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
Heather A. Davis 61 Locust St	$20.06	12	12
Melanie Sass Greenman 30 Locust St	$39.70	12	12
Servicenet Inc 131 King St	$90.69	13	12
Maura E. Keene 325B King St	$48.82	13	13
Michelle Wilkens Helms 15 Atwood Dr Ste 201	$51.56	14	14
Holly K. Michaelson 76 Carlon Dr	$78.71	14	14
Jenifer Mary Fleming Ives 16 Center St	$48.67	14	14
Kimberly Vera Spence 274 Pleasant St	$28.88	15	14
Amy Metzger 61 Locust St	$49.06	17	17
Peter J Halperin 22 Atwood Dr	$118.11	24	24
Kyle A. Cooper 325B King St	$17.22	24	24
Andrew Mackey 30 Locust St	$49.56	28	26
Taylor Jan Cohen 40 Main St Ste 202	$88.11	39	39
Charles Antoine Dumont 30 Locust St	$40.57	39	39
Thea N Calkins 325 King St	$105.19	42	42
Polly Fiveash 193 Locust St	$219.36	43	41
Reuven Goldstein 25 Main St	$23.50	53	53
Nancy A. Balin 269 Locust St	$17.19	55	37
David M Serlin 30 Locust St	$46.36	55	55
Heidi Freliech Moskovitz 325B King St	$40.81	57	56
James B. Kirchhoffer 22 Atwood Dr	$27.77	65	65
Rebecca S Starr 264 Elm St Ste 12	$22.49	67	62
Samantha Ann Capistrant 8 Atwood Dr	$1.61	69	67
So Yeon Choi 8 Atwood Dr Ste 201	$1.55	71	67
Lea A Grippin 269 Locust St Ste 108	$81.60	74	74
Mark Ryan 6 Hatfield St	$33.22	75	66
David B Alpern 90 Conz Street	$40.28	79	77
Kathleen L Grandison 325B King St	$43.92	88	86
Marci S Yoss 325B King Street	$32.54	93	89
Mass General Brigham Medical Group Western Massachusetts Inc 30 Locust St	$52.54	94	92
Jay H Levin 22 Atwood Dr	$52.62	94	94
John Stewart Swanson 1 Prince Street	$85.92	109	107
Kristen Kelly 30 Locust St	$45.30	110	107
Gretchen E Loebel 30 Locust St	$44.27	112	108
Chelsea Marie Daniele 30 Locust St	$37.22	115	111
John M Zebrun 241 King St	$72.14	135	47
Katherine E Kelly 193 Locust St	$23.11	135	129
Barry H. Federman 31 Trumbull Rd Ste 203	$55.94	136	130
William Eugene Boutelle 50 Pleasant St	$28.21	141	99
Vilma B. Carlone 325B King St	$36.49	142	141
Marina D Goldman 395 Pleasant Street	$15.83	151	139
James A Most 30 Locust St	$42.34	172	133
Timothy J Fisher 325B King St	$50.65	179	174
Lauren Cerulle Pack 30 Locust St	$22.76	182	147
Mark Porway 22 Atwood Dr	$27.52	188	186
Kelly M Buckley 22 Atwood Dr	$87.16	189	159
Tonbira Syeda Zaman 30 Locust St	$39.16	207	201
Meghan L Schmidt 325B King St	$48.45	208	206
Julia M. De Almeida 76 Carlon Dr	$14.08	227	213
Nasreen Azam 30 Locust St	$86.26	232	228

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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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