Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Northampton, MA: $45.84

Avg. Paid

$45.84

Range

$1.55 – $219.36

Total Claims

166,226

Providers

136

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 Northampton, MA

Provider	Avg. Paid	Claims	Patients
Jonathan S. Schwab 193 Locust St	$53.65	6,455	6,336
John J. O'Connell 69 State St	$47.62	5,975	5,721
Kristen Suzanne Deschene 193 Locust St	$51.52	5,725	5,605
Peter Jansen Everett 193 Locust St	$51.70	5,672	5,562
Jonathan Lee Bayuk 269 Locust St	$68.40	5,216	5,023
Louis A Velazquez 50 Pleasant St	$31.63	4,869	4,677
Diana E. Johanson 193 Locust St	$52.81	4,833	4,761
Cynthia Cutter 51 Locust St	$32.20	4,716	3,241
David A. Steele 193 Locust St	$52.46	4,703	4,595
Derek C Davidson 766 N King St Ste 2	$56.39	4,172	4,060
Kristin Ann Lynch 193 Locust St	$55.65	4,118	3,983
Amanda Rachel Dickerson 193 Locust St	$43.41	3,849	3,706
Servicenet Inc 50 Pleasant St	$70.04	3,837	3,705
Sean Mullally 30 Locust St	$33.22	3,609	3,170
Elizabeth A Armstrong 325B King St	$55.76	3,573	3,485
Jenifer Hanrahan 325B King Street	$41.52	3,301	2,748
Michael Sholom Perlman 57 Gothic Street	$15.77	3,287	2,413
Peter Andrew Elsea 22 Atwood Dr	$45.74	3,092	2,923
Timothy V. Parsons 76 Carlon Dr	$42.29	3,077	2,911
Albert D Agomaa 325B King Street	$45.80	3,058	2,832
Teresa I Klich-Nowak 22 Atwood Dr	$41.57	2,748	2,692
Scott M Cochrane 193 Locust St	$56.95	2,612	2,563
John Michael Talbot 50 Pleasant Street	$21.33	2,591	2,532
Brett C Hynninen 766 N King St Ste 2	$63.36	2,522	2,381
Monique D Patten 193 Locust St.	$39.15	2,398	2,358
Casey I Fein 193 Locust St	$28.20	2,320	2,276
Amanda Barnhart 193 Locust Street	$60.78	2,283	2,244
William J Swiggard 22 Atwood Dr Ste 203	$15.95	2,259	2,138
John Nicasio 22 Atwood Dr	$41.14	2,246	2,179
John Tsongalis 76 Carlon Dr Ste B	$42.71	2,228	2,130
Erin Elizabeth Eppsteiner 30 Locust St	$63.46	2,214	2,181
Raymond F. Conway 30 Locust St	$42.83	2,145	2,055
Jay S Fleitman 90 Conz St	$29.99	1,977	1,914
Laura Lynn Gineo 193 Locust St	$26.21	1,816	1,782
Peter C. Kenny 193 Locust St	$65.58	1,733	1,693
Lora D Grimes 325B King St # 3	$54.68	1,713	1,621
Grace May D Goncero 325B King Street	$53.32	1,710	1,640
Thomas Grindberg 325B King St	$51.74	1,668	1,643
Julio A. Miranda 30 Locust St	$46.95	1,664	1,637
Kristin L. Dardano 325B King St	$54.89	1,655	1,630
Richard N. Norris 76 Carlon Dr	$56.21	1,583	1,496
Monika Magdalena Sullivan 325B King St	$38.55	1,467	1,366
Dennis W. Owens 325B King St	$25.62	1,392	948
Tapestry Health Systems 76 Carlon Dr	$64.71	1,362	1,290
Ahmad Daniyal Siddiqui 30 Locust St	$54.40	1,285	1,185
Michael Rockland Verrilli 16 Center St	$18.94	1,267	504
Kinga K Pluta 22 Atwood Dr.	$41.58	1,252	1,223
Bruce M. Weinraub 76 Carlon Dr	$48.26	1,216	880
Lois Kamugisha 30 Locust St	$39.22	1,138	669
Barrett W Newsome 30 Locust St	$33.73	1,087	1,002

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 Northampton, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Northampton, MA is $45.84 per claim, based on 166,226 claims from 136 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 Northampton, MA?

There are 136 Medicaid providers offering Office Visit related services in Northampton, MA according to public payment data.

What is the price range for Office Visit in Northampton, MA?

Medicaid reimbursement for Office Visit in Northampton, MA ranges from $1.55 to $219.36 per claim, with an average of $45.84. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Northampton, MA: $45.84

Providers Offering Office Visit in Northampton, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Northampton, MA

Psychiatric Evaluation

Non-Emergency Medical Transportation

Blood Work & Lab Tests

Emergency Room Visit

Ambulance Transport

EKG / ECG (Electrocardiogram)

Physical Therapy

Dental Cleaning & Exam