Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Marlborough, MA: $49.24

Avg. Paid

$49.24

Range

$0.83 – $121.78

Total Claims

84,284

Providers

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 Marlborough, MA

Provider	Avg. Paid	Claims	Patients
Advocates, Inc. 340 Maple St	$66.97	14,717	13,701
Olena M Saikewicz 118 Barnard Rd	$51.02	8,041	3,452
Shunian He 640 Bolton St	$66.44	6,668	5,137
Kathleen Mary Hoffman 340 Maple St Ste 400	$39.20	6,091	5,815
Rocio Nordfeldt 640 Bolton St	$54.35	5,986	5,270
Matthew P Butler 340 Maple Street	$23.23	5,715	5,547
Judson Lewis Siegel 340 Maple St	$13.06	2,765	2,719
Amrutha Balakrishnan 640 Bolton St	$47.29	2,753	2,616
Jose Roberto Flores Cardillo 246 Maple St Ste 3	$22.47	2,495	2,325
Clifford George Risk 320 Bolton St	$27.10	2,411	2,002
Shiu-Chung Au 11 Apex Dr Ste 103A	$46.78	1,986	1,964
Urgent Care Centers Of Central Massachusetts, Llc 757 Boston Post Rd	$87.95	1,811	1,773
Advocates Community Counseling Inc 340 Maple St	$79.43	1,803	1,740
Sangeetha D Punjabi 340 Maple St	$44.12	1,797	1,772
Monzurul H Chowdhury 157 Union St	$30.00	1,715	1,224
Julie F Ozaydin 340 Maple St	$49.66	1,501	1,445
Malia Weber-Parker 771 Boston Post Rd E Ste 11	$74.06	1,386	1,215
David B Wexler 157 Union St	$34.29	1,287	1,253
Anupreet Oberoi 650 Boston Post Rd E	$57.99	999	936
Melanie Daley 340 Maple St Ste 400	$38.70	919	874
July Anna Lau-Deza 159 Union St Ste 102	$35.69	781	759
Joseph L Bouchard 159 Union St	$38.40	746	725
Gilberto Sustache 65 Boston Post Rd W Ste 100	$33.12	732	667
Diana Lisa Fernandes 277 Main St Ste 208	$49.28	659	257
Lalita A Matta 65 Fremont St	$17.63	621	561
Marc V. Bisceglia 157 Union St	$62.63	608	592
Meghan Catherine Monk 201 Boston Post Rd W Ste 200&202	$62.16	558	478
Susan E Donohue 157 Union St	$43.14	514	444
Sneha Kilari 650 Boston Post Rd E	$44.33	513	496
Rishi Rajan Vohora 157 Union St	$28.05	503	497
Keith Medeiros 157 Union St	$33.52	464	454
Afc Physicians Of Massachusetts, Pc 42 Boston Post Rd W	$121.78	452	436
Allis Kim 65 Fremont St	$42.09	418	386
Judith Ann Haran 157 Union St	$23.63	399	390
Joseph J Sliwkowski 5 Mount Royal Ave	$74.79	387	369
Caitlin E Olsen 159 Union St	$28.97	377	366
Soma M Brahmanandam 15 Redbud Way	$34.33	356	350
Vinay Kumar 126 Union Street	$12.52	325	302
Larry Schibuk 157 Union St	$67.57	298	296
Ayesha Anwar 650 Boston Post Rd E	$32.07	289	267
Suellen Duque 65 Fremont St Ofc 6	$28.56	197	190
Daniel A. Kelleher 157 Union St	$38.48	179	170
Michele W. Proos 157 Union St	$36.11	171	132
Melissa Hennessey Smith 100 Locke Dr	$25.74	169	105
Kimberly A. Robinson 159 Union St	$35.26	155	152
Jaclyn Alyssa Masulli 225 Cedar Hill St	$2.84	135	128
Michelle Denise Hayes 157 Union St	$30.10	108	99
Susan M Yeomans 65 Boston Post Rd W Ste 250	$20.65	87	87
Deirdre Jane Chafe 157 Union St	$82.10	79	64
Richa Sood 246 Maple St	$55.76	53	53

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 Marlborough, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marlborough, MA is $49.24 per claim, based on 84,284 claims from 54 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 Marlborough, MA?

There are 54 Medicaid providers offering Office Visit related services in Marlborough, MA according to public payment data.

What is the price range for Office Visit in Marlborough, MA?

Medicaid reimbursement for Office Visit in Marlborough, MA ranges from $0.83 to $121.78 per claim, with an average of $49.24. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Marlborough, MA: $49.24

Providers Offering Office Visit in Marlborough, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Marlborough, MA

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Urinalysis & Urine Tests

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Pathology & Lab Services

Non-Emergency Medical Transportation

Psychiatric Evaluation

Dental Cleaning & Exam

Behavioral & Mental Health Therapy