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Based on public Medicaid payment data.

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

Other Procedures in Newburyport, MA