Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Melrose, MA: $52.79

Avg. Paid

$52.79

Range

$5.32 – $449.47

Total Claims

36,750

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 Melrose, MA

Provider	Avg. Paid	Claims	Patients
Josee Laplante 50 Rowe St	$60.92	8,537	5,594
Bindiya Thakkar 585 Lebanon St	$37.54	2,976	2,924
Timothy A Tierney 675 Main St	$50.55	2,336	2,199
Jingli Ma 585 Lebanon St	$29.18	2,251	2,205
Sonia R.U. Beauvais 585 Lebanon St	$164.84	1,901	1,856
Vincent Falanga 1 City Hall Plz	$35.23	1,881	1,820
Mark M Berenson 721 Main St.	$39.19	1,829	1,683
Maura A Previte 585 Lebanon St	$26.84	1,293	1,276
Alexander B Latty Melrose Medical Assocs	$35.98	1,129	1,043
Roger L Kinnard 792 Main St	$45.33	1,113	1,007
Regine Tillmanns 830 Main St	$59.13	1,071	1,029
Ariel Leroy 585 Lebanon St	$80.86	931	919
Jennifer S Wu 663 Main St	$52.67	928	836
Matthew Philip Brewer 548 Lebanon St	$51.04	916	879
Erica L Brooks 50 Rowe St	$39.97	845	801
Lawrence J Moschitto 50 Rowe St Ste 600	$32.37	654	643
Partha S Sinha 585 Lebanon St	$37.45	626	625
Richard Evan Caesar 50 Rowe St Ste 200	$44.40	497	481
Leslie Ann Nystuen 548 Lebanon Street	$60.36	489	469
David I Criss 50 Rowe St	$28.08	468	433
Gloria Moussa-Gabour 20 E Emerson St	$46.82	454	414
Edilia F. Gomes 1 W Foster St Ste 2	$49.00	422	399
Paige Hoisington Nunes 663 Main St	$29.70	369	345
Nicola Mogavero 792 Main St	$23.02	337	332
Steven Louis Senneville 465 Main St	$5.32	328	327
Katharine Terese Veale 50 Rowe St	$30.19	323	308
Angelo Pucillo 585 Lebanon St	$41.18	301	298
Thomas Guy Salines 675 Main St	$18.32	255	248
John Nadolny 585 Lebanon St	$67.84	240	239
Richard Morris 50 Rowe St Ste 200	$82.22	207	205
Sasa Periskic 50 Rowe St Ste 100	$44.61	178	146
Carl Joseph Turissini 50 Rowe St	$20.28	136	132
Edward Fischer 830 Main Street	$29.15	120	120
Neal W Nadelson 50 Rowe St	$41.27	104	99
Alexander O. Walker 585 Lebanon St	$77.67	37	37
Vrushali Hiren Shah 585 Lebanon St	$63.75	36	36
Thomas L Michelman 585 Lebanon St	$449.47	35	35
Elizabeth Anne White 585 Lebanon St	$39.58	34	33
Monika L Parrish 585 Lebanon St	$19.03	28	28
Kristin E Veillette 585 Lebanon St	$38.37	27	26
Gary Kleeman 585 Lebanon St	$79.69	24	24
Claire G Shernoff 50 Rowe St	$37.87	21	12
Alyssa M Funicella 50 Tremont St Ste 104	$59.45	14	12
Neil Denis Mccarthy 585 Lebanon St	$10.25	13	13
Kristin E Hoffman 585 Lebanon St	$8.53	12	12
Jeffrey Stuart Feldman 340 Main St	$69.55	12	12
Eric W Ramsey 585 Lebanon St	$59.75	12	12

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 Melrose, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Melrose, MA is $52.79 per claim, based on 36,750 claims from 47 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 Melrose, MA?

There are 47 Medicaid providers offering Office Visit related services in Melrose, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Melrose, MA ranges from $5.32 to $449.47 per claim, with an average of $52.79. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Melrose, MA: $52.79

Providers Offering Office Visit in Melrose, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Melrose, MA

Substance Abuse Treatment

EKG / ECG (Electrocardiogram)

X-Ray

Dental Cleaning & Exam

Emergency Room Visit

Blood Work & Lab Tests

Ambulance Transport

Speech Therapy