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Based on public Medicaid payment data.

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

Other Procedures in North Adams, MA