Average Medicaid Office Visit Payments in Oak Bluffs, MA: $47.59
Avg. Paid
$47.59
Range
$0.00 – $298.26
Total Claims
37,587
Providers
41
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 Oak Bluffs, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Martha'S Vineyard Hospital, Inc.
1 Hospital Rd |
$60.70 | 16,014 | 14,695 |
|
Melanie A Miller
1 Hospital Rd |
$30.02 | 3,925 | 3,710 |
|
Martha'S Vineyard Community Services, Inc.
111 Edgartown Rd |
$50.33 | 3,720 | 3,195 |
|
Sonya M Stevens
1 Hospital Rd |
$25.28 | 2,838 | 2,729 |
|
Karen Williams
Martha'S Vineyard Hospital |
$34.29 | 1,894 | 1,801 |
|
Regina M Mostone
1 Hospital Rd |
$24.69 | 1,481 | 1,394 |
|
Gerald Yukevich
One Hospital Road |
$55.09 | 685 | 626 |
|
Anne-Marie Bell
1 Hospital Rd |
$12.97 | 601 | 584 |
|
Julia C Stunkel
One Hospital Road |
$25.89 | 572 | 533 |
|
Brianna Morgan Davies
14 Paddock Rd |
$3.21 | 455 | 440 |
|
Hugh F Harwood
1 Hospital Rd |
$30.45 | 449 | 431 |
|
Scott P Simmons
1 Hospital Rd |
$25.32 | 445 | 430 |
|
Ruppert A. Hawes
1 Hospital Rd |
$4.29 | 408 | 373 |
|
Aletheia S Donahue
1 Hospital Rd |
$0.00 | 396 | 352 |
|
Gurcharan P .S. Gill
One Hospital Road |
$63.45 | 331 | 325 |
|
Katherine R Friedman
One Hospital Rd |
$11.77 | 282 | 270 |
|
Joseph M Regan
1 Hospital Rd |
$38.73 | 269 | 259 |
|
Sophia Asmara Solomon
1 Hospital Rd |
$91.38 | 257 | 233 |
|
Alexandra Nicole Sylvia
1 Hospital Rd |
$0.13 | 253 | 233 |
|
Charles H Silberstein
Marthas Vineyard Hospital |
$7.72 | 252 | 239 |
|
Zachary L Gitlin
1 Hospital Rd |
$238.42 | 224 | 207 |
|
Amy Ruth Cassotta
1 Hospital Rd |
$24.09 | 217 | 198 |
|
John R. Lamb
1 Hospital Rd |
$56.22 | 191 | 182 |
|
Henry S Nieder
One Hospital Road |
$48.60 | 164 | 155 |
|
Nancy E Leport
One Hospital Road |
$298.26 | 134 | 115 |
|
Ruth A Barron
1 Hospital Rd |
$124.09 | 124 | 121 |
|
Eileen Wuerthele
1 Hospital Road |
$42.17 | 118 | 115 |
|
Kevin Mabie
1 Hospital Road |
$45.88 | 114 | 102 |
|
Janet Ann Constantino
111 Edgartown Road |
$31.95 | 102 | 82 |
|
Dana Levy Guyer
One Hospital Road |
$70.60 | 96 | 70 |
|
Linsay Kaye Bumila
1 Hospital Rd |
$0.00 | 88 | 86 |
|
Jennifer Lynn Hawken
111 Edgartown Rd |
$15.36 | 83 | 65 |
|
Michael Joseph Michotek
1 Hospital Road |
$56.09 | 75 | 70 |
|
Beth M Donnelly
1 Hospital Road |
$0.00 | 68 | 57 |
|
Paula M Karol
1 Hospital Rd |
$14.51 | 65 | 65 |
|
Daniel E Pesch
One Hospital Road |
$243.84 | 59 | 54 |
|
Pieter M Pil
1 Hospital Rd |
$268.44 | 48 | 40 |
|
Linda S. Stewart
1 Hospital Rd |
$43.25 | 42 | 42 |
|
Martha'S Vineyard Hospital, Inc.
1 Hospital Rd |
$67.27 | 20 | 20 |
|
Caleb Everett Nannes
1 Hospital Rd |
$0.00 | 14 | 14 |
|
Anthony Durand Piland
1 Hospital Rd |
$0.00 | 14 | 12 |
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 Oak Bluffs, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oak Bluffs, MA is $47.59 per claim, based on 37,587 claims from 41 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 Oak Bluffs, MA?
There are 41 Medicaid providers offering Office Visit related services in Oak Bluffs, MA according to public payment data.
What is the price range for Office Visit in Oak Bluffs, MA?
Medicaid reimbursement for Office Visit in Oak Bluffs, MA ranges from $0.00 to $298.26 per claim, with an average of $47.59. 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 Oak Bluffs, MA
Psychiatric Evaluation
Avg $75.52
34,454 claims
Emergency Room Visit
Avg $104.45
13,857 claims
Blood Work & Lab Tests
Avg $11.74
5,081 claims
EKG / ECG (Electrocardiogram)
Avg $7.00
3,994 claims
Dental Cleaning & Exam
Avg $20.60
3,231 claims
Physical Therapy
Avg $34.59
2,203 claims
Vaccines & Immunizations
Avg $4.52
1,725 claims
Ambulance Transport
Avg $70.53
1,579 claims