Average Medicaid Office Visit Payments in Methuen, MA: $45.41
Avg. Paid
$45.41
Range
$1.18 – $157.57
Total Claims
130,777
Providers
76
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 Methuen, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chih Y Yeh
188 Broadway |
$47.70 | 12,350 | 10,346 |
|
Maribel Ortiz
5 Wallace St |
$34.86 | 10,356 | 9,942 |
|
Dennis Lawrence Ryan
386 Merrimack St |
$21.46 | 7,404 | 6,832 |
|
Saroj Nishikant Purohit
380R Merrimack St |
$52.73 | 6,902 | 6,571 |
|
Steward Holy Family Hospital, Inc.
70 East St |
$66.69 | 6,784 | 6,145 |
|
Eve Bello Guerrero-Pajela
380R Merrimack St |
$47.20 | 5,207 | 4,854 |
|
Rex Corpuz Pajela
380R Merrimack St |
$44.63 | 5,069 | 4,898 |
|
Bronie Gorelik
380R Merrimack St |
$54.89 | 5,032 | 4,806 |
|
Steven Toscano
480 Jackson St |
$26.92 | 4,791 | 3,701 |
|
Javed I Siddiqi
380 Merrimack St |
$59.22 | 4,775 | 4,394 |
|
Yelizaveta Vaynshteyn
380R Merrimack St Ste 3B |
$32.99 | 4,130 | 3,954 |
|
Urgent Care Operations Pc
380 Merrimack St |
$91.28 | 3,912 | 3,833 |
|
Nicholas Ciotola
386 Merrimack St # 1B |
$37.17 | 3,822 | 3,729 |
|
Taylor M Ortiz
5 Branch St Ste 100 |
$45.13 | 3,530 | 2,490 |
|
Arthur J Gonsalves
380 Merrimack St |
$35.71 | 3,443 | 3,224 |
|
Gary James Pare
380 Merrimack St |
$31.14 | 2,368 | 2,217 |
|
Fernando Mauel Romero
60 East St |
$57.53 | 2,313 | 2,246 |
|
Andrew S. Lim
60 East Street |
$58.99 | 2,268 | 2,128 |
|
Nancy Nagda
380R Merrimack St Fl 3 |
$51.63 | 2,102 | 1,984 |
|
Michael Cook
70 East St |
$56.99 | 1,864 | 1,633 |
|
Marc David Klein
386 Merrimack St Ste 1B |
$19.12 | 1,812 | 1,771 |
|
Jennie L Kelly
7 Hancock Cir |
$63.38 | 1,769 | 1,751 |
|
Venugopal R Saddi
380R Merrimack St |
$42.55 | 1,693 | 1,422 |
|
Sung Bae Jee
386 Merrimack St Ste 1C |
$42.46 | 1,608 | 1,522 |
|
Margaret Jillian Ferris
33 Lawrence St |
$7.90 | 1,547 | 1,463 |
|
St. Ann'S Home, Inc.
100A Haverhill St |
$72.34 | 1,534 | 1,377 |
|
Rima Zalaket
70 East St |
$63.61 | 1,419 | 1,388 |
|
Johanna Johanni-Lopez
60 East St |
$73.50 | 1,396 | 1,377 |
|
Bijan Sadrnoori
411 Merrimack St |
$38.86 | 1,327 | 1,316 |
|
Emma Babayan
386 Merrimack St |
$34.45 | 1,254 | 1,137 |
|
Perin Sorab Thavaseelan
Pleasant Valley Internists Pc |
$46.43 | 1,191 | 1,101 |
|
Christopher Lawrence Minor
147 Pelham St |
$52.07 | 1,072 | 1,001 |
|
Daryl Silva
386 Merrimack St Ste 1B |
$30.57 | 1,026 | 970 |
|
Laura C Caprario
70 East St |
$34.80 | 981 | 770 |
|
Stivaly Rodriguez
380R Merrimack St Ste 3B |
$1.18 | 937 | 903 |
|
Bethany A Pelletier
380R Merrimack St Ste 3B |
$1.67 | 908 | 849 |
|
Scott Arthur
70 East Street |
$71.41 | 867 | 791 |
|
Samuel Maghuyop
Element Care/Pace |
$55.91 | 769 | 701 |
|
Michelle Jacquelyn Peterson
70 East St |
$39.91 | 664 | 596 |
|
Brandon Howes
147 Pelham St |
$40.86 | 658 | 588 |
|
Anjana Chakrabarti
60 East St |
$57.92 | 624 | 588 |
|
Ibrahim Joulak
60 East St Ste 1100 |
$61.53 | 619 | 595 |
|
Lenore Chesnutt
33 Lawrence St |
$2.41 | 605 | 559 |
|
Sheryl Barkan
9 Branch St |
$41.74 | 588 | 572 |
|
Patrick Scanlon
70 East St |
$35.27 | 484 | 472 |
|
Kristen Pasters
70 East St |
$50.01 | 451 | 446 |
|
Durga E Rao
411 Merrimack St |
$24.33 | 413 | 408 |
|
Cynthia Burns Robertson
60 East St |
$17.80 | 405 | 382 |
|
Kiely M Gamelin
60 East St |
$50.20 | 377 | 375 |
|
Patriot Urgent Care Professionals Pc
380 Merrimack St |
$73.79 | 371 | 369 |
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 Methuen, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Methuen, MA is $45.41 per claim, based on 130,777 claims from 76 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 Methuen, MA?
There are 76 Medicaid providers offering Office Visit related services in Methuen, MA according to public payment data.
What is the price range for Office Visit in Methuen, MA?
Medicaid reimbursement for Office Visit in Methuen, MA ranges from $1.18 to $157.57 per claim, with an average of $45.41. 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 Methuen, MA
Home Health Visit
Avg $33.16
825,656 claims
Blood Work & Lab Tests
Avg $3.62
199,078 claims
Emergency Room Visit
Avg $83.30
177,704 claims
Dental Cleaning & Exam
Avg $39.40
145,405 claims
Psychiatric Evaluation
Avg $86.18
64,081 claims
Urinalysis & Urine Tests
Avg $1.85
59,542 claims
EKG / ECG (Electrocardiogram)
Avg $4.38
53,565 claims
X-Ray
Avg $6.49
49,564 claims