Average Medicaid Office Visit Payments in Pembroke, MA: $47.30
Avg. Paid
$47.30
Range
$1.85 – $102.14
Total Claims
30,505
Providers
28
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 Pembroke, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jennifer Fossan Sabir
15 Corporate Park Dr |
$2.99 | 6,964 | 6,480 |
|
Convenientmd Llc
296 Old Oak Street |
$102.14 | 5,247 | 4,868 |
|
Aniket Chakrabarti
243 Church St |
$49.11 | 4,418 | 3,705 |
|
Diana D Remlinger
20 Winter St |
$36.13 | 2,020 | 1,671 |
|
Richard Stephen Marcus
199 Oak St |
$32.05 | 1,972 | 1,888 |
|
Lisa Costa
20 Winter St |
$42.64 | 1,629 | 1,447 |
|
Linda Sheppard-Reece
20 Winter St |
$25.69 | 1,442 | 1,373 |
|
Convenientmd - Ffs Uc Llc
296 Old Oak St |
$86.94 | 1,392 | 1,162 |
|
Matthew F Griffin
296 Old Oak St |
$83.74 | 1,217 | 723 |
|
William Lyle Patterson
15 Corporate Park Dr |
$76.74 | 910 | 789 |
|
Rachael Fortunato
20 Winter St |
$62.54 | 656 | 600 |
|
Carole J. Smith
28 Riverside Dr |
$41.26 | 515 | 501 |
|
Marie Elizabeth Guerrier
20 Winter St |
$47.13 | 476 | 402 |
|
Christina Tamasco
28 Riverside Dr |
$1.85 | 438 | 367 |
|
David W. Parker
28 Riverside Dr |
$31.51 | 415 | 410 |
|
Snezhana Voynova
Harbor Medical Associates |
$23.00 | 214 | 209 |
|
Wilson Situ
296 Old Oak St |
$47.46 | 160 | 158 |
|
Aisling Zylberman
43 Kings Ter |
$62.46 | 159 | 158 |
|
Gianna Lee Nettis
20 Winter St Ste 2 |
$67.52 | 61 | 54 |
|
Shannon Leigh Burnham
15 Corporate Park Dr |
$40.76 | 45 | 45 |
|
Meghan Mahoney Baker
28 Riverside Dr |
$42.61 | 28 | 28 |
|
Courtney Bailey Donahue
199 Plymouth St |
$4.27 | 26 | 26 |
|
Gabrielle M.H. Sousa
28 Riverside Dr |
$43.74 | 25 | 25 |
|
John M. Stevenson
15 Old West Elm St |
$55.03 | 25 | 25 |
|
Kevin Noyes
28 Riverside Dr |
$26.92 | 14 | 12 |
|
Brian Stephen Banks
28 Riverside Dr Ste 260 |
$74.62 | 13 | 12 |
|
South Shore Health Express, Inc
117 Old Church St |
$72.92 | 12 | 12 |
|
Lily Savoie
15 Corporate Park Dr |
$53.72 | 12 | 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 Pembroke, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pembroke, MA is $47.30 per claim, based on 30,505 claims from 28 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 Pembroke, MA?
There are 28 Medicaid providers offering Office Visit related services in Pembroke, MA according to public payment data.
What is the price range for Office Visit in Pembroke, MA?
Medicaid reimbursement for Office Visit in Pembroke, MA ranges from $1.85 to $102.14 per claim, with an average of $47.30. 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 Pembroke, MA
Behavioral & Mental Health Therapy
Avg $94.83
67,884 claims
Psychiatric Evaluation
Avg $28.76
16,060 claims
Ambulance Transport
Avg $105.74
6,944 claims
Dental Cleaning & Exam
Avg $40.47
6,716 claims
Speech Therapy
Avg $31.92
6,541 claims
Nursing Facility Care
Avg $12.88
6,392 claims
Home Health Visit
Avg $131.99
2,573 claims
Physical Therapy
Avg $14.46
2,416 claims