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
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 Medford, MA
Home Health Visit
Avg $28.79
1,207,870 claims
Blood Work & Lab Tests
Avg $7.91
193,270 claims
Dental Cleaning & Exam
Avg $39.84
137,802 claims
Psychiatric Evaluation
Avg $69.66
126,755 claims
Non-Emergency Medical Transportation
Avg $36.32
110,098 claims
Emergency Room Visit
Avg $185.19
40,607 claims
Physical Therapy
Avg $42.01
39,519 claims
Urinalysis & Urine Tests
Avg $4.36
33,691 claims