$142.83 | 14 | 14 |
|
Lee Kathleen Yergeau
595 Pawtucket Blvd, |
$45.63 | 16 | 14 |
|
Lauren Loughlin
220 Pawtucket St Ste 300 |
$2.52 | 17 | 17 |
|
Steven Sikalis
850 Chelmsford St |
$42.13 | 17 | 15 |
|
Annabelle Lee Harrington
161 Jackson St |
$9.29 | 23 | 15 |
|
Konstantina Booras
315 Westford St |
$85.08 | 25 | 24 |
|
Neil O'Regan
295 Varnum Ave |
$48.97 | 26 | 25 |
|
Integrated Gastroenterology Consultants, Pc
41 Wellman St Ste 400 |
$44.58 | 26 | 25 |
|
Francis Paul Magro
275 Varnum Ave |
$60.86 | 30 | 30 |
|
Kathleen Rebecca Tracey
161 Jackson St |
$165.49 | 31 | 30 |
|
Kristin A. Larson
220 Pawtucket St Suite 300 |
$64.50 | 33 | 33 |
|
Ramya Prabhakar
275 Varnum Ave |
$55.77 | 35 | 32 |
|
Patricia Anne Dykstra
597 Merrimack St |
$163.19 | 36 | 36 |
|
Michael E Jiser
275 Varnum Ave Ste 203 |
$69.25 | 38 | 38 |
|
Mary Ellen Conroy
597 Merrimack St |
$165.49 | 38 | 38 |
|
David Clark Morley
817 Merrimack St |
$13.40 | 41 | 37 |
|
Nadia Mae Murray
295 Varnum Ave |
$21.97 | 44 | 44 |
|
John Capino Md Pc
1230 Bridge St |
$39.75 | 45 | 45 |
|
Taylor-Alycia Hynes
295 Varnum Ave |
$11.76 | 50 | 43 |
|
Stephanie Marble
161 Jackson St |
$0.28 | 51 | 47 |
|
Heather Thyne
33 Bartlett St Ste 206 |
$32.49 | 55 | 53 |
|
Erin A Desmond
275 Varnum Ave Suite 102 |
$23.74 | 55 | 50 |
|
Tierney Bois
161 Jackson St |
$0.00 | 58 | 58 |
|
Ilan Gabriel Yavitz Zincof
275 Varnum Ave Ste 203 |
$43.44 | 59 | 59 |
|
Nancy G Funaro
45 Palmer Street |
$18.79 | 60 | 56 |
|
Kara E Moloney
161 Jackson St |
$1.65 | 66 | 64 |
|
Kathryn L Olson
33 Bartlett St |
$37.69 | 66 | 64 |
|
Jessica Fournier
161 Jackson St |
$0.94 | 72 | 69 |
|
Majed Mohammad Abbas
161 Jackson St |
$0.00 | 72 | 70 |
|
Caroline Kern Privitt
161 Jackson St |
$22.37 | 79 | 73 |
|
Susannah J. Clark
275 Varnum Ave Ste 203 |
$74.90 | 80 | 80 |
|
Donald Miller
17 Warren St |
$32.22 | 87 | 80 |
|
Stephen J Travers
33 Bartlett St |
$22.88 | 91 | 90 |
|
Hans Awuah Boakye
161 Jackson St |
$1.64 | 103 | 102 |
|
Kumble R Rajesh
161 Jackson St |
$46.86 | 113 | 102 |
|
Mohan Govindan
33 Bartlett St |
$43.34 | 118 | 110 |
|
Virginia Bowers Doherty
295 Varnum Ave |
$23.14 | 124 | 118 |
|
Emily Gosselin
161 Jackson St |
$0.47 | 125 | 123 |
|
Sweta A. Desai
275 Varnum Ave |
$36.71 | 126 | 124 |
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