Average Medicaid Office Visit Payments in Nantucket, MA: $51.86
Avg. Paid
$51.86
Range
$8.97 – $103.12
Total Claims
18,904
Providers
21
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 Nantucket, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Timothy J Lepore
57 Prospect St |
$55.03 | 6,053 | 4,291 |
|
David Brooke Lieberman
57 Prospect St |
$57.84 | 3,100 | 2,958 |
|
Jayne D Culkins
57 Prospect Street |
$30.13 | 2,600 | 2,493 |
|
Fairwinds-Nantuckets Counseling Center
20 Vesper Ln |
$79.68 | 975 | 830 |
|
Raymond Rocco Monto
99 Goldfinch Dr |
$62.00 | 949 | 813 |
|
Molly Harding
57 Prospect St |
$19.94 | 875 | 860 |
|
Allison Dao
57 Prospect St |
$94.89 | 653 | 564 |
|
Margaret M. Koehm
57 Prospect St |
$51.41 | 585 | 565 |
|
George P Butterworth
57 Prospect St |
$59.50 | 547 | 520 |
|
Tamara R Dildy
57 Prospect St |
$90.64 | 443 | 443 |
|
Artemis Diane Panagopoulos
57 Prospect St Unit 1 |
$20.85 | 378 | 375 |
|
Annette M Adams
57 Prospect St |
$24.06 | 339 | 329 |
|
Maria Elizabeth Carey
57 Prospect Street |
$16.27 | 302 | 297 |
|
Janine Claire Albert
57 Prospect St Unit 1 |
$61.03 | 233 | 231 |
|
Nancy Jean Lucchini
57 Prospect St |
$30.47 | 221 | 214 |
|
Sarah Fulham Russell
57 Prospect St |
$25.14 | 175 | 141 |
|
Candy Yi Bernier
57 Prospect St |
$8.97 | 117 | 101 |
|
Diane R Pearl
57 Prospect St |
$59.88 | 104 | 93 |
|
Eileen H Carlsen
57 Prospect St |
$103.12 | 98 | 66 |
|
Shane C Peters
57 Prospect St |
$58.41 | 85 | 84 |
|
Nantucket Cottage Hospital
57 Prospect St |
$30.19 | 72 | 71 |
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 Nantucket, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Nantucket, MA is $51.86 per claim, based on 18,904 claims from 21 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 Nantucket, MA?
There are 21 Medicaid providers offering Office Visit related services in Nantucket, MA according to public payment data.
What is the price range for Office Visit in Nantucket, MA?
Medicaid reimbursement for Office Visit in Nantucket, MA ranges from $8.97 to $103.12 per claim, with an average of $51.86. 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 Nantucket, MA
Emergency Room Visit
Avg $77.40
18,373 claims
Psychiatric Evaluation
Avg $59.43
8,898 claims
Blood Work & Lab Tests
Avg $7.98
6,349 claims
Vaccines & Immunizations
Avg $7.84
3,694 claims
Dental Cleaning & Exam
Avg $37.56
3,140 claims
Physical Therapy
Avg $24.31
2,366 claims
Speech Therapy
Avg $95.22
1,313 claims
Ambulance Transport
Avg $67.20
1,282 claims