Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Milton, MA: $65.77

Avg. Paid

$65.77

Range

$4.49 – $186.96

Total Claims

28,909

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 Milton, MA

Provider	Avg. Paid	Claims	Patients
Beth Israel Deaconess Hospital Milton Inc 199 Reedsdale Rd	$186.96	5,236	5,048
John Ferrante 100 Highland St	$44.08	2,585	2,456
Priya Marie Hippolyte 2 Granite Ave Ste 260	$77.98	2,413	1,883
Peter B Martens South Shore Internal Medicine	$14.66	2,051	1,959
Michelle Jaeim Yoon 100 Highland St Ste 221	$62.88	1,924	1,861
Saraswathi Devi V Muppana 100 Highland St	$31.29	1,848	1,717
Mary Louise Ashur 88 Wharf St	$14.35	1,708	1,535
Ali Emami 100 Highland St	$53.09	1,539	1,464
Jan P Urkevic 26 Wolcott Rd	$41.53	1,267	921
James C Lin 100 Highland St Ste 226	$44.20	1,050	1,002
Justin J Gould 100 Highland St Ste 226	$39.36	954	930
Wing Kin Fung 100 Highland St	$28.60	872	858
Gregory J Kechejian 100 Highland St	$23.05	790	759
Min Song 199 Reedsdale Rd	$24.07	777	747
Kenneth O Harris 100 Highland St	$25.91	691	544
Mark T Hodgman 100 Highland St	$12.15	642	592
David Gomes 199 Reedsdale Rd	$47.91	626	585
Catherine M. Vu Morrissey 451 Centre St	$14.94	485	464
Jorge Enrique Tello 630 Adams St	$36.82	390	359
John Joseph Looney 100 Highland St	$27.15	375	342
William E. Cobb 100 Highland Street, Ste 209	$24.58	204	193
Chunqiu Hou 100 Highland St	$14.33	136	123
Natalie Joan Paris 1071 Blue Hill Ave	$32.29	134	132
Souheil Adra 100 Highland St Ste 126	$51.04	53	49
Katherine N Noon 199 Reedsdale Rd	$42.47	29	29
Scott B Lutch 100 Highland St	$8.89	27	27
Rebecca Vera Levine 199 Reedsdale Rd	$65.28	24	24
Paul G Paganelli 92 Highland Street	$60.32	15	13
Kathleen Riordan 3 Waldo Rd	$15.76	14	14
Mary Ellen Timmins-Finnell 464 Granite Ave	$4.49	13	12
Kathleen M Fitzgerald East Milton Pediatric Assoc	$57.26	13	13
Monika K Konopka 100 Highland St Ste 209	$20.15	12	12
Jose Bienvenido Corporan 199 Reedsdale Rd	$7.55	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 Milton, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Milton, MA is $65.77 per claim, based on 28,909 claims from 33 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 Milton, MA?

There are 33 Medicaid providers offering Office Visit related services in Milton, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Milton, MA ranges from $4.49 to $186.96 per claim, with an average of $65.77. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Milton, MA: $65.77

Providers Offering Office Visit in Milton, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Milton, MA

Blood Work & Lab Tests

Home Health Visit

Emergency Room Visit

X-Ray

Nursing Facility Care

EKG / ECG (Electrocardiogram)

Urinalysis & Urine Tests

Psychiatric Evaluation