Average Medicaid Office Visit Payments in Lynn, MA: $56.35
Avg. Paid
$56.35
Range
$0.00 – $165.49
Total Claims
329,489
Providers
127
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 Lynn, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
J Philip Reimherr
173 Oxford St |
$103.70 | 40,369 | 30,988 |
|
Sherryl J. Rosen
173 Oxford St |
$73.20 | 23,564 | 20,468 |
|
Lynn Community Health, Inc.
269 Union Street |
$67.71 | 20,854 | 17,203 |
|
Walter Spencer Wightman
269 Union St |
$55.68 | 17,059 | 11,568 |
|
Amie Lee Begin
280 Union St |
$72.75 | 16,816 | 9,574 |
|
David W Douglas
330 Lynnway |
$42.31 | 14,861 | 13,732 |
|
Elizabeth Jo Jenkins Reimherr
173 Oxford St |
$74.27 | 9,861 | 8,841 |
|
Stella Uchendu
127 Grove St |
$54.10 | 9,429 | 5,233 |
|
Alexandre Alexeyenko
24 State St |
$12.11 | 9,319 | 8,765 |
|
Aldo Mali
16 Rand St |
$70.39 | 7,492 | 4,899 |
|
Kelly John Holland
269 Union St |
$12.09 | 6,970 | 6,355 |
|
Steeve Yamadjako
98 Nahant St |
$20.23 | 6,764 | 6,632 |
|
Audrey Warner
269 Union St |
$53.17 | 6,224 | 4,720 |
|
Walter J Nalesnik
225 Boston Street |
$32.67 | 6,063 | 5,673 |
|
Mark Paul Sanphy
98 Nahant St |
$28.12 | 5,522 | 5,362 |
|
Nicholas John Urbanczyk
269 Union St |
$14.96 | 5,230 | 4,495 |
|
Anthony Carl Erdmann
39 Lynn Shore Dr |
$47.48 | 5,228 | 3,416 |
|
Miadette Pheng-Phal
269 Union St |
$53.86 | 4,955 | 4,415 |
|
Nicole Gesamondo
173 Oxford St |
$76.62 | 4,539 | 3,931 |
|
Smita B Kolli
496 Lynnfield St |
$42.36 | 4,139 | 3,981 |
|
Irina G Natapov
34 State St |
$22.82 | 3,960 | 3,709 |
|
Michael Goldstein
480 Lynnfield St |
$26.01 | 3,715 | 3,656 |
|
Margery Walentuk
269 Union St |
$75.08 | 3,576 | 2,939 |
|
Khalid Mazhar Syed
496 Lynnfield St |
$39.71 | 3,546 | 3,482 |
|
Rachelle Andre
269 Union St |
$77.20 | 3,537 | 3,245 |
|
Lauren A Fisher
98 Nahant St |
$16.46 | 3,520 | 3,489 |
|
Kathryn C Takayoshi
269 Union St |
$35.90 | 3,281 | 3,109 |
|
Oliver Gregory
496 Lynnfield St |
$40.91 | 3,132 | 3,036 |
|
Anna Rabkina
269 Union St |
$60.35 | 3,113 | 2,937 |
|
Rachael L Matos
95 Pleasant St |
$41.35 | 3,068 | 2,929 |
|
Michelle Danforth
95 Pleasant St |
$56.47 | 2,893 | 2,723 |
|
Gail Margaret Analoro
583 Chestnut St |
$80.33 | 2,853 | 2,404 |
|
Andrew Pelletier
98 Nahant St |
$21.86 | 2,738 | 2,703 |
|
Psychiatric Associates Of Lynn Pc
270 Union St |
$76.74 | 2,506 | 2,029 |
|
Ernesto Dasilva
496 Lynnfield St |
$33.95 | 2,425 | 2,346 |
|
Janet Jang
480 Lynnfield St Ste 2 |
$40.36 | 2,092 | 2,078 |
|
Matthias G Muenzer
280 Union St Ste 302 |
$75.93 | 2,043 | 1,758 |
|
Veronica Pena Vargas
496 Lynnfield St |
$24.02 | 1,780 | 1,716 |
|
Tara L Strandwitz
776 Western Ave |
$73.73 | 1,757 | 1,713 |
|
Hanna Haptu
269 Union St |
$23.21 | 1,679 | 1,523 |
|
Natasa Ristivojevic
95 Pleasant St |
$35.03 | 1,623 | 1,497 |
|
Kristina Nicole Goncalves
776 Western Ave |
$58.33 | 1,537 | 1,501 |
|
Lynn Urgent Care Llc
776 Western Ave |
$101.03 | 1,534 | 1,497 |
|
Jurgen Helmut Fernandez
98 Nahant St |
$50.17 | 1,368 | 1,253 |
|
Paul M Copeland
496 Lynnfield St |
$32.10 | 1,362 | 1,353 |
|
Ryan Gosselin
496 Lynnfield St. |
$43.95 | 1,350 | 1,319 |
|
Duc Ky Chu
329 Boston St |
$50.80 | 1,331 | 1,287 |
|
Marc Daniel Sibella
269 Union St |
$53.93 | 1,323 | 1,248 |
|
Clark Van Den Berghe
269 Union St |
$2.50 | 1,297 | 1,048 |
|
Ryan J Griffin
269 Union St |
$5.07 | 1,291 | 1,141 |
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 Lynn, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lynn, MA is $56.35 per claim, based on 329,489 claims from 127 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 Lynn, MA?
There are 127 Medicaid providers offering Office Visit related services in Lynn, MA according to public payment data.
What is the price range for Office Visit in Lynn, MA?
Medicaid reimbursement for Office Visit in Lynn, MA ranges from $0.00 to $165.49 per claim, with an average of $56.35. 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 Lynn, MA
Non-Emergency Medical Transportation
Avg $25.77
782,508 claims
Personal Care Services
Avg $81.50
705,441 claims
Home Health Visit
Avg $92.83
504,915 claims
Dental Cleaning & Exam
Avg $31.74
358,929 claims
Psychiatric Evaluation
Avg $66.76
230,394 claims
Vaccines & Immunizations
Avg $6.73
159,752 claims
Behavioral & Mental Health Therapy
Avg $84.90
131,642 claims
Case Management Services
Avg $107.07
113,055 claims