Average Medicaid Office Visit Payments in Milford, MA: $64.98
Avg. Paid
$64.98
Range
$1.63 – $211.10
Total Claims
99,229
Providers
110
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 Milford, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Xiangyang Li
229 East Main St Suit #204 |
$57.85 | 9,410 | 8,256 |
|
Pankaj I. Shroff
176 West St |
$124.59 | 7,124 | 6,578 |
|
Emily Collier
321 Fortune Boulevard |
$46.06 | 5,583 | 5,040 |
|
Martin L Gelman
211 West Street |
$62.98 | 5,351 | 4,799 |
|
Robert M Beckmann
176 West St |
$94.37 | 4,798 | 4,648 |
|
Ralph Cahaly
115 Water St |
$63.15 | 4,249 | 4,205 |
|
Sunita Hajare
176 West St |
$99.10 | 3,921 | 3,802 |
|
William F Horgan
176 West St |
$129.49 | 3,577 | 3,456 |
|
Cathie Kumar
321 Fortune Blvd |
$41.69 | 3,180 | 3,086 |
|
Matthew C Wylie
101 Cedar St |
$27.55 | 2,937 | 2,790 |
|
Jennifer A Bram
321 Fortune Boulevard |
$44.48 | 2,661 | 2,570 |
|
Samir H Kailani
117 Water St |
$42.53 | 2,517 | 2,506 |
|
Alexandra Almanzar Morel
101 Cedar St |
$28.10 | 2,114 | 2,037 |
|
Tara L Richardson
Hollister Pediatric Group |
$39.45 | 2,079 | 1,993 |
|
Mark E Ryan
Holliston Pediatric Group |
$66.61 | 2,019 | 1,973 |
|
Qingning Bian
176 West St |
$104.58 | 1,976 | 1,889 |
|
Sarah C. Tuffo
42 Cape Rd |
$54.23 | 1,633 | 1,493 |
|
Sarita Nori
1 Maple St |
$151.28 | 1,553 | 1,519 |
|
Denise Marie L'Esperance
176 West St |
$81.00 | 1,542 | 1,459 |
|
Fozia Qamar
14 Prospect St |
$43.24 | 1,523 | 1,479 |
|
Richard Donovan Mulroy
321 Fortune Blvd |
$38.80 | 1,322 | 1,262 |
|
David P. Magit
91 Water St |
$39.69 | 1,266 | 1,167 |
|
Nicole Marie Caporizzo
176 West St |
$90.30 | 1,228 | 1,186 |
|
Damien A Lucius
258 Main St |
$30.06 | 1,043 | 815 |
|
Hande Hayirlioglu Tuncer
20 Prospect St |
$40.24 | 1,011 | 972 |
|
Ganary Dabiri
1 Maple St |
$48.15 | 999 | 859 |
|
Aditi Mohankumar
308 Main St |
$50.31 | 937 | 908 |
|
Brett Hassan
215 West St |
$51.88 | 921 | 908 |
|
Besa Bushati
176 West St |
$96.71 | 896 | 874 |
|
Rachel Pflum
14 Prospect St |
$13.13 | 762 | 756 |
|
Rachel F Heppen
Holliston Pediatric Group |
$60.31 | 759 | 738 |
|
Lars E Kula
321 Fortune Blvd |
$64.31 | 752 | 730 |
|
William J Shine
308 Main St |
$37.11 | 711 | 688 |
|
Molly Ann Philip
91 Water St |
$56.78 | 688 | 663 |
|
Erinma Anya
176 West St |
$5.10 | 658 | 607 |
|
Jill Pandiscio
321 Fortune Boulevard |
$1.91 | 657 | 611 |
|
Sharon C Burdulis
229 E Main St |
$31.48 | 602 | 557 |
|
Brian D Moquin
215 West St |
$39.76 | 596 | 588 |
|
Kathryn A Gunness
91 Water St |
$43.36 | 590 | 566 |
|
Audra Victoria Beliveau
129 S Main St |
$96.84 | 582 | 456 |
|
Eddie E. Michli
115 Water St |
$26.95 | 559 | 549 |
|
Rachael Porter
25 Birch St Ste 204 |
$95.96 | 534 | 504 |
|
Dennis Anthony Porto
1 Maple Street |
$124.33 | 528 | 525 |
|
Yushan Chang Wilson
308 Main St |
$35.53 | 478 | 451 |
|
Hasina Hamid
221 E Main St |
$55.32 | 456 | 407 |
|
Courtney Patricia Sherlock
42 Cape Rd |
$24.01 | 416 | 404 |
|
Shauna M Snitko
115 Water St Ste 104 |
$39.20 | 409 | 395 |
|
Ajay K Batra
215 West St |
$36.33 | 407 | 394 |
|
Monica S Vancampen
117 Water Street |
$49.30 | 388 | 376 |
|
Ravi S Menon
101 Cedar St |
$39.11 | 387 | 344 |
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 Milford, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Milford, MA is $64.98 per claim, based on 99,229 claims from 110 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 Milford, MA?
There are 110 Medicaid providers offering Office Visit related services in Milford, MA according to public payment data.
What is the price range for Office Visit in Milford, MA?
Medicaid reimbursement for Office Visit in Milford, MA ranges from $1.63 to $211.10 per claim, with an average of $64.98. 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 Milford, MA
Behavioral & Mental Health Therapy
Avg $138.05
236,568 claims
Blood Work & Lab Tests
Avg $4.89
128,253 claims
Dental Cleaning & Exam
Avg $38.54
94,180 claims
Non-Emergency Medical Transportation
Avg $20.23
91,356 claims
Emergency Room Visit
Avg $139.16
56,976 claims
Physical Therapy
Avg $46.61
47,382 claims
Tooth Extraction
Avg $202.23
43,671 claims
Vaccines & Immunizations
Avg $22.08
38,532 claims