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Based on public Medicaid payment data.

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
Anthony Romeo Rodriguez

47 Vernon St

$56.97 12 12
Abigail Solomon

195 Canal St

$67.33 12 12
Yanique Louis

100 Porter St

$7.30 12 12
Amber Giesmann

195 Canal St

$0.00 13 13
Pamela M Schwedler

109 Commercial St

$57.89 13 13
Victoria J. Gurfolino

178 Savin St

$26.78 13 12
Rosanna Liliana Zuckerman

195 Canal St

$5.13 14 13
Jennifer R. Lin

578 Main St

$0.00 15 14
Sylvia Cho

109 Commercial St

$69.02 15 15
Ifechukwude Ikem

195 Canal St

$0.00 16 15
Omar Abdul Wahid

195 Canal St

$4.83 17 15
Mohit Pawan Chopra

178 Savin St

$34.58 26 24
Thomas Cannon Bond

578 Main St

$19.29 27 27
Michael William Sage

Cha Malden Care Center

$5.13 28 27
Khaled Yehia

100 Hospital Rd

$107.48 29 27
Molly Anne Mcconachie

219 Centre St

$113.48 30 30
Spencer Rittner

195 Canal St

$37.77 31 31
Wendy Li Linderman

578 Main St Ste 102

$28.42 44 43
Arnold J. Blank

380 Pleasant St

$49.51 65 64
Dave Hollander

178 Savin St

$56.35 70 70
Kayla Mai Yee

178 Savin St

$4.50 78 77
Ingrid Y Henar

South Cove Community Center

$0.00 89 79
Jessica Danielle Stevenson

178 Savin St

$57.53 97 94
Michael Jay Price

578 Main St

$19.01 106 105
Paul Anthony Rizzo

195 Canal St

$1.89 107 94
Cathy Nguyen

195 Canal St

$0.33 115 113
Elaine Marie Stiehl

178 Savin St

$12.70 125 124
Crystal Zilic

109 Commercial St

$38.92 144 137
Jhenya N Nahreini

195 Canal St

$1.89 148 110
Nicolas S. Nguyen

195 Canal St

$37.19 172 147
Sonnly Ribourg

195 Canal St

$7.93 184 178
George Milowe

11 Bickford Rd

$26.20 193 187
Emilie Petula Tibemen Biondokin

195 Canal St

$87.39 202 198
Brittany Pierce

195 Canal St

$1.59 265 158
Jennifer Leahy

195 Canal St Ste 105

$32.27 266 262
John M Carroll

390 Pleasant St

$61.30 276 274
Alexandra M Dressen

195 Canal St

$62.12 278 242
David H Richman

109 Commercial St

$50.11 296 257
Albert A Daly

253 Salem St

$42.05 349 335
John J Lynch

405 Pearl St

$32.69 369 345
Greta Seiriol Gania

178 Savin St Ste 100

$31.27 369 354
Deyang Tenzin Nyandak

195 Canal Street

$18.14 390 378
Rajandeep Singh Paik

195 Canal St

$58.43 408 395
Andrea E Gordon

195 Canal St

$34.44 436 431
Helena Naomi Pham

578 Main St

$7.96 478 460
Joy J Lee

195 Canal St

$62.93 532 493
Ariana Nestler

195 Canal St

$222.43 556 516
Cortney Crespo

195 Canal St

$28.37 560 557
Shaylagh May Cerulli

195 Canal St

$8.63 564 559
Ashley Cristina Augustus King

195 Canal St

$94.45 571 556

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

Other Procedures in Malden, MA