Average Medicaid Office Visit Payments in Pembroke, NH: $40.91
Avg. Paid
$40.91
Range
$37.78 – $50.55
Total Claims
2,588
Providers
7
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, NH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Niegisch
121 Pembroke St |
$37.78 | 1,283 | 1,042 |
|
Steven H Kaitz
48 Glass St |
$38.09 | 428 | 378 |
|
Sarah A Vaida
121 Pembroke St |
$47.29 | 359 | 318 |
|
Michele Frances Caravella
121 Pembroke St |
$48.37 | 319 | 277 |
|
Setu Geddes
121 Pembroke St |
$42.71 | 166 | 134 |
|
Cynthia Anne Tranchemontagne
121 Pembroke St |
$50.55 | 17 | 15 |
|
Mary Margarita Bacon
48 Glass St |
$45.89 | 16 | 14 |
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, NH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pembroke, NH is $40.91 per claim, based on 2,588 claims from 7 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, NH?
There are 7 Medicaid providers offering Office Visit related services in Pembroke, NH according to public payment data.
What is the price range for Office Visit in Pembroke, NH?
Medicaid reimbursement for Office Visit in Pembroke, NH ranges from $37.78 to $50.55 per claim, with an average of $40.91. 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
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Pembroke, NH
Behavioral & Mental Health Therapy
Avg $15.94
42,066 claims
Speech Therapy
Avg $3.25
27,914 claims
Physical Therapy
Avg $5.82
3,858 claims
Ambulance Transport
Avg $33.54
3,329 claims
Dental Cleaning & Exam
Avg $28.98
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Blood Work & Lab Tests
Avg $13.88
109 claims
Vaccines & Immunizations
Avg $4.63
93 claims
Emergency Room Visit
Avg $38.85
25 claims