Average Medicaid Office Visit Payments in Natick, MA: $53.94
Avg. Paid
$53.94
Range
$0.48 – $105.92
Total Claims
54,401
Providers
60
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 |
|---|---|---|---|
|
Nataliya Rozenvayn
67 Union St Ste 106 |
$57.56 | 14,755 | 11,756 |
|
Jay Alan Goldstein
67 Union St |
$48.25 | 5,465 | 5,264 |
|
Rahim Shafa
67 Union St |
$43.81 | 3,758 | 2,568 |
|
Aurobindo Chakraborty
190 N Main St |
$69.69 | 2,519 | 2,372 |
|
Kathryn Donesa-Zuzak
117 W Central St |
$66.60 | 2,090 | 1,792 |
|
Ravi Kacker
67 Union St Ste 308 |
$31.94 | 1,982 | 1,900 |
|
Olga Terechin
6 Union St |
$69.82 | 1,808 | 1,619 |
|
Madison Cox
67 Union St Ste 106 |
$77.00 | 1,750 | 1,465 |
|
Christina Nguyen
67 Union St Ste 102 |
$79.08 | 1,728 | 1,590 |
|
Prakash Bandari
67 Union St Ste 503 |
$70.26 | 1,635 | 1,552 |
|
Robert Barry Downes
169 Pine St |
$82.45 | 1,462 | 1,166 |
|
Agam Shah
313 Speen St |
$25.30 | 1,305 | 1,196 |
|
Stanley Joel Goodman
67 Union St |
$50.10 | 1,199 | 969 |
|
Mark A Finno
313 Speen St |
$27.97 | 935 | 877 |
|
Karlee Walther
67 Union St |
$32.84 | 736 | 716 |
|
Haley Dalzell
4 Mercer Rd |
$58.57 | 703 | 691 |
|
Allyson Edelstein Page
117 W Central St |
$78.49 | 664 | 659 |
|
Symeon Vasilios Zannikos
313 Speen St |
$29.77 | 661 | 640 |
|
Trista N Repassy
190 N Main St |
$20.19 | 615 | 490 |
|
Daniel B. Osuch
313 Speen St |
$32.28 | 592 | 545 |
|
Woonsocket Urgent Care Pc
2-4 Mercer Rd |
$105.92 | 539 | 496 |
|
Jenna Dickson
945 Worcester St |
$50.37 | 532 | 518 |
|
Abigail Anne Lynch
137 W Central St |
$0.48 | 480 | 477 |
|
Michael Scott Krathen
220 N Main St Ste 201 |
$95.46 | 467 | 464 |
|
Matthew Tufts
4 Mercer Rd |
$50.61 | 463 | 457 |
|
Barbara Afogho
67 Union St Ste 106 |
$84.87 | 451 | 366 |
|
Katherine Do
1245 Worcester St Ste 1024 |
$3.09 | 420 | 402 |
|
Sean E. Rockett
313 Speen St |
$21.76 | 413 | 376 |
|
Ryan Gulla
313 Speen St |
$49.81 | 392 | 389 |
|
Thiago Godoi
209 W Central St Ste 102 |
$56.19 | 388 | 349 |
|
Michael Anthony Robinson
67 Union St Ste 310 |
$21.75 | 346 | 317 |
|
Mark Wiiliam Rose
67 Union St |
$18.40 | 307 | 278 |
|
Ross E Weisman
83 Speen St |
$73.47 | 304 | 293 |
|
Jason Christopher Saillant
313 Speen St |
$42.55 | 273 | 249 |
|
Dainius Juknelis
67 Union St Ste 407 |
$17.14 | 224 | 219 |
|
Arthur Fitzgerald Christiano
313 Speen St |
$36.00 | 219 | 207 |
|
Ethan Healy
313 Speen St |
$32.69 | 203 | 190 |
|
Leslie El-Turkmani
264 N Main St |
$17.64 | 199 | 175 |
|
William M Tang
182 W Central St Ste 102 |
$34.49 | 168 | 164 |
|
Karl A Haywood
313 Speen St |
$21.20 | 161 | 135 |
|
Steven M Spiegel
67 Union St |
$23.75 | 158 | 157 |
|
Emily Elizabeth Bower
67 Union St |
$28.81 | 111 | 109 |
|
Michael L Sganga
313 Speen St |
$37.91 | 104 | 94 |
|
Wendy J. Parker
307 W Central St |
$48.34 | 90 | 82 |
|
Joann Suna
307 West Central Street |
$47.70 | 88 | 82 |
|
Raul Laguarda
67 Union St |
$20.06 | 85 | 81 |
|
Edward Robert Glennon
67 Union St |
$29.97 | 80 | 77 |
|
Carol A Daugherty
67 Union St |
$18.48 | 70 | 65 |
|
Afc Physicians Of Massachusetts, Pc
945 Worcester St |
$73.13 | 54 | 53 |
|
Eric S Silverman
Metrowest Medical Center |
$33.29 | 45 | 42 |
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.
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 Natick, MA
Non-Emergency Medical Transportation
Avg $25.71
205,173 claims
Dental Cleaning & Exam
Avg $25.93
31,938 claims
Psychiatric Evaluation
Avg $46.87
11,810 claims
Speech Therapy
Avg $14.57
11,659 claims
Emergency Room Visit
Avg $70.92
11,041 claims
Physical Therapy
Avg $15.99
8,976 claims
Ambulance Transport
Avg $90.37
8,676 claims
Behavioral & Mental Health Therapy
Avg $124.88
8,064 claims