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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
Catherine S Tucker

49 Governors Ave

$33.16 12 12
Stephanie S Bjork

101 Main St

$42.30 12 12
Yoon K Cho

26 City Hall Mall

$92.75 12 12
Ashley Riley

101 Main St Ste 107

$47.75 13 13
Christina M Iliades

200 Governors Ave

$54.84 13 12
Genevieve Lumsden

30 Auburn St

$11.87 13 12
James Lagamo Dawson

26 City Hall Mall

$36.50 13 13
Deborah Mclucas

26 City Hall Mall

$6.38 14 13
Nancy Cibotti Granof

287 Middlesex Ave

$34.03 14 13
Michelle Barr

26 City Hall Mall

$86.46 15 14
Giulia Hanna Maria Scarantino

170 Governors Ave

$0.00 18 18
Nancy Kim

26 City Hall Mall

$102.76 27 27
Ying Ying Ma

170 Governors Ave

$18.42 35 31
Albert A Hanlon

101 Main St

$66.67 41 41
Jessica Nicole Linnell

26 City Hall Mall

$13.92 42 42
Steven W Paskal

26 City Hall Mall

$101.15 42 39
Leanne Lee

101 Station Lndg Ste 500

$55.86 43 41
Linda A Bergin Fallon

26 City Hall Mall

$27.45 44 43
Eileen Wegener

170 Governors Ave

$8.24 45 43
Paul J Feiss

26 City Hall Mall

$78.46 50 50
Jason M Gilbert

101 Main Street

$14.69 51 50
Cristina Holt

170 Governors Ave Ste 256

$41.98 53 53
Rita D Delollis

101 Main St

$77.57 54 51
Sarah W Morrison

101 Station Lndg Ste 500

$40.12 55 51
Michelle L Dyke

137 Main St

$65.67 64 57
Harold Gregory Ota

101 Main St

$51.73 72 68
Razvan Ioan Paul Arsenescu

26 City Hall Mall

$65.33 72 68
Hannah Slavitt

101 Main St Ste 112

$55.51 95 89
Enian Kallamata

63 Station Lndg

$80.78 130 126
Rebecca Faith Tharaud

101 Station Lndg Ste 500

$55.70 132 124
Eliza Schwartz Meade

26 City Hall Mall

$112.58 134 134
George M. Feltin

101 Main St

$45.27 148 142
Mary E Cain

26 City Hall Mall

$46.35 151 148
Mark Thomas Kestner

44 Manning St

$20.83 161 160
Kristen J Camara

101 Main St Ste 214

$30.17 171 166
Sara Grant

75 Riverside Ave Ste 2

$51.83 176 170
Linda Lotive Simwatachela

26 City Hall Mall

$106.22 190 182
Amanda K Geary

26 City Hall Mall

$88.03 200 185
Diane Coste

101 Main St

$38.87 204 194
Yuliya Shanley

4110 Mystic Valley Pkwy

$75.59 224 211
Paula M Fang

170 Governors Ave

$28.24 247 240
Teresia T Pham

26 City Hall Mall

$13.45 249 242
Stephanie Lee Bivona

101 Main St Ste 202

$7.57 258 243
Rachel Arielle Perla

26 City Hall Mall

$81.87 282 277
Hongchao Zhou

26 City Hall Mall

$195.07 302 293
Kathleen F Marchetti

26 City Hall Mall

$1.71 358 354
Teresa Mary Zabik

26 City Hall Mall

$76.44 363 360
Mass General Brigham Urgent Care Llc

127 Main St

$14.20 394 386
Tara J Hamilton

170 Governors Ave

$30.45 398 398
Lakshmi Mudunuri

170 Governors Ave

$15.99 407 372

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.

Office Visit in Other Cities

Other Procedures in Medford, MA