Average Medicaid Office Visit Payments in Millis, MA: $97.92
Avg. Paid
$97.92
Range
$2.84 – $122.28
Total Claims
7,469
Providers
9
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 Millis, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Teresa Hrach
840 Main St Ste 112 |
$58.07 | 12 | 12 |
|
Daniele Simone Cole
730 Main St Ste 1D |
$2.84 | 14 | 14 |
|
Stephanie Roberts
123 Middlesex St |
$7.21 | 122 | 120 |
|
Seamus Mark
969 Main Street |
$94.76 | 130 | 125 |
|
Emily Curley
730 Main St Ste 1D |
$17.52 | 238 | 235 |
|
Steven L. Bornstein
969 Main St |
$64.08 | 359 | 352 |
|
Mustafa Khaled Mustafa
730 Main St |
$47.45 | 423 | 415 |
|
Kathryn R Ellis
730 Main St |
$57.57 | 1,304 | 1,229 |
|
Mathieu Bermingham
142 Exchange St |
$122.28 | 4,867 | 3,238 |
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 Millis, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Millis, MA is $97.92 per claim, based on 7,469 claims from 9 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 Millis, MA?
There are 9 Medicaid providers offering Office Visit related services in Millis, MA according to public payment data.
What is the price range for Office Visit in Millis, MA?
Medicaid reimbursement for Office Visit in Millis, MA ranges from $2.84 to $122.28 per claim, with an average of $97.92. 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
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Millis, MA
Behavioral & Mental Health Therapy
Avg $140.86
29,767 claims
Psychiatric Evaluation
Avg $107.93
4,344 claims
Blood Work & Lab Tests
Avg $10.57
2,875 claims
Podiatry (Foot Care)
Avg $6.17
1,119 claims
Speech Therapy
Avg $11.98
764 claims
Nursing Facility Care
Avg $12.79
528 claims
Physical Therapy
Avg $18.47
509 claims
Eye Exam
Avg $16.43
468 claims