Average Medicaid Office Visit Payments in Newburyport, MA: $56.18
Avg. Paid
$56.18
Range
$0.00 – $145.31
Total Claims
137,442
Providers
109
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 Newburyport, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eric David Bucher
257 Low St |
$55.72 | 17,764 | 16,332 |
|
Lars Lundgren
257 Low St |
$55.49 | 14,582 | 12,150 |
|
Anthony Gibran Eaton
21 Highland Ave Ste 24 |
$54.96 | 8,934 | 7,770 |
|
Convenientmd Llc
29 Storey Ave |
$109.23 | 8,207 | 7,772 |
|
Carolyn Thumser
257 Low St |
$56.19 | 7,034 | 6,627 |
|
Guido A Navarra
21 Highland Ave |
$41.87 | 5,007 | 4,702 |
|
Alain-Marc Werner
21 Highland Ave |
$45.88 | 4,306 | 4,026 |
|
Anna Jaques Hospital
25 Highland Ave |
$136.12 | 4,261 | 4,000 |
|
Michael A Pilz
18 Highland Ave |
$45.09 | 3,942 | 3,571 |
|
Bethany A Bishop Daniels
25 Highland Ave |
$37.24 | 3,806 | 3,533 |
|
Stacey Sheehan
257 Low St |
$67.39 | 3,020 | 2,891 |
|
Stephen Beaudoin
260 Merrimac St |
$29.76 | 2,892 | 2,760 |
|
Pamela J Smith
25 Highland Ave |
$69.58 | 2,764 | 2,727 |
|
Daryl G Colden
1 Wallace Bashaw Jr Way |
$70.19 | 2,728 | 2,659 |
|
Thomas J Carmichael
257A Low Street |
$65.68 | 2,412 | 2,334 |
|
David W. Green
143 State St |
$24.90 | 2,267 | 2,182 |
|
Convenientmd - Ffs Uc Llc
35 Storey Ave |
$84.41 | 2,144 | 1,776 |
|
Alyssa Cooper
257 Low St |
$25.16 | 2,135 | 1,989 |
|
Houtan Golzari
21 Highland Ave Ste 24 |
$37.91 | 2,038 | 1,906 |
|
Alice V Merkrebs
Newburyport Pediatrics |
$50.27 | 2,032 | 1,744 |
|
Jacqueline M Ferrari
260 Merrimac St |
$38.22 | 1,872 | 1,862 |
|
Patricia A Doherty
21 Highland Ave Ste 24 |
$74.77 | 1,786 | 1,704 |
|
John B Hein
260 Merrimac St |
$69.21 | 1,779 | 1,759 |
|
Ashish Mukesh Shah
260 Merrimac St |
$43.82 | 1,765 | 1,736 |
|
Ryan B Scannell
189A High St |
$48.83 | 1,663 | 1,636 |
|
Jessica Schoonmaker
260 Merrimac St |
$31.17 | 1,654 | 1,597 |
|
Kevin K Lanphear
3 Cherry St |
$50.21 | 1,409 | 1,301 |
|
Sadruddin B Hemani
21 Highland Ave |
$22.25 | 1,315 | 1,229 |
|
Kimberly A Markuns
25 Highland Ave |
$16.66 | 1,274 | 671 |
|
Kirubakaran Siva
1 Wallace Bashaw Way Ste 1002 |
$63.03 | 1,066 | 976 |
|
Anne Macadam
1 Wallace Bashaw Way Ste 1002 |
$53.20 | 1,015 | 816 |
|
Saira Naseer
28 Green St |
$50.03 | 956 | 863 |
|
Isaac Pourati
260 Merrimac St |
$26.65 | 884 | 869 |
|
Aaron R Thomas
21 Highland Ave Ste 24 |
$57.09 | 858 | 817 |
|
Anna Jaques Hospital
25 Highland Ave |
$145.31 | 839 | 779 |
|
Emily Kinn
257 Low St |
$20.61 | 819 | 768 |
|
Catherine Iasiello
1 Wallace Bashaw Way |
$34.38 | 791 | 686 |
|
Kimberly Kersten
28 Green St |
$52.84 | 609 | 550 |
|
James J Ford
21 Highland Ave |
$28.51 | 608 | 546 |
|
Salman Ghiasuddin
7 Henry Graf Road |
$24.30 | 606 | 585 |
|
Joshua Laurence Tarkan
260 Merrimac St |
$24.89 | 602 | 591 |
|
Ruth Berger
25 Highland Ave |
$6.41 | 570 | 541 |
|
Kay A Ficht
1 Wallace Bashaw Way |
$34.26 | 530 | 434 |
|
Alec Biese
1 Wallace Bashaw Way Ste 3002 |
$50.82 | 452 | 414 |
|
Charles Randall
260 Merrimac St |
$34.94 | 435 | 423 |
|
Michael J Mccartney
18 Highland Ave |
$57.87 | 407 | 367 |
|
Ahmer Ibrahim
260 Merrimac St |
$40.87 | 372 | 360 |
|
Andrew Banos
21 Highland Ave Ste 16 |
$32.42 | 361 | 337 |
|
Kari Cretella Nickou
21 Pleasant St |
$28.20 | 337 | 332 |
|
Paul S. Chang
21 Highland Ave |
$39.02 | 335 | 313 |
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 Newburyport, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newburyport, MA is $56.18 per claim, based on 137,442 claims from 109 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 Newburyport, MA?
There are 109 Medicaid providers offering Office Visit related services in Newburyport, MA according to public payment data.
What is the price range for Office Visit in Newburyport, MA?
Medicaid reimbursement for Office Visit in Newburyport, MA ranges from $0.00 to $145.31 per claim, with an average of $56.18. 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 Newburyport, MA
Blood Work & Lab Tests
Avg $6.63
135,567 claims
X-Ray
Avg $9.17
45,754 claims
Vaccines & Immunizations
Avg $12.93
37,283 claims
Behavioral & Mental Health Therapy
Avg $62.40
36,707 claims
Emergency Room Visit
Avg $119.65
32,602 claims
EKG / ECG (Electrocardiogram)
Avg $4.03
24,574 claims
Urinalysis & Urine Tests
Avg $3.35
17,533 claims
Dental Cleaning & Exam
Avg $39.22
17,186 claims