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 |
|---|---|---|---|
|
Beth Israel Deaconess Hospital-Needham, Inc.
148 Chestnut St |
$165.92 | 9,979 | 9,483 |
|
Maron Dga Pc
10 Chestnut Street |
$94.85 | 5,967 | 5,316 |
|
Paul J. Pettinato
15 Oak St Ste 3 |
$51.84 | 4,324 | 4,162 |
|
Sara Cox
60 Kendrick St Ste 204 |
$48.63 | 3,852 | 1,952 |
|
Komal Kenkare
220 Reservoir St Ste 21 |
$100.14 | 2,343 | 1,858 |
|
Kaitlin Gaffney
220 Reservoir St Ste 21 |
$111.58 | 926 | 797 |
|
Michael Bezreh
460 Hillside Ave Ste C |
$46.46 | 893 | 843 |
|
Irina Kogan
464 Hillside Ave |
$26.44 | 707 | 653 |
|
Joshua Kessler
560 Hillside Ave Ste H |
$27.64 | 703 | 678 |
|
Christopher David Karter
1410 Highland Ave Ste 204 |
$24.11 | 646 | 626 |
|
David Brignall
392 Chestnut St |
$58.58 | 629 | 587 |
|
Gracia B Perez-Lirio
464 Hillside Avenue |
$56.41 | 619 | 582 |
|
Medical Care Of Boston Management Corporation
464 Hillside Ave |
$66.71 | 609 | 569 |
|
Rosilyn Ford
220 Reservoir St. |
$61.54 | 460 | 435 |
|
Sharon Lynne Curtin
220 Reservoir St Ste 21 |
$96.73 | 363 | 337 |
|
Rebecca S Stone
560 Hillside Ave Ste H |
$21.88 | 333 | 324 |
|
Jonathan B. Yoder
392 Chestnut St |
$65.80 | 332 | 306 |
|
Ian C. Mccormick
148 Chestnut St |
$23.99 | 330 | 322 |
|
Angela Kaptsan
148 Chestnut St |
$18.45 | 279 | 274 |
|
David P. Chodirker
145 Rosemary Street |
$53.25 | 272 | 257 |
|
Jonathan E Snider
145 Rosemary Street |
$39.58 | 246 | 236 |
|
Michael Mitry
1410 Highland Ave Ste 204 |
$29.31 | 241 | 223 |
|
William P. Innis
560 Hillside Ave |
$29.08 | 212 | 199 |
|
Mariah Salloum Samara
560 Hillside Ave |
$28.22 | 212 | 202 |
|
Karl W. Sorenson
145 Rosemary St Ste D |
$18.21 | 206 | 152 |
|
Linda Geib
148 Chestnut St |
$30.86 | 165 | 161 |
|
Katelynn C Fitzpatrick
300 1St Ave |
$89.17 | 145 | 144 |
|
Daniel M. Rutowicz
464 Hillside Ave Ste 302 |
$15.12 | 133 | 127 |
|
Yulia Rapoport
145 Rosemary St Ste C |
$19.36 | 129 | 123 |
|
Margaret Patrice Ciampi
220 Reservoir St Ste 28 |
$119.06 | 101 | 90 |
|
Mirela Nicole Popa
111 Lincoln St |
$50.12 | 93 | 87 |
|
Jessica A Santiccioli
145 Rosemary Street |
$53.96 | 90 | 72 |
|
Elisabeth C Bassler
392 Chestnut St |
$39.18 | 87 | 84 |
|
Stephen Eyre
100 West St |
$25.38 | 82 | 78 |
|
Jessica A Haffajee
148 Chestnut St |
$19.87 | 78 | 77 |
|
Michael Gerard Mclaughlin
148 Chestnut St |
$23.06 | 67 | 67 |
|
Aurelie Catherine Cormier
72 Falcon St |
$13.51 | 66 | 64 |
|
Afrin Burney
145 Rosemary Street |
$51.00 | 59 | 58 |
|
Bryan Hernandez
145 Rosemary St Ste D |
$14.78 | 58 | 54 |
|
Sandra Lee Marwill
310 Chestnut St |
$66.76 | 49 | 27 |
|
Sean Olbert
560 Hillside Ave |
$45.58 | 47 | 46 |
|
David S. Greenes
111 Lincoln St |
$41.19 | 39 | 36 |
|
Megan R Mistry
1450 Highland Ave |
$29.38 | 38 | 38 |
|
Katrina Robertson
148 Chestnut St |
$35.59 | 29 | 24 |
|
Robert Normandin
220 Reservoir St Ste 21 |
$34.16 | 29 | 29 |
|
Jennifer Lucarelli
145 Rosemary St, Entry K |
$92.76 | 27 | 26 |
|
Kelly Bodio Downey
148 Chestnut St |
$25.84 | 25 | 25 |
|
Lisa Catherine Napoli
220 Reservoir St |
$79.83 | 24 | 24 |
|
Mehdi Najafi
144 Gould St Ste 160 |
$50.59 | 23 | 22 |
|
Arnold M Savenor
145 Rosemary St Ste J |
$26.02 | 15 | 14 |
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