Average Medicaid Office Visit Payments in Palmer, MA: $76.53
Avg. Paid
$76.53
Range
$2.45 – $165.99
Total Claims
105,105
Providers
68
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 Palmer, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Baystate Wing Hospital Corporation
40 Wright St |
$165.99 | 24,347 | 22,341 |
|
Benjamin R Velardi
40 Wright Street |
$71.72 | 6,675 | 6,127 |
|
Evan K Altman
40 Wright St |
$57.33 | 5,633 | 5,505 |
|
Scott A Siege
40 Wright St |
$38.80 | 4,990 | 4,806 |
|
Kaila Louise Soja
40 Wright St |
$75.29 | 4,521 | 4,141 |
|
Lori L Trask
40 Wright St |
$44.71 | 4,067 | 3,864 |
|
Amelia Mae Jaworek Burgess
40 Wright St |
$24.25 | 3,880 | 2,966 |
|
Dennies Cuevas Rivera
40 Wright Street |
$32.22 | 3,858 | 3,752 |
|
Munir Ahmad
40 Wright St |
$36.63 | 2,708 | 2,674 |
|
Mohammad A Khan
40 Wright St |
$38.94 | 2,468 | 2,393 |
|
Shadi Zaghloul
42 Wright St |
$69.92 | 2,427 | 2,335 |
|
Khaled M Abdelkader
40 Wright St |
$44.02 | 2,254 | 2,200 |
|
Emily Ann Lambert
40 Wright St |
$40.23 | 1,955 | 1,811 |
|
Jordan R Kight
40 Wright St |
$89.16 | 1,858 | 1,843 |
|
Rebecca Mary Gurney
40 Wright St |
$62.89 | 1,832 | 1,781 |
|
Dana Jason Cerone
40 Wright St |
$69.34 | 1,798 | 1,738 |
|
Zachry Peter Zichittella
40 Wright St |
$28.71 | 1,683 | 1,666 |
|
Frederick W Harwick
40 Wright St |
$2.45 | 1,618 | 1,436 |
|
Kimberly A Marakovits
40 Wright St |
$56.96 | 1,538 | 1,517 |
|
Joseph Edward Lellman
40 Wright St |
$44.66 | 1,528 | 1,484 |
|
Judith Jorge-Leonard
42 Wright St |
$47.13 | 1,456 | 1,411 |
|
Thomas R Canto
40 Wright St |
$16.38 | 1,268 | 1,094 |
|
Richard Chou
40 Wright Street |
$67.15 | 1,268 | 1,238 |
|
O'Neil J. Green
40 Wright St |
$34.50 | 1,254 | 1,231 |
|
Jonathan H Marsh
40 Wright St |
$37.65 | 1,238 | 1,168 |
|
Leanne T.G. Vallee
40 Wright St |
$69.00 | 1,123 | 1,069 |
|
Oscar A. Martinez
40 Wright St |
$57.34 | 987 | 964 |
|
Ylfa Y Perry
40 Wright St |
$62.41 | 973 | 969 |
|
Joanna M. Preibisz
40 Wright Street |
$23.51 | 941 | 922 |
|
Shaina Labonte
12O7 South Main Street |
$101.26 | 905 | 900 |
|
Leonardo Javier Velazquez
1504 N Main St |
$29.19 | 897 | 844 |
|
Imad M Khreim
40 Wright St |
$95.58 | 871 | 787 |
|
Donna L Wood Sholberg
42 Wright St |
$6.88 | 761 | 739 |
|
Baystate Wing Hospital Corporation
40 Wright St |
$54.34 | 754 | 720 |
|
Toussaint Casimir
42 Wright St |
$94.06 | 716 | 685 |
|
Susan Williams
42 Wright St |
$19.67 | 683 | 669 |
|
Robert J Campbell
40 Wright St |
$34.41 | 672 | 619 |
|
Mary Charlotte Guertin
40 Wright St |
$26.91 | 647 | 621 |
|
Lindsey A Morin
40 Wright St |
$42.09 | 644 | 619 |
|
Connie Leung
40 Wright Street |
$40.84 | 637 | 607 |
|
Nice Nabitaka
40 Wright St |
$3.39 | 610 | 559 |
|
Karyn Lynn Rossacci
40 Wright St |
$105.08 | 507 | 504 |
|
Diana T Robillard
40 Wright St |
$52.60 | 424 | 417 |
|
Michael Joseph Fine
40 Wright St |
$37.35 | 419 | 405 |
|
Paul L. Willis
40 Wright St |
$76.66 | 367 | 364 |
|
Arthur C. Sgalia
40 Wright Street |
$66.05 | 364 | 346 |
|
Marie B Chivers
40 Wright Street |
$25.93 | 260 | 258 |
|
Linda J Schoonover
40 Wright Street |
$11.00 | 226 | 223 |
|
Shaukat Matin
40 Wright St Fl 1 |
$26.67 | 226 | 211 |
|
Brian Jeremiah Laliberte
40 Wright St |
$23.86 | 197 | 197 |
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 Palmer, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Palmer, MA is $76.53 per claim, based on 105,105 claims from 68 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 Palmer, MA?
There are 68 Medicaid providers offering Office Visit related services in Palmer, MA according to public payment data.
What is the price range for Office Visit in Palmer, MA?
Medicaid reimbursement for Office Visit in Palmer, MA ranges from $2.45 to $165.99 per claim, with an average of $76.53. 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 Palmer, MA
Emergency Room Visit
Avg $108.27
125,922 claims
Blood Work & Lab Tests
Avg $6.62
74,765 claims
EKG / ECG (Electrocardiogram)
Avg $3.40
42,133 claims
Psychiatric Evaluation
Avg $79.41
38,627 claims
Eye Exam
Avg $34.14
19,373 claims
Urinalysis & Urine Tests
Avg $3.87
19,334 claims
X-Ray
Avg $9.19
14,247 claims
Ambulance Transport
Avg $80.90
12,927 claims