Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Medford, MA: $80.01

Avg. Paid

$80.01

Range

$0.00 – $195.07

Total Claims

120,130

Providers

106

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 Medford, MA

Provider	Avg. Paid	Claims	Patients
Melrosewakefield Healthcare, Inc. 170 Governors Ave	$164.74	24,632	23,328
Dcs Mental Health, Inc 151 Mystic Ave	$69.35	12,687	10,813
Jonathan D. Rothberg 101 Main St Ste 116	$3.24	8,530	5,028
James M Smith 5 High St Ste 101	$100.36	5,958	5,342
Hallmark Health Medical Associates Inc 170 Governors Ave	$43.98	5,200	4,736
Shari Lecker 101 Main St	$38.56	3,014	2,844
Kimberly J Costa 101 Main St	$62.72	2,845	2,810
Donald P Delollis 101 Main St	$57.26	2,373	2,223
Jeanne Steinberg Clifford 101 Main St.	$43.27	2,286	2,174
Michael Barry Stevens 170 Governors Ave	$17.24	2,225	1,991
Christine Anne Mulligan 75 Riverside Ave Ste 2	$63.78	2,058	1,988
Hallmark Health System Inc 170 Governors Ave	$126.03	2,018	1,902
Laurence A Conway 170 Governors Avenue	$34.98	1,923	1,816
Emmanuel Tetteh Agbottah 85 High St	$59.08	1,867	1,792
Eugenia Blank 170 Governors Ave Ste 258	$50.82	1,720	1,708
Susan Margaret Ludwig 170 Governors Ave	$63.72	1,705	1,158
Elinor M Milder 101 Station Lndg Ste 500	$62.52	1,556	1,484
Ellen Diana Klee 170 Governors Ave	$24.97	1,509	1,488
David Andrew Bross Mystic Valley Pediatrics	$103.93	1,463	1,428
James Scott Bath 137 Main St	$22.63	1,418	1,383
Sowmya Reddy Thadisina 101 Main St Ste 214	$34.91	1,385	1,334
Joseph Mccabe 26 City Hall Mall	$122.36	1,347	1,323
Patrick Sabia 75 Riverside Ave Ste 2	$43.67	1,336	1,295
Hallmark Health 170 Governors Ave	$160.71	1,261	1,191
Andrew M Aldridge 92 High St	$48.43	1,097	975
Laura Carman 101 Main St	$43.04	1,029	983
Margaret Balya 26 City Hall Mall	$44.84	973	966
Johanna Burke 26 City Hall Mall	$133.49	940	862
Thomas W Furth 26 City Hall Mall	$125.03	913	888
Edward P Butler 170 Governors Ave	$41.89	912	857
Sandra Alexandrina Quintal 26 City Hall Mall	$136.55	861	801
Dan Seligman Zero Governors Ave	$22.21	829	819
Edward J Mostone 425 Salem Street	$29.37	785	707
David S. Pladziewicz 170 Governors Ave	$26.53	770	741
Dana Marcinkowski-Desmond 75 Riverside Ave Ste 2	$47.07	763	715
Wedad Almasri 26 City Hall Mall	$86.61	737	721
David Marsh Bowling 101 Main St	$44.59	672	653
Brittany Paskal 101 Main St Ste 116	$26.00	664	631
Ian Hopewood 26 City Hall Mall	$68.90	654	637
Gloria Lunghar 170 Governors Ave	$42.61	643	615
Jessica Pepin 10 Cabot Rd Ste 205	$45.09	639	605
Caitlin Fay Anderson 101 Main St Ste 201	$74.15	608	594
James C Pert 26 City Hall Mall	$143.34	570	555
Maxim Lianski 170 Governors Ave	$19.40	559	453
Connie Diep 26 City Hall Mall	$157.30	557	532
Sameer Gaonkar 101 Main St Ste 116	$43.89	539	506
Sunita B Schurgin 170 Governors Ave	$38.60	530	527
Mohammad A Hakim 101 Main St	$32.58	517	503
Mary Colpoys 26 City Hall Mall	$96.93	498	492
Dana Sackton 26 City Hall Mall	$79.15	481	467

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 Medford, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Medford, MA is $80.01 per claim, based on 120,130 claims from 106 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 Medford, MA?

There are 106 Medicaid providers offering Office Visit related services in Medford, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Medford, MA ranges from $0.00 to $195.07 per claim, with an average of $80.01. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Medford, MA: $80.01

Providers Offering Office Visit in Medford, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Medford, MA

Home Health Visit

Blood Work & Lab Tests

Dental Cleaning & Exam

Psychiatric Evaluation

Non-Emergency Medical Transportation

Emergency Room Visit

Physical Therapy

Urinalysis & Urine Tests