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
Richard A Greene 21 Henry Ave Ste 2	$27.41	12	12
Svetlin H Dinovski 631B North St	$74.32	12	12
Cecilia Pena-Sisto 510 North St # 1	$65.41	13	12
Jeffrey Matthew Terwilliger 725 North St	$55.02	13	13
Michael Riordan 725 North St	$36.50	13	13
Jeffrey P Cella 24 Park Street	$31.02	13	13
Steven Lamontagne 777 North St	$19.87	13	13
Benjamin Hough Evenchik 40 Colt Rd	$105.77	14	14
Tracy Elizabeth Hagerty 725 North St	$92.28	14	13
Maribeth Pomerantz 777 North St Ste 301	$23.43	14	14
Nancy M Petersen 100 Wendell Ave	$48.67	14	13
Michael Ross Disiena 777 North St	$6.88	14	13
Shannon Carey 725 North St	$18.03	15	12
Fred Orlando 740 Williams St	$18.05	16	15
Jade Crennan 877 South St Ste 200	$16.12	16	15
John W Lyons 777 North St	$33.29	17	16
Kelsey Whytock Wood 20 Elm St	$7.02	18	17
Daniel M Doyle 725 North St	$36.44	24	24
Robert Bates Tebben 777 North St	$5.31	24	24
David R Finck 777 North St	$30.59	25	25
Robert James Shearer 777 North St	$19.02	25	25
Sharon Parmenter 777 North St	$44.38	26	26
Crystal Shaw 777 North St Ste 203	$67.44	26	26
Jennifer Wolf Nugent 631B North St	$31.09	28	28
Pradeep Manoharan 777 North St	$23.95	28	27
Gary S Shalan 777 North Street	$69.65	30	26
Roberto Luis Rosa 725 North St	$40.26	30	30
Nestor Olivier Bond 725 North St	$42.33	31	31
Henry John Rose 777 North St	$33.40	38	38
Wade Joseph Gebara 725 North St	$19.89	39	38
Samuel W Smith 777 North St	$24.87	40	33
Hilery Gaurang Upadhyay 758 East St	$97.69	40	37
Jessica Grant 770 North Street	$56.57	40	40
Nicolle Alvarez 725 North St	$191.03	41	38
Julie K Floyd Berkshire Medical Center	$50.57	43	38
Alison M Flynn 510 North Street	$56.13	46	41
Evan Smith 725 North St	$59.95	48	48
Matthew Morgan 725 North Street	$80.93	54	51
Jennifer Street Hakkarainen 725 North St	$30.28	58	58
Usman Ali Sharif 725 North St	$36.74	63	62
Michael Kristopher Jefferson 725 North St	$8.42	65	60
Gina Marie Reiners 217 South St	$67.71	67	64
Amanda Poussard 725 North St	$99.33	68	68
Aurora Foster 777 North St	$19.73	71	69
Michael Mcinerney 777 North St	$31.31	71	70
Kimberly Jeanne Rousseau 725 North St	$46.86	76	70
Rebecca P. Caine 777 North St.	$34.21	82	80
Paul R Silverstein 777 North St	$17.13	87	86
Orli Gal 777 North St	$21.13	88	83
Marcella W Bradway 777 North St	$27.87	88	87

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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Emergency Room Visit

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Home Health Visit

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