Average Medicaid Office Visit Payments in North Adams, MA: $74.51
Avg. Paid
$74.51
Range
$1.69 – $359.15
Total Claims
97,735
Providers
40
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 North Adams, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dorothy M Madsen
77 Hospital Ave |
$55.04 | 9,510 | 9,049 |
|
Jennifer Degrenier
77 Hospital Ave |
$51.82 | 9,210 | 8,757 |
|
Marc S Mcdermott
77 Hospital Avenue, Suite 302 |
$56.03 | 8,557 | 8,144 |
|
Fairview Hospital
71 Hospital Ave |
$359.15 | 7,738 | 7,128 |
|
Beth Leah Ellingwood
77 Hospital Avenue, Suite 302 |
$54.08 | 7,365 | 7,112 |
|
Kathryn B Wiseman
77 Hospital Ave |
$54.13 | 6,181 | 5,979 |
|
Childs R Art
77 Hospital Ave |
$57.52 | 5,919 | 5,729 |
|
Robert Legrande Vanuitert
77 Hospital Ave |
$47.58 | 4,961 | 4,695 |
|
Kristen Savitsky
77 Hospital Ave Ste 302 |
$48.01 | 4,544 | 4,338 |
|
Jacqueline Truex-Greenslet
124 American Legion Dr |
$65.73 | 4,185 | 3,975 |
|
Amanda Leola Egan Poirier
77 Hospital Ave. |
$39.28 | 3,895 | 3,690 |
|
Shahrzad Yamini
77 Hospital Ave Ste 202 |
$88.08 | 3,789 | 3,556 |
|
Elizabeth Scott
71 Hospital Ave |
$1.69 | 2,561 | 2,429 |
|
Carol Vivori
132 Mass Moca Way |
$59.88 | 2,316 | 2,197 |
|
Brandon Kyle Gilvey
77 Hospital Ave |
$18.46 | 1,969 | 1,934 |
|
Eimear Mary O'Loughlin
77 Hospital Ave. |
$8.58 | 1,539 | 1,466 |
|
Sarah A Turner
71 Hospital Ave |
$56.22 | 1,498 | 1,440 |
|
Douglas B Oneill
71 Hospital Ave |
$16.51 | 1,392 | 1,307 |
|
Janine L Risser
71 Hospital Avenue |
$27.66 | 1,272 | 1,173 |
|
Steven D Cherry
71 Hospital Ave |
$31.97 | 1,025 | 994 |
|
Katie L. Thurber
71 Hospital Ave |
$38.00 | 993 | 948 |
|
John S. Howland
85 Main St. |
$58.98 | 864 | 841 |
|
Suk Namkoong
77 Hospital Ave |
$20.08 | 739 | 689 |
|
Chi Zhang
77 Hospital Ave |
$47.21 | 733 | 715 |
|
Eric P Holmgren
Oral And Facial Surgery Associates |
$62.66 | 655 | 579 |
|
Jonna L. Racela
77 Hospital Ave Ste 200 |
$32.44 | 555 | 525 |
|
Clare M Tullock
820 State Rd |
$33.48 | 536 | 510 |
|
Fred Landes
71 Hospital Ave |
$20.33 | 520 | 396 |
|
Annalisa Layfield Vargas
77 Hospital Ave Ste 104 |
$68.93 | 504 | 363 |
|
Samantha Maher
856 State Rd |
$67.08 | 464 | 447 |
|
Carrie J. Murphy
71 Hospital Ave |
$23.52 | 321 | 309 |
|
Green Mountain Urgent Care Llc
856 State Rd |
$82.05 | 309 | 297 |
|
Jonathan C Cluett
77 Hospital Ave |
$26.94 | 255 | 246 |
|
Kristin E Lamontagne
71 Hospital Ave |
$27.51 | 226 | 216 |
|
Estela Valerian Ogiste
77 Hospital Ave Ste 110 |
$50.35 | 219 | 213 |
|
Victoria Maxwell
71 Hospital Ave |
$42.19 | 201 | 200 |
|
Raghavendra Kulkarni
60 Roberts Dr Ste 313 |
$50.79 | 119 | 118 |
|
Michelle M Bedard
71 Hospital Ave |
$27.62 | 43 | 36 |
|
Anibal Fernando Ponce
71 Hospital Ave |
$6.94 | 39 | 30 |
|
Bryna Greenspan
71 Hospital Ave |
$71.70 | 14 | 14 |
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 North Adams, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Adams, MA is $74.51 per claim, based on 97,735 claims from 40 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 North Adams, MA?
There are 40 Medicaid providers offering Office Visit related services in North Adams, MA according to public payment data.
What is the price range for Office Visit in North Adams, MA?
Medicaid reimbursement for Office Visit in North Adams, MA ranges from $1.69 to $359.15 per claim, with an average of $74.51. 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 North Adams, MA
Ambulance Transport
Avg $89.02
41,777 claims
Dental Cleaning & Exam
Avg $38.67
24,447 claims
Psychiatric Evaluation
Avg $63.20
21,544 claims
Vaccines & Immunizations
Avg $23.51
21,528 claims
Eye Exam
Avg $32.90
17,671 claims
Emergency Room Visit
Avg $56.53
14,915 claims
Tooth Extraction
Avg $130.17
13,643 claims
Behavioral & Mental Health Therapy
Avg $247.24
13,007 claims