Average Medicaid Office Visit Payments in Newton, MA: $45.68
Avg. Paid
$45.68
Range
$0.00 – $180.25
Total Claims
52,016
Providers
102
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 Newton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dale Todd Golembeski
64 Eldredge St |
$27.11 | 4,718 | 4,318 |
|
Newton-Wellesley Hospital
2014 Washington St |
$121.55 | 3,476 | 3,258 |
|
Amit Granot
10 Howe Rd |
$39.30 | 3,344 | 3,221 |
|
Natalia Rydel
10 Langley Rd |
$33.30 | 3,181 | 2,872 |
|
Stephen R Wiener
10 Langley Rd |
$48.70 | 2,536 | 2,326 |
|
Natalya Lipchin
2000 Washington St |
$17.73 | 2,466 | 2,278 |
|
Gregory M. Orlowski
165 Harvard Street |
$55.45 | 1,984 | 1,967 |
|
Randy J Averback
500 Ward St |
$49.55 | 1,890 | 1,852 |
|
Alla I Neyshtadt
2000 Washington St |
$21.69 | 1,819 | 1,619 |
|
Jack Clement Naggar
272 Centre St |
$48.91 | 1,678 | 1,580 |
|
Katie Nicole Chaucer
26 Boylston Rd Apt 1 |
$10.71 | 1,562 | 1,456 |
|
John L Yang
2014 Washington St |
$19.93 | 1,453 | 1,307 |
|
Miriam Kriegel
7 Beach St |
$0.00 | 1,445 | 1,343 |
|
Viet Lukasz Cai
2014 Washington St |
$44.52 | 1,320 | 1,305 |
|
Charles Stanley Brown
2000 Washington St |
$57.39 | 1,148 | 1,061 |
|
Nila Karim
29 Crafts St |
$56.93 | 1,078 | 1,015 |
|
Shusmita Dhar
300 Needham St Ste 1B |
$45.84 | 1,013 | 979 |
|
William G. Kantar
382 Kenrick St |
$37.35 | 980 | 727 |
|
Comprehensive Health Services, Llc
188 Needham St |
$87.54 | 946 | 872 |
|
Kristen A. Lindgren
193 Oak St Ste 1 |
$92.02 | 866 | 831 |
|
Lisa Michelle Keller
2014 Washington St |
$35.72 | 777 | 646 |
|
Steven Vandor
29 Crafts St |
$54.87 | 737 | 707 |
|
David T Golden
2364 Washington St |
$11.89 | 705 | 674 |
|
Mass General Brigham Medical Group Suburban Massachusetts Inc
2014 Washington Street |
$93.14 | 649 | 600 |
|
Lauren Patricia Dorr
2014 Washington St |
$30.86 | 609 | 536 |
|
Reema Y. Alshirawi
272 Centre St |
$67.43 | 591 | 564 |
|
Aaron B Bloomenthal
2000 Washington St |
$76.91 | 562 | 541 |
|
Olga G Zeldin
6 Bracebridge Rd |
$16.78 | 541 | 533 |
|
Eileen Judith Kramer
2000 Washington St |
$58.76 | 503 | 465 |
|
Nancy Sidhom
2014 Washington St |
$2.33 | 469 | 460 |
|
Abha Gupta Saha
2014 Washington St |
$83.11 | 407 | 382 |
|
Joshua A Small
2014 Washington St |
$71.43 | 382 | 373 |
|
Laura Lynne Peterson
2014 Washington Street |
$33.93 | 372 | 367 |
|
Avner Aliphas
2000 Washington St |
$33.89 | 345 | 337 |
|
Danielle Lee Laramee
272 Centre St |
$53.64 | 322 | 302 |
|
Svetlozar Nikolov Natov
136 Harwich Rd |
$48.69 | 315 | 292 |
|
Ephat Hadas Russcol
109 Oak St |
$60.16 | 297 | 281 |
|
Avrohm Melnick
2000 Washington St |
$31.62 | 284 | 270 |
|
Hong-Thao Thieu
2000 Wahington Street |
$27.96 | 213 | 198 |
|
Susan W Stern
10 Langley Rd Ste 401 |
$44.48 | 205 | 160 |
|
Kristen Gonzalez
233 Needham St |
$85.45 | 204 | 189 |
|
Jean A Waitneight
299 Washington St |
$46.51 | 203 | 188 |
|
Cheryl Lynn Levin
1172 Beacon St Ste 402 |
$180.25 | 198 | 191 |
|
Blake D. Smith
2364 Washington St |
$21.65 | 196 | 189 |
|
Svetlana Sarah Kachan-Liu
2014 Washington St |
$21.43 | 169 | 157 |
|
Elizabeth Brooks
2000 Washington St |
$21.21 | 166 | 164 |
|
Charles Daniel Brown
312 Woodcliff Rd |
$60.12 | 160 | 149 |
|
Michele Lynn Kelley
95 Wells Ave Ste 320 |
$30.19 | 153 | 152 |
|
Harley Anne Simeone
272 Centre St |
$33.47 | 137 | 127 |
|
Julie Bonner Leonhardt
2000 Washington St |
$5.41 | 130 | 129 |
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 Newton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newton, MA is $45.68 per claim, based on 52,016 claims from 102 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 Newton, MA?
There are 102 Medicaid providers offering Office Visit related services in Newton, MA according to public payment data.
What is the price range for Office Visit in Newton, MA?
Medicaid reimbursement for Office Visit in Newton, MA ranges from $0.00 to $180.25 per claim, with an average of $45.68. 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 Newton, MA
Non-Emergency Medical Transportation
Avg $20.01
248,090 claims
Home Health Visit
Avg $36.03
200,176 claims
Blood Work & Lab Tests
Avg $6.17
90,908 claims
Personal Care Services
Avg $158.64
61,630 claims
Emergency Room Visit
Avg $141.52
48,477 claims
Ultrasound
Avg $41.20
33,531 claims
Psychiatric Evaluation
Avg $59.93
32,899 claims
Nursing Facility Care
Avg $10.76
28,719 claims