Based on public Medicaid payment data.

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
Chryssanthi Kournioti 2014 Washington St	$33.94	12	12
Michael S Guss 159 Wells Ave Ste 500	$63.26	12	12
Susana C Wishnia Newton Wellesley Hospital	$47.11	12	12
Heather L Davison 2014 Washington St	$39.23	12	12
Benjamin Louis Yudkoff 53 Langley Rd Ste 250	$71.26	12	12
Daniel Banaszek 2000 Washington Street	$21.95	12	12
Kathryn A. Ryan 2000 Washington St	$18.09	13	13
Michelle Marini 2000 Washington St	$0.00	13	12
Tetiana M Pronchick 2000 Washington St	$5.24	13	13
Brinda Trivedi Gupta 2000 Washington St	$0.00	13	12
James Welch Bell 235 Adams Ave	$44.20	13	12
Matthew Messina 2000 Washington St	$24.54	14	12
Sarah E Koonce 299 Washington St	$38.52	14	14
Caitlin Peterman 2014 Washington St	$99.22	15	15
Nicky Lee-Gi Leung 2000 Washington St	$47.29	15	15
Michelle Freshman 2014 Washington St	$23.86	15	15
Julie Ellen Vanderklish 2014 Washington St	$58.19	16	14
Kenneth D Polivy 2000 Washington St	$12.06	20	16
Natalie Carmen Howard 978 Boylston St	$0.99	25	25
Xue Zhao 2000 Washington St Ste 668	$107.14	25	25
Matthew A. Nitzberg 2014 Washington St	$24.19	25	24
Matthew I Leibman 2000 Washington Street	$48.42	26	26
Riverside Community Care 1244 Chestnut St	$73.20	26	25
Jill Zimmer Simon 2014 Washington St	$13.27	27	27
Cally Gwon 2000 Washington St	$68.79	27	27
Hannah J Folk 29 Crafts St Ste 400	$62.30	28	25
Lillian Stafford 2000 Washington St	$22.63	31	30
Gretchen Camille Young 2014 Washington St	$40.07	35	35
Isabel N Morais 29 Crafts St	$43.95	37	36
Michelle Marie Master 1400 Centre St Ste 206	$48.92	39	39
Sheila K Partridge 2000 Washington St	$57.57	41	41
Audur Bardardottir 10 Langley Rd	$22.83	41	41
Michael S Elkort 2000 Washington St	$18.77	42	40
Rosemary Tracy 251A Watertown St	$0.00	43	13
Corey Claffey 2014 Washington St Ste 361	$57.44	44	44
Kevin Patrick Mcdonnell 2000 Washington St	$15.20	50	49
Magen Bissell 2014 Washington St Ste 5635Th	$28.43	51	30
Walter Peter Mutter Newton Wellesley Physicians Nephrology	$33.66	53	49
Mark F. Rounds 2000 Washington St	$37.49	54	52
Brian J Park 2000 Washington St	$29.27	56	54
Leonard E Freedberg 2364 Washington St	$7.57	58	49
Revati Arjun Rao 2014 Washington St	$37.26	59	40
Deirdre Rodericks 159 Wells Ave	$53.27	68	67
Katherine Eileen Mason 2014 Washington St	$42.85	71	70
Claudia J Chaves 2000 Washington St Ste 567	$21.66	71	70
Travis S Chui 131 Country Club Rd	$25.24	78	78
Nazbeh Taghizadeh 272 Centre St	$73.35	91	88
Susan Deborah Reuter 2000 Washington St.Reet	$19.97	98	92
Nobita Chatterjee 1400 Centre St Ste 208	$149.78	105	100
Eduardo Garcia 2000 Washington St	$28.30	105	105

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.

Average Medicaid Office Visit Payments in Newton, MA: $45.68

Providers Offering Office Visit in Newton, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

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Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Newton, MA

Non-Emergency Medical Transportation

Home Health Visit

Blood Work & Lab Tests

Personal Care Services

Emergency Room Visit

Ultrasound

Psychiatric Evaluation

Nursing Facility Care