Average Medicaid Office Visit Payments in Needham, MA: $90.94
Avg. Paid
$90.94
Range
$4.87 – $165.92
Total Claims
37,496
Providers
59
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 Needham, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Richard Morris Gottlieb
57 Dedham Ave |
$13.83 | 12 | 12 |
|
Alan Kevin Stern
111 Lincoln St |
$4.87 | 12 | 12 |
|
Joseph Michael Ciccone
100 West St |
$10.84 | 12 | 12 |
|
Laurie Gordon
148 Chestnut St |
$10.08 | 12 | 12 |
|
Carewell Urgent Care Centers Of Ma, P.C
922 Highland Ave |
$88.43 | 13 | 13 |
|
Perminder Dhillon
1410 Highland Ave |
$7.11 | 13 | 13 |
|
Cecilia Larson
148 Chestnut St |
$26.18 | 13 | 13 |
|
Christiana Kang
922 Highland Ave |
$93.39 | 14 | 14 |
|
Andrea R Sawyer
1968 Central Ave |
$60.15 | 14 | 12 |
|
Arnold M Savenor
145 Rosemary St Ste J |
$26.02 | 15 | 14 |
|
Mehdi Najafi
144 Gould St Ste 160 |
$50.59 | 23 | 22 |
|
Lisa Catherine Napoli
220 Reservoir St |
$79.83 | 24 | 24 |
|
Kelly Bodio Downey
148 Chestnut St |
$25.84 | 25 | 25 |
|
Jennifer Lucarelli
145 Rosemary St, Entry K |
$92.76 | 27 | 26 |
|
Katrina Robertson
148 Chestnut St |
$35.59 | 29 | 24 |
|
Robert Normandin
220 Reservoir St Ste 21 |
$34.16 | 29 | 29 |
|
Megan R Mistry
1450 Highland Ave |
$29.38 | 38 | 38 |
|
David S. Greenes
111 Lincoln St |
$41.19 | 39 | 36 |
|
Sean Olbert
560 Hillside Ave |
$45.58 | 47 | 46 |
|
Sandra Lee Marwill
310 Chestnut St |
$66.76 | 49 | 27 |
|
Bryan Hernandez
145 Rosemary St Ste D |
$14.78 | 58 | 54 |
|
Afrin Burney
145 Rosemary Street |
$51.00 | 59 | 58 |
|
Aurelie Catherine Cormier
72 Falcon St |
$13.51 | 66 | 64 |
|
Michael Gerard Mclaughlin
148 Chestnut St |
$23.06 | 67 | 67 |
|
Jessica A Haffajee
148 Chestnut St |
$19.87 | 78 | 77 |
|
Stephen Eyre
100 West St |
$25.38 | 82 | 78 |
|
Elisabeth C Bassler
392 Chestnut St |
$39.18 | 87 | 84 |
|
Jessica A Santiccioli
145 Rosemary Street |
$53.96 | 90 | 72 |
|
Mirela Nicole Popa
111 Lincoln St |
$50.12 | 93 | 87 |
|
Margaret Patrice Ciampi
220 Reservoir St Ste 28 |
$119.06 | 101 | 90 |
|
Yulia Rapoport
145 Rosemary St Ste C |
$19.36 | 129 | 123 |
|
Daniel M. Rutowicz
464 Hillside Ave Ste 302 |
$15.12 | 133 | 127 |
|
Katelynn C Fitzpatrick
300 1St Ave |
$89.17 | 145 | 144 |
|
Linda Geib
148 Chestnut St |
$30.86 | 165 | 161 |
|
Karl W. Sorenson
145 Rosemary St Ste D |
$18.21 | 206 | 152 |
|
Mariah Salloum Samara
560 Hillside Ave |
$28.22 | 212 | 202 |
|
William P. Innis
560 Hillside Ave |
$29.08 | 212 | 199 |
|
Michael Mitry
1410 Highland Ave Ste 204 |
$29.31 | 241 | 223 |
|
Jonathan E Snider
145 Rosemary Street |
$39.58 | 246 | 236 |
|
David P. Chodirker
145 Rosemary Street |
$53.25 | 272 | 257 |
|
Angela Kaptsan
148 Chestnut St |
$18.45 | 279 | 274 |
|
Ian C. Mccormick
148 Chestnut St |
$23.99 | 330 | 322 |
|
Jonathan B. Yoder
392 Chestnut St |
$65.80 | 332 | 306 |
|
Rebecca S Stone
560 Hillside Ave Ste H |
$21.88 | 333 | 324 |
|
Sharon Lynne Curtin
220 Reservoir St Ste 21 |
$96.73 | 363 | 337 |
|
Rosilyn Ford
220 Reservoir St. |
$61.54 | 460 | 435 |
|
Medical Care Of Boston Management Corporation
464 Hillside Ave |
$66.71 | 609 | 569 |
|
Gracia B Perez-Lirio
464 Hillside Avenue |
$56.41 | 619 | 582 |
|
David Brignall
392 Chestnut St |
$58.58 | 629 | 587 |
|
Christopher David Karter
1410 Highland Ave Ste 204 |
$24.11 | 646 | 626 |
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 Needham, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Needham, MA is $90.94 per claim, based on 37,496 claims from 59 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 Needham, MA?
There are 59 Medicaid providers offering Office Visit related services in Needham, MA according to public payment data.
What is the price range for Office Visit in Needham, MA?
Medicaid reimbursement for Office Visit in Needham, MA ranges from $4.87 to $165.92 per claim, with an average of $90.94. 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 Needham, MA
Non-Emergency Medical Transportation
Avg $22.57
281,260 claims
Psychiatric Evaluation
Avg $66.41
154,517 claims
Pathology & Lab Services
Avg $33.42
119,114 claims
Behavioral & Mental Health Therapy
Avg $113.85
106,987 claims
Blood Work & Lab Tests
Avg $7.87
92,274 claims
Dental Cleaning & Exam
Avg $41.24
19,623 claims
Emergency Room Visit
Avg $173.06
14,174 claims
Home Health Visit
Avg $76.25
13,396 claims