Average Medicaid Office Visit Payments in Malden, MA: $48.48
Avg. Paid
$48.48
Range
$0.00 – $222.43
Total Claims
128,532
Providers
97
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 Malden, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jean Bakey
195 Canal St |
$42.73 | 7,935 | 5,409 |
|
Matthew Y Siu
578 Main St |
$51.23 | 6,850 | 6,341 |
|
Austin Shih-Yih Liu
105 Commercial St |
$43.39 | 6,084 | 5,626 |
|
Jessica Early
195 Canal St |
$46.21 | 5,000 | 4,888 |
|
Tien-Lan Chang
105 Commercial St |
$47.90 | 4,970 | 4,705 |
|
Robert John Caiazzo
195 Canal St |
$45.14 | 4,776 | 4,659 |
|
Randi G Sokol
195 Canal St |
$45.29 | 4,450 | 3,085 |
|
Erica R Mintzer
195 Canal St |
$48.08 | 4,071 | 3,946 |
|
Jennifer Luo Powell
578 Main St |
$48.47 | 4,016 | 3,707 |
|
Laura J Sullivan
195 Canal St |
$44.73 | 3,966 | 3,858 |
|
Lael Greenstein
195 Canal St |
$55.70 | 3,702 | 3,551 |
|
Manorama Mathur
1127 Salem St |
$49.20 | 3,164 | 2,843 |
|
Nicole O'Connor
195 Canal St |
$53.30 | 3,063 | 2,967 |
|
Ivy Htet Lee
277 Commercial St |
$0.72 | 2,897 | 2,419 |
|
Linda Gong
277 Commercial St |
$0.00 | 2,777 | 2,342 |
|
Gregory Allen Westmoreland
178 Savin St Ste 200 |
$39.61 | 2,758 | 2,596 |
|
Xinsheng Zhu
67 Summer St |
$102.57 | 2,701 | 2,698 |
|
Carmen Antonellis
578 Main St |
$46.53 | 2,622 | 2,484 |
|
Richard Alan Hochman
380 Pleasant St |
$35.39 | 2,599 | 2,421 |
|
Elana Bloomfield
178 Savin St Ste 100 |
$44.68 | 2,410 | 2,144 |
|
Maura K Shea
105 Commercial St |
$36.77 | 2,325 | 2,199 |
|
Guang-Ji Wang
629 Main St |
$94.49 | 2,166 | 2,153 |
|
Kunwar S Singh
1127 Salem St |
$58.24 | 1,989 | 1,746 |
|
Alla Goldburt
178 Savin St Ste 100 |
$57.25 | 1,922 | 1,846 |
|
Jennifer Ren-Si Cheung
195 Canal St |
$38.54 | 1,911 | 1,874 |
|
Lieu T. Tran
178 Savin St Ste 100 |
$53.13 | 1,890 | 1,817 |
|
Pansy Siu-Lai
578 Main St |
$61.43 | 1,717 | 1,614 |
|
Afc Physicians Of Massachusetts, Pc
219 Centre St |
$110.58 | 1,696 | 1,660 |
|
Jessica Anne Zaks
178 Savin St Ste 100 |
$45.80 | 1,595 | 1,491 |
|
Hannah Biederman
195 Canal St |
$51.37 | 1,589 | 1,492 |
|
Yuan Yao
578 Main St |
$55.07 | 1,572 | 1,497 |
|
Kristyn M Newhall
178 Savin St Ste 100 |
$53.97 | 1,572 | 1,512 |
|
Amiesha S Panchal
195 Canal St |
$59.22 | 1,559 | 1,520 |
|
Patricia Ann Sereno
178 Savin St |
$55.26 | 1,547 | 1,452 |
|
Sharon Jelena Phillips
178 Savin St Ste 100 |
$58.81 | 1,539 | 1,452 |
|
Ineida Barros
195 Canal St |
$54.35 | 1,522 | 1,275 |
|
Cheryl Murray
195 Canal St |
$40.18 | 1,340 | 1,272 |
|
Faiz Bayo-Awoyemi
195 Canal St |
$43.60 | 1,246 | 1,195 |
|
Tia Tucker
195 Canal St |
$33.48 | 1,152 | 1,131 |
|
Laura Krinsky
195 Canal St |
$65.93 | 1,114 | 901 |
|
Caitlin G D'Agata
195 Canal St |
$53.66 | 1,081 | 1,056 |
|
Emily Sy
178 Savin St Ste 100 |
$38.56 | 936 | 902 |
|
Honor Macnaughton
195 Canal St |
$39.70 | 741 | 717 |
|
Constance Emily Cammarata
178 Savin St Ste 100 |
$26.68 | 738 | 694 |
|
Jennifer Hui Yoo
52 Sharon St |
$26.73 | 735 | 628 |
|
Youngjun Ju
219 Centre St |
$80.12 | 665 | 651 |
|
Elizabeth Tammaro
195 Canal St |
$72.45 | 637 | 622 |
|
Ashley Cristina Augustus King
195 Canal St |
$94.45 | 571 | 556 |
|
Shaylagh May Cerulli
195 Canal St |
$8.63 | 564 | 559 |
|
Cortney Crespo
195 Canal St |
$28.37 | 560 | 557 |
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 Malden, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Malden, MA is $48.48 per claim, based on 128,532 claims from 97 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 Malden, MA?
There are 97 Medicaid providers offering Office Visit related services in Malden, MA according to public payment data.
What is the price range for Office Visit in Malden, MA?
Medicaid reimbursement for Office Visit in Malden, MA ranges from $0.00 to $222.43 per claim, with an average of $48.48. 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 Malden, MA
Home Health Visit
Avg $478.01
333,955 claims
Personal Care Services
Avg $166.67
250,854 claims
Non-Emergency Medical Transportation
Avg $38.72
183,157 claims
Dental Cleaning & Exam
Avg $39.62
127,697 claims
Blood Work & Lab Tests
Avg $0.85
96,061 claims
Behavioral & Mental Health Therapy
Avg $204.28
85,743 claims
Psychiatric Evaluation
Avg $73.20
56,382 claims
Physical Therapy
Avg $13.64
50,903 claims