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 |
|---|---|---|---|
|
Ann Grealish
160 West St |
$30.79 | 12 | 12 |
|
David J Harrington
321 Fortune Blvd |
$38.58 | 12 | 12 |
|
Colleen A Murphy
221 E Main St |
$31.42 | 12 | 12 |
|
Xiaojing Tao
100 Medway Rd |
$43.51 | 13 | 12 |
|
Brian Mongillo
14 Prospect St |
$71.70 | 13 | 13 |
|
Beata Eva Kereszti
115 Water Street |
$54.35 | 14 | 14 |
|
Elizabeth Carolyn Hilton
129 S Main St |
$8.27 | 14 | 14 |
|
Heidi Ann O'Brien
115 Water St |
$29.73 | 15 | 15 |
|
Rebecca S Howard
14 Asylum St |
$1.63 | 24 | 24 |
|
Dost Sarpel
14 Prospect St |
$30.61 | 32 | 32 |
|
Barjinder Darbhanga
14 Prospect St |
$90.64 | 33 | 29 |
|
David J Carlson
101 Cedar St |
$59.90 | 38 | 36 |
|
Natalie Sinclair
20 Prospect St |
$49.53 | 38 | 37 |
|
Wayne D Trotter
176 West St |
$102.69 | 39 | 38 |
|
Lee Crepeau Campano
221 E Main St Ste 105 |
$11.88 | 41 | 41 |
|
Rahim Shafa, Md Pc
189 West Street |
$62.95 | 42 | 24 |
|
Leah Rice
8 Cormier Cir |
$54.97 | 45 | 44 |
|
Catherine B Boisvert
98 Prospect St |
$61.14 | 45 | 44 |
|
Christina S Mccarthy
14 Prospect St |
$21.90 | 57 | 51 |
|
Brendan Kiernan
98 Prospect St |
$28.88 | 63 | 62 |
|
Lauren Beraldi Abric
211 West St |
$56.26 | 64 | 60 |
|
John B. Levine
14 Prospect Street |
$211.10 | 65 | 59 |
|
Larissa M Costa
14 Prospect St |
$27.87 | 69 | 68 |
|
Susan E Barrett
321 Fortune Blvd |
$24.20 | 73 | 68 |
|
Kathryn Y. Lee
100 Medway Rd |
$62.55 | 79 | 75 |
|
Diego S. Illanes
115 Water St Ste 105 |
$67.99 | 86 | 85 |
|
Misagh Sadat-Aalaee
14 Prospect St |
$26.35 | 87 | 82 |
|
Michael A Marciello
14 Asylum St |
$26.31 | 92 | 87 |
|
Aditi Ahlawat
14 Prospect St |
$80.70 | 115 | 111 |
|
Erica J. Bailey
91 Water St |
$46.51 | 116 | 109 |
|
Sydney Engel
42 Cape Rd |
$3.21 | 121 | 119 |
|
Christopher William Driscoll
25 Birch St |
$4.59 | 134 | 124 |
|
Evan E Tong
192 West St |
$43.05 | 136 | 134 |
|
Robin A Brooke
229 E Main St |
$73.30 | 140 | 136 |
|
Amy A Costa
100 Medway Rd Ste 204 |
$16.20 | 145 | 136 |
|
John Michael Mulroy
321 Fortune Blvd |
$37.10 | 156 | 151 |
|
Monica Smith Woodward
221 E Main St |
$53.24 | 158 | 154 |
|
Daniel G Donahue
215 West St |
$44.48 | 166 | 165 |
|
Sarah Michelle Montgomery
160 West St |
$22.03 | 172 | 164 |
|
Edward M. Kennedy Community Health Center, Inc
41 Cape Rd |
$16.22 | 174 | 173 |
|
Sanjaya Kumar
115 Water Street |
$18.05 | 178 | 174 |
|
Brian Kenneth Bond
91 Water St Dept Ob |
$55.58 | 183 | 169 |
|
Harold R Moore
213 West St |
$33.32 | 186 | 180 |
|
Brian Onyechefule
14 Prospect St |
$76.72 | 187 | 183 |
|
Charles E Dufromont
14 Prospect St |
$69.55 | 188 | 187 |
|
Stephen Richard Rotman
215 West St |
$50.28 | 193 | 185 |
|
Karen K. Jeng
91 Water St |
$51.31 | 200 | 185 |
|
Marcel Rae Droz
91 Water St |
$37.33 | 223 | 217 |
|
Michael Alexander Vazquez
321 Fortune Blvd |
$50.15 | 226 | 208 |
|
Ali A Amini
215 West St |
$30.58 | 235 | 227 |
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