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 |
|---|---|---|---|
|
Tammy B Bottner
18 Highland Ave |
$57.26 | 12 | 12 |
|
Brittney Armour
25 Highland Ave |
$0.00 | 13 | 13 |
|
Stephen Donald Bajko
35 Storey Ave |
$66.30 | 13 | 13 |
|
Caitlin Kennedy Carney
1 Wallace Bashaw Way Ste 1002 |
$47.51 | 15 | 14 |
|
Sherry Pleau
18 Highland Ave |
$76.49 | 16 | 15 |
|
Jennifer Kathryn Long
25 Highland Ave |
$29.58 | 16 | 15 |
|
Jeffrey C Kilroy
21 Highland Ave |
$22.90 | 17 | 15 |
|
Harborside Of Newburyport, Inc.
143 State St |
$50.71 | 17 | 13 |
|
Matthew Jason Dashkoff
257 Low St |
$8.50 | 22 | 21 |
|
Courtney R Lucey
21 Highland Ave |
$5.04 | 26 | 26 |
|
Lydia R Jeffcoat
1 Wallace Bashaw Way |
$29.64 | 28 | 26 |
|
Simon Faynzilberg, Md, Pc
25 Highland Ave |
$2.52 | 29 | 24 |
|
Erin Brooke Houlihan
260 Merrimac St |
$72.21 | 32 | 27 |
|
Kathryn Jane Giguere
7 Graf Road |
$41.47 | 37 | 36 |
|
Jennifer Pollard
257 Low St |
$3.16 | 37 | 37 |
|
Martha M. Chichester
25 Highland Ave |
$49.37 | 37 | 35 |
|
Brett Joseph Matthews
21 Highland Ave Ste 3 |
$53.85 | 39 | 38 |
|
Richard R Riccardi
260 Merrimac St |
$14.73 | 46 | 46 |
|
Mark L Su
255 Low St Ste 202 |
$40.32 | 50 | 39 |
|
Jodi Cobb
257 Low St |
$13.69 | 51 | 51 |
|
Sai Kaza
260 Merrimac St |
$45.42 | 56 | 47 |
|
Romina Dellaria
28 Green St |
$13.24 | 58 | 54 |
|
Irma Cruz-Gonzalez
255 Low St Ste 201 |
$73.32 | 58 | 52 |
|
William C. Ingram
21 Highland Ave Ste 2 |
$28.06 | 60 | 52 |
|
Maureen Anne Kittredge
25 Highland Ave |
$42.22 | 63 | 49 |
|
Mark Ryan Warnat
260 Merrimac St |
$49.46 | 68 | 65 |
|
Jennifer Macneil
42 Pleasant St |
$73.92 | 94 | 80 |
|
Nadine Daou
255 Low St Ste 102 |
$23.62 | 95 | 91 |
|
Danielle Rosen
257 Low St |
$100.73 | 102 | 100 |
|
Michael F Kutka
21 Highland Ave |
$125.65 | 112 | 112 |
|
Kenneth J Glazier
21 Highland Ave |
$29.53 | 113 | 102 |
|
Daniel J. Carlat
42 Pleasant St |
$15.81 | 117 | 117 |
|
Parth A. Patel
21 Highland Ave Ste 2 |
$48.02 | 121 | 118 |
|
Teresa Reardon-Pollini
257 Low St |
$5.96 | 123 | 120 |
|
Stella J Lee
21 Highland Ave Ste 16 |
$29.03 | 136 | 125 |
|
Nicole Dilando
257 Low St |
$7.99 | 140 | 139 |
|
Tiffany Mcginness
143 State St Ste 5 |
$76.84 | 141 | 120 |
|
Kelsey Alexander
28 Green St |
$19.81 | 141 | 129 |
|
Children'S Healthcare Inc
257 Low St |
$79.99 | 145 | 118 |
|
Jessica Marie Canning
257 Low St |
$100.73 | 152 | 146 |
|
Helene Hutchinson
21 Highland Ave |
$18.53 | 158 | 155 |
|
Alon Sitzer
260 Merrimac St |
$55.84 | 163 | 156 |
|
Rebecca Bierstedt Chase
18 Highland Ave |
$0.00 | 176 | 167 |
|
Allison Niciu
257 Low St |
$7.91 | 186 | 185 |
|
Jenna Wilson
35 Storey Ave |
$50.35 | 187 | 181 |
|
David J Swierzewski
7 Graf Rd |
$25.04 | 196 | 143 |
|
Shih-Te Wen
7 Henry Graf Road |
$32.04 | 198 | 194 |
|
Michael Burton Keaney
257 Low St |
$7.20 | 212 | 209 |
|
Meghan Chase
21 Highland Ave |
$14.75 | 213 | 196 |
|
Anna Lisa Dauksewicz
25 Highland Avenue: Anna Jaques Hospital |
$4.48 | 229 | 217 |
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