Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Natick, MA: $53.94

Avg. Paid

$53.94

Range

$0.48 – $105.92

Total Claims

54,401

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 Natick, MA

Provider	Avg. Paid	Claims	Patients
Alexandra Leigh Cataldo 219 N Main St	$42.01	13	13
Michele S Duke 233 W Central St	$49.50	14	12
Abigail Louise Johnson 4 Mercer Rd	$27.55	15	14
Timothy J Ernst 67 Union St	$19.68	15	12
Paige A Meisheid 233 W Central St	$68.61	17	14
Kevin Sullivan 313 Speen St	$23.23	25	25
Kevin Robert Greene 13 Florence St Apt 1	$21.67	25	25
Linda C Tsai 190 N Main St	$50.71	26	24
Dennis H Rapa 67 Union St	$8.77	27	25
Zoe S Fishman 233 W Central St	$53.04	28	27
Eric S Silverman Metrowest Medical Center	$33.29	45	42
Afc Physicians Of Massachusetts, Pc 945 Worcester St	$73.13	54	53
Carol A Daugherty 67 Union St	$18.48	70	65
Edward Robert Glennon 67 Union St	$29.97	80	77
Raul Laguarda 67 Union St	$20.06	85	81
Joann Suna 307 West Central Street	$47.70	88	82
Wendy J. Parker 307 W Central St	$48.34	90	82
Michael L Sganga 313 Speen St	$37.91	104	94
Emily Elizabeth Bower 67 Union St	$28.81	111	109
Steven M Spiegel 67 Union St	$23.75	158	157
Karl A Haywood 313 Speen St	$21.20	161	135
William M Tang 182 W Central St Ste 102	$34.49	168	164
Leslie El-Turkmani 264 N Main St	$17.64	199	175
Ethan Healy 313 Speen St	$32.69	203	190
Arthur Fitzgerald Christiano 313 Speen St	$36.00	219	207
Dainius Juknelis 67 Union St Ste 407	$17.14	224	219
Jason Christopher Saillant 313 Speen St	$42.55	273	249
Ross E Weisman 83 Speen St	$73.47	304	293
Mark Wiiliam Rose 67 Union St	$18.40	307	278
Michael Anthony Robinson 67 Union St Ste 310	$21.75	346	317
Thiago Godoi 209 W Central St Ste 102	$56.19	388	349
Ryan Gulla 313 Speen St	$49.81	392	389
Sean E. Rockett 313 Speen St	$21.76	413	376
Katherine Do 1245 Worcester St Ste 1024	$3.09	420	402
Barbara Afogho 67 Union St Ste 106	$84.87	451	366
Matthew Tufts 4 Mercer Rd	$50.61	463	457
Michael Scott Krathen 220 N Main St Ste 201	$95.46	467	464
Abigail Anne Lynch 137 W Central St	$0.48	480	477
Jenna Dickson 945 Worcester St	$50.37	532	518
Woonsocket Urgent Care Pc 2-4 Mercer Rd	$105.92	539	496
Daniel B. Osuch 313 Speen St	$32.28	592	545
Trista N Repassy 190 N Main St	$20.19	615	490
Symeon Vasilios Zannikos 313 Speen St	$29.77	661	640
Allyson Edelstein Page 117 W Central St	$78.49	664	659
Haley Dalzell 4 Mercer Rd	$58.57	703	691
Karlee Walther 67 Union St	$32.84	736	716
Mark A Finno 313 Speen St	$27.97	935	877
Stanley Joel Goodman 67 Union St	$50.10	1,199	969
Agam Shah 313 Speen St	$25.30	1,305	1,196
Robert Barry Downes 169 Pine St	$82.45	1,462	1,166

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 Natick, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Natick, MA is $53.94 per claim, based on 54,401 claims from 60 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 Natick, MA?

There are 60 Medicaid providers offering Office Visit related services in Natick, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Natick, MA ranges from $0.48 to $105.92 per claim, with an average of $53.94. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Natick, MA: $53.94

Providers Offering Office Visit in Natick, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Natick, MA

Non-Emergency Medical Transportation

Dental Cleaning & Exam

Psychiatric Evaluation

Speech Therapy

Emergency Room Visit

Physical Therapy

Ambulance Transport

Behavioral & Mental Health Therapy