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
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