Average Medicaid Office Visit Payments in Medway, MA: $35.31
Avg. Paid
$35.31
Range
$14.52 – $98.18
Total Claims
284,665
Providers
23
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 Medway, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Minuteclinic Diagnostic Of Massachusetts Llc
67D Main St |
$32.30 | 258,588 | 243,304 |
|
Linda Ciu
116 Main St |
$98.18 | 7,786 | 7,677 |
|
Jeffrey Ayotte
67D Main St |
$81.66 | 3,526 | 3,481 |
|
Marisa Ann Fellini
67D Main St |
$38.54 | 3,299 | 3,241 |
|
Kimberly Crocker Crowther
67D Main St. |
$32.02 | 3,081 | 2,989 |
|
Kylee C. Eagles
68A Main St Ste 101A |
$37.42 | 2,142 | 2,022 |
|
Wendy J. Collins
68A Main St Ste 101 |
$58.04 | 967 | 933 |
|
Elizabeth A. Gebhard
68A Main St |
$46.14 | 907 | 861 |
|
Mark C. Fitzgerald
68A Main St |
$50.84 | 833 | 822 |
|
Angela Terry
67D Main St |
$89.19 | 593 | 502 |
|
Robert L Cooper
81B Main St |
$40.42 | 564 | 388 |
|
Karina Augusta Reynolds
116 Main St |
$55.76 | 499 | 458 |
|
Carl M Sousa
74 Main Street |
$48.63 | 450 | 402 |
|
Cheryl A Hardenbrook
68A Main St |
$53.23 | 378 | 362 |
|
Elizabeth Flowers
67D Main St |
$42.34 | 301 | 294 |
|
Mary Ellen Puopolo
68A Main St Ste 103 |
$84.19 | 262 | 256 |
|
Meghan Kathleen Bonanno
67 Main St |
$48.78 | 135 | 135 |
|
Maria C. Sullivan
74 Main St |
$48.10 | 96 | 93 |
|
Mia Jasmine Copeland-Brock
165 Main St |
$14.52 | 93 | 91 |
|
Mandy Page
68A Main St Ste 102 |
$35.41 | 60 | 59 |
|
Debra L. Cohn
68A Main St Ste 105 |
$38.32 | 49 | 46 |
|
Patrick R Mcsweeney
74 Main St |
$62.88 | 41 | 38 |
|
Stephanie Changeau
67 Main St |
$64.40 | 15 | 13 |
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 Medway, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Medway, MA is $35.31 per claim, based on 284,665 claims from 23 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 Medway, MA?
There are 23 Medicaid providers offering Office Visit related services in Medway, MA according to public payment data.
What is the price range for Office Visit in Medway, MA?
Medicaid reimbursement for Office Visit in Medway, MA ranges from $14.52 to $98.18 per claim, with an average of $35.31. 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 Medway, MA
Vaccines & Immunizations
Avg $18.08
42,496 claims
Behavioral & Mental Health Therapy
Avg $144.33
37,598 claims
Urinalysis & Urine Tests
Avg $1.52
4,276 claims
Dental Cleaning & Exam
Avg $37.92
4,115 claims
Nursing Facility Care
Avg $16.92
2,830 claims
Ambulance Transport
Avg $77.27
2,659 claims
Psychiatric Evaluation
Avg $90.68
1,838 claims
Emergency Room Visit
Avg $50.84
1,705 claims