Average Medicaid Office Visit Payments in Mansfield, MA: $57.55
Avg. Paid
$57.55
Range
$3.72 – $290.68
Total Claims
32,145
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 Mansfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ava J. Walsh
280 School St Ste J140 |
$49.62 | 14 | 13 |
|
Oluwatoyosi Oyebode
44 Wood Ave Bldg 1 |
$78.04 | 34 | 30 |
|
Soumya Reddy Rajupet
89 Forbes Blvd |
$11.15 | 55 | 53 |
|
Emily Mossman
10 Reservoir St Unit A |
$10.93 | 148 | 140 |
|
Te-Ana Harris
200 Copeland Dr |
$290.68 | 173 | 163 |
|
Christina Mitchell
89 Forbes Blvd Ste 1000A |
$13.21 | 175 | 167 |
|
Jennifer Brooke Lannigan
89 Forbes Blvd Ste 1000A |
$3.72 | 189 | 179 |
|
Scot E Sallaway
200 Copeland Dr |
$19.41 | 274 | 261 |
|
Tara Lyn Coleman
454 Chauncy St |
$23.78 | 294 | 284 |
|
Lisa A Chapman
200 Chauncy St Ste 105 |
$106.49 | 356 | 291 |
|
Peter A. Fischer
200 Copeland Dr |
$34.43 | 415 | 405 |
|
Raymond Paul-Blanc
16 Creeden St |
$20.94 | 572 | 549 |
|
Laura Falkiewicz
200 Copeland Dr |
$35.29 | 592 | 556 |
|
James Kenny
23 Plantingfield Rd |
$27.68 | 711 | 693 |
|
John Shaver
200 Copeland Dr |
$46.64 | 879 | 818 |
|
Amit Johnny Grover
200 Copeland Dr |
$7.38 | 906 | 697 |
|
Nancy Ann Walsh
200 Copeland Dr |
$34.15 | 948 | 873 |
|
Beth H Dombrowski
200 Copeland Dr |
$27.29 | 1,180 | 1,154 |
|
Stephanie P Favreau
200 Copeland Dr |
$66.19 | 1,248 | 1,156 |
|
Feyisetan Rebecca Ramey
20 Cabot Blvd Ste 300 |
$132.95 | 1,541 | 1,347 |
|
Noreen Imran Iqbal
200 Copeland Dr |
$48.08 | 1,838 | 1,737 |
|
Sachin Shamkant Phansalkar
800 S Main St Ste 103 |
$86.75 | 2,060 | 1,873 |
|
Peter Andrew Roman
89 Forbes Blvd Ste 1000A |
$53.12 | 2,675 | 2,464 |
|
Stephen Paul Kajencki
800 S Main St |
$41.76 | 2,789 | 2,605 |
|
New England Counseling Center Pc
792 S Main St |
$91.81 | 3,425 | 3,225 |
|
Sonal R. Patel
200 Copeland Dr |
$50.15 | 8,654 | 7,982 |
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 Mansfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mansfield, MA is $57.55 per claim, based on 32,145 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 Mansfield, MA?
There are 26 Medicaid providers offering Office Visit related services in Mansfield, MA according to public payment data.
What is the price range for Office Visit in Mansfield, MA?
Medicaid reimbursement for Office Visit in Mansfield, MA ranges from $3.72 to $290.68 per claim, with an average of $57.55. 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 Mansfield, MA
Blood Work & Lab Tests
Avg $29.78
221,076 claims
Non-Emergency Medical Transportation
Avg $20.41
64,697 claims
Psychiatric Evaluation
Avg $81.46
14,699 claims
Dental Cleaning & Exam
Avg $38.45
11,683 claims
Eye Exam
Avg $31.61
9,798 claims
Urinalysis & Urine Tests
Avg $0.79
8,350 claims
Ambulance Transport
Avg $111.00
5,987 claims
Culture & Microbiology Tests
Avg $1.01
4,269 claims