Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Pittsfield, MA: $73.14

Avg. Paid

$73.14

Range

$1.26 – $191.03

Total Claims

623,777

Providers

259

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 Pittsfield, MA

Provider	Avg. Paid	Claims	Patients
Berkshire Medical Center, Inc 725 North St	$133.61	179,018	155,370
The Brien Center For Mental Health And Substance Abuse Services Inc. 333 East St	$67.97	31,163	27,497
Vicki E Smith 374 South St	$61.68	19,818	14,281
John C Dallenbach 426 East St	$66.87	17,515	15,880
Michael Anthony Fabrizio 387 Columbus Avenue Ext	$69.64	17,430	14,685
Ann Marie Visconti 294 First Street	$60.31	15,720	9,815
Donald James Greeley 29 Walden Ln	$57.00	15,302	7,048
Michelle Marie Monteleone-Ethier 999 Dalton Ave	$59.93	13,626	8,995
Brian J Dempsey 758 East St	$68.53	12,254	10,645
Holly M Hunter 163 South St Ste 2	$57.13	11,496	8,211
Maxim Bitunov 631B North St	$37.14	7,912	7,409
Thomas Bernard Edwards 369 South St	$62.01	7,697	7,328
Austin James Michael 725 North St	$45.84	6,586	6,545
Heather Mari Armstrong 777 North St Fl 5	$46.07	6,503	5,325
Jennifer Rose Votruba 631B North St	$28.88	6,323	6,011
Christopher Biernacki 725 North St	$39.86	6,291	6,167
Andrew J Demaggio 165 Tor Ct	$23.85	5,881	5,567
Thomas A Mcnulty 276 South St	$29.55	5,144	4,092
Bethany Lyn Bartlett 42 Summer St	$48.27	4,995	4,533
Linda M. Perry 725 North St	$57.62	4,497	4,469
Thomas Joseph Kwiatkowski 777 North St	$40.44	4,419	4,395
Anurag Bansal 777 North St	$28.78	4,332	4,310
Colleen Ann Halvorsen-Sinclair 725 North St	$31.27	4,328	3,975
Jonathan B Grenoble 20 Elm St	$40.26	4,287	4,218
Larry Leavitt 369 South St	$51.33	4,276	3,047
Sean T Douglas 999 Dalton Ave	$58.55	4,124	4,102
James R Gittzus 510 North Street	$57.92	3,988	3,543
Zaighum Rana 725 North St	$53.22	3,957	3,889
Anthony E Defelice 24 Park Street	$36.92	3,952	3,817
Michael A. Stamm 510 North St Ste 10	$50.76	3,867	3,736
Christine A Reis-Fiegel 333 East St	$51.25	3,587	3,335
Jessica Michelle Duplin 53 Eagle St Ste 4	$75.67	3,533	2,078
Brian Phillips 777 North St	$34.79	3,502	3,479
Marcin Marek Zygawski 740 Williams St	$47.07	3,450	3,400
Susan F Downey Luhrmann 631B North Street	$49.31	3,325	2,560
Gregory John Malanoski 777 North St Ste 207	$21.17	3,272	2,657
Lauren A Dudley 777 North St	$38.75	3,180	3,140
Jennifer L Michaels 333 East Street	$48.86	3,136	2,658
Matthew Dewolf 24 Park St	$58.95	2,969	2,827
Monique Mccleery Hamelrath 66 Wahconah Street	$9.97	2,933	2,024
Barry Joel Lobovits 163 South St	$8.50	2,918	2,417
Craig R Kirby 20 Elm St	$37.67	2,909	2,836
Chrissy Mathew 725 North St	$68.85	2,891	2,501
John Anthony Loiodice 510 North St	$45.82	2,869	2,825
Glenda Boykin 165 Tor Ct	$20.63	2,807	2,792
Daniel R Sage 24 Park Street	$39.33	2,581	2,460
Linda Michele Schermerhorn 631B North St	$50.74	2,563	2,542
Convenientmd - Ffs Uc Llc 999 Dalton Ave	$92.07	2,548	2,341
Trevor John Bayliss 165 Tor Ct	$31.15	2,516	2,405
Lindsay Samale 510 North Street	$50.55	2,455	1,218

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 Pittsfield, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pittsfield, MA is $73.14 per claim, based on 623,777 claims from 259 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 Pittsfield, MA?

There are 259 Medicaid providers offering Office Visit related services in Pittsfield, MA according to public payment data.

What is the price range for Office Visit in Pittsfield, MA?

Medicaid reimbursement for Office Visit in Pittsfield, MA ranges from $1.26 to $191.03 per claim, with an average of $73.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Pittsfield, MA: $73.14

Providers Offering Office Visit in Pittsfield, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Pittsfield, MA

Blood Work & Lab Tests

Psychiatric Evaluation

Substance Abuse Treatment

Case Management Services

Emergency Room Visit

Non-Emergency Medical Transportation

Home Health Visit

Dental Cleaning & Exam