Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Plainville, MA: $54.68

Avg. Paid

$54.68

Range

$6.42 – $103.09

Total Claims

62,235

Providers

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 Plainville, MA

Provider	Avg. Paid	Claims	Patients
Sturdy Health Inc 60 Messenger St	$62.21	14,418	13,626
George Vardoulias 60 Messenger St	$42.98	9,190	8,396
Rachel Tagoe 60 Messenger St	$36.24	6,929	6,610
Convenientmd Llc 86 Taunton St	$103.09	5,306	5,025
Papa Kaku Badoe 60 Messenger St	$41.11	4,693	4,457
Steven J Ugent 60 Messenger St	$52.15	3,815	3,759
Owen Gabriel Debowy 60 Messenger St Ste 201	$44.67	3,557	3,455
Convenientmd - Ffs Uc Llc 86 Taunton St	$89.89	2,545	2,198
Benjamin John Knabel 7 Wilkens Dr	$45.99	1,844	1,736
Kaleigh Silva 60 Messenger St	$50.39	1,651	1,564
Tara Marie Nolan 60 Messenger St	$42.61	1,081	1,046
Bernard E. Oakley 60 Messenger St	$43.51	986	946
Bruce A. Phillips 60 Messenger St	$59.26	877	842
Pam J. Difiore 60 Messenger St	$34.40	638	603
Peter L. Pleasants 74 Taunton St	$41.41	586	568
Sarah E. Anderson 60 Messenger St	$47.81	498	480
Marianne Elisabeth Rivard 60 Messenger St	$38.74	426	424
Deborah Anne Poche 60 Messenger St	$40.43	413	385
Joanne K. Delsole 60 Messenger St	$36.45	334	324
Yvonne Mark 60 Messenger St Ste 204	$53.42	291	256
Xingzi Shangguan 60 Messenger St	$38.06	253	234
Edward Osharhire Omerhi 60 Messenger St	$27.31	248	236
Olympia Kovich 60 Messenger St	$35.17	243	231
Jennifer B Lacourse 60 Messenger St	$59.13	237	223
Shuikee Rice 60 Messenger St Ste 102	$35.21	235	225
Rachel E. Wulf Silver 60 Messenger St	$67.42	158	143
Ralph Philosophe 60 Messenger St	$63.97	147	147
Kaylee Wampler 6 Wilkins Dr	$6.42	137	135
Martin C Harris 7 Wilkens Dr	$24.42	104	96
Danielle J Hurley 86 Taunton St	$52.03	88	87
Liam Donald Mcneil 86 Taunton St	$78.52	85	85
Randy B Ugent 60 Messenger St	$45.14	64	63
Natasha Jennifer Fevry 44 Washington St Unit 3	$39.97	47	39
Nayana Deepti Chennapatna Manjunath 60 Messenger St	$81.28	40	38
Lawrence C. Greb 60 Messenger St	$55.19	28	28
Melissa Ann Desrosiers 60 Messenger St	$61.73	15	14
Jillian Blanche Poomcharoen 60 Messenger St	$6.42	15	15
Rajendrasinh Jahubhai Rathod 60 Messenger St	$78.33	13	13

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 Plainville, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plainville, MA is $54.68 per claim, based on 62,235 claims from 38 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 Plainville, MA?

There are 38 Medicaid providers offering Office Visit related services in Plainville, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Plainville, MA ranges from $6.42 to $103.09 per claim, with an average of $54.68. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Plainville, MA: $54.68

Providers Offering Office Visit in Plainville, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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