Average Medicaid Office Visit Payments in Ludlow, MA: $56.17
Avg. Paid
$56.17
Range
$12.30 – $115.81
Total Claims
60,305
Providers
26
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 Ludlow, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ann Maria Labar Elder
222 State St |
$60.35 | 13 | 12 |
|
Jessica B Libiszewski
200 Center St |
$12.30 | 14 | 12 |
|
Sarah Louise Clayton
77 Winsor St |
$110.08 | 14 | 14 |
|
Anna Liza Tipgos Kilcoyne
627 Randall Rd |
$50.99 | 16 | 15 |
|
Jill C Patruno
200 Center St |
$45.01 | 34 | 34 |
|
Mabel Charron
733 Chapin St Ste 200 |
$67.94 | 34 | 33 |
|
Sasha Lee Figueroa
627 Randall Rd |
$34.72 | 40 | 39 |
|
Michelle Makeba Cooper
627 Randall Rd |
$19.67 | 97 | 94 |
|
Sarah E Moquin
471 Center St |
$27.27 | 105 | 87 |
|
Michelle Barbara Caliento
185 West Ave |
$100.73 | 167 | 146 |
|
Lauren Glenn Cartwright
471 Center St |
$63.62 | 223 | 207 |
|
Maria Teresa Ortega
34 Hubbard Street |
$48.22 | 581 | 558 |
|
Vickie J Verlinden
34 Hubbard St |
$27.35 | 599 | 566 |
|
Stephen Gobeille
627 Randall Rd |
$68.17 | 687 | 625 |
|
Michelle Dedon
471 Center St |
$83.13 | 1,433 | 1,382 |
|
Rebecca Lynn Lebel
77 Winsor St Ste 103 |
$22.57 | 1,465 | 1,416 |
|
Damaris W Kongo
39 Allison Ln |
$41.92 | 1,512 | 1,439 |
|
Rachel N Mckenna
77 Winsor St Ste 103 |
$24.27 | 1,539 | 1,431 |
|
Anna Paula Rego
200 Center St |
$43.82 | 1,618 | 1,582 |
|
Kimberly Rita Smith
471 Center St |
$115.81 | 2,807 | 2,613 |
|
Convenientmd - Ffs Uc Llc
471 Center St |
$85.63 | 3,797 | 3,267 |
|
Caroline Christine Weimann
471 Center St |
$68.09 | 5,267 | 4,425 |
|
Geraldine A. Kasulinous
308 Miller St Unit 71 |
$58.14 | 5,474 | 5,067 |
|
April E Bowers
185 West Ave |
$24.71 | 7,372 | 6,852 |
|
Robert J Willis
77 Winsor St |
$69.75 | 10,498 | 9,853 |
|
Gino Mercadante
200 Center St |
$46.09 | 14,899 | 13,203 |
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 Ludlow, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ludlow, MA is $56.17 per claim, based on 60,305 claims from 26 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 Ludlow, MA?
There are 26 Medicaid providers offering Office Visit related services in Ludlow, MA according to public payment data.
What is the price range for Office Visit in Ludlow, MA?
Medicaid reimbursement for Office Visit in Ludlow, MA ranges from $12.30 to $115.81 per claim, with an average of $56.17. 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 Ludlow, MA
Psychiatric Evaluation
Avg $63.18
18,456 claims
Nursing Facility Care
Avg $14.64
14,209 claims
Speech Therapy
Avg $18.25
13,118 claims
Blood Work & Lab Tests
Avg $3.42
11,788 claims
Ambulance Transport
Avg $108.14
11,301 claims
Physical Therapy
Avg $12.62
6,488 claims
Vaccines & Immunizations
Avg $14.53
6,265 claims
Durable Medical Equipment (DME)
Avg $57.68
3,919 claims