Average Medicaid Office Visit Payments in Plymouth, MA: $46.64
Avg. Paid
$46.64
Range
$0.00 – $229.63
Total Claims
222,181
Providers
186
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 Plymouth, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nghia Trung Tran
345 Court St Ste 201 |
$50.20 | 19,424 | 16,767 |
|
Jessica Sexton Walsh
148 Industrial Park Rd |
$53.38 | 9,278 | 8,971 |
|
Anit Thakor Patel
30 Aldrin Road |
$47.74 | 8,991 | 8,512 |
|
Bernard Joseph Durante
30 Aldrin Road |
$45.45 | 8,850 | 8,465 |
|
Ashley T Gallagher
36 Shops At 5 Way |
$1.14 | 8,527 | 7,336 |
|
Marietta Calisto-Cooney
148 Industrial Park Rd |
$47.10 | 7,762 | 7,554 |
|
Virnaliza Cassidy
3 Village Grn N |
$57.21 | 6,843 | 6,671 |
|
Rebecca M. Hall
225 Water St |
$17.36 | 6,484 | 5,863 |
|
Michaella Dziedzic
139 Sandwich St |
$60.84 | 5,764 | 5,493 |
|
Beth Israel Deaconess Hospital Plymouth, Inc.
275 Sandwich St |
$178.04 | 5,597 | 4,540 |
|
Stephen Crawford Ikeda
64 Industrial Park Rd |
$54.67 | 5,474 | 4,981 |
|
Arthur Blasberg
139 Sandwich St |
$58.61 | 5,462 | 5,333 |
|
Teresa Mayne Kanev
148 Industrial Park Rd |
$24.06 | 5,385 | 5,099 |
|
Leila Bodie
148 Industrial Park Rd |
$55.65 | 5,350 | 5,225 |
|
Dwight G. Smith
225 Water St |
$71.47 | 5,349 | 5,112 |
|
Bridget A Langa
10 Cordage Park Cir Ste 115 |
$1.34 | 5,097 | 4,559 |
|
Michael Patrick Macdonald
1 Bumps Pond Road |
$56.25 | 4,554 | 3,540 |
|
Lindsay Yorns
110 Long Pond Rd Ste 101 |
$48.20 | 4,073 | 3,678 |
|
Christine Anne Basile
39A Industrial Park Rd |
$16.64 | 4,041 | 3,555 |
|
Mary K. Engel
10 Cordage Park Cir |
$1.89 | 3,932 | 3,650 |
|
Convenientmd - Ffs Uc Llc
140 Samoset St |
$97.36 | 3,306 | 2,965 |
|
Raafat I Attia-Hanna
110 Long Pond Rd |
$56.21 | 3,214 | 3,106 |
|
Stephen Craig Gillard
51 Obery St |
$27.62 | 2,818 | 2,685 |
|
Cindy Oneil
10 Cordage Park |
$0.56 | 2,461 | 2,258 |
|
Susan E. Mahoney
139 Sandwich St |
$71.18 | 1,952 | 1,882 |
|
Laurie Massey
148 Industrial Park Rd |
$39.09 | 1,934 | 1,906 |
|
Cassandra Dorvil
110 Long Pond Rd Ste 101 |
$47.42 | 1,917 | 1,848 |
|
Lois M Townshend
45 Resnik Rd |
$51.27 | 1,871 | 1,849 |
|
Michael J. Skonieczny
116 Court St Ste 3 |
$23.59 | 1,756 | 1,518 |
|
Elisabeth K Nahill
116 Court St |
$41.01 | 1,754 | 1,716 |
|
Michael A Geffin
51 Obery St |
$33.46 | 1,724 | 1,594 |
|
Shoshana M Katz
110 Long Pond Rd |
$70.88 | 1,673 | 1,532 |
|
Andrew Edward Oliver
148 Industrial Park Rd |
$16.32 | 1,579 | 1,517 |
|
Sabine M Schmitt
110 Long Pond Rd |
$71.37 | 1,494 | 1,378 |
|
Juris Egils Treibergs
323 Court St |
$97.07 | 1,448 | 1,389 |
|
Christopher Coakley
45 Resnik Rd |
$26.72 | 1,402 | 1,340 |
|
Patricia Labaire
110 Long Pond Rd Ste 101 |
$43.55 | 1,390 | 1,339 |
|
Brian J Mcmanus
110 Long Pond Rd |
$57.76 | 1,337 | 1,232 |
|
Kelly A Hawthorne
148 Industrial Park Rd |
$33.99 | 1,323 | 1,307 |
|
Jessica Marie Bushman
61 Industrial Park Rd |
$54.75 | 1,259 | 1,021 |
|
Robert G Nahill
116 Court St Ste 1 |
$35.30 | 1,230 | 1,124 |
|
Ron Avraham
225 Water St Ste C105 |
$46.74 | 1,217 | 1,111 |
|
Mark J Eubanks
10 Cordage Park Cir |
$96.56 | 1,135 | 1,087 |
|
Cyllene Arice Saintelien
124 Long Pond Rd Ste 11B |
$57.76 | 1,109 | 1,017 |
|
Emily Smith
148 Industrial Park Rd |
$4.16 | 1,082 | 1,065 |
|
James P Wargovich
116 Court St |
$29.87 | 1,075 | 1,031 |
|
Harbor Health Services, Inc.
10 Cordage Park Cir |
$29.11 | 1,069 | 973 |
|
Rachel Lauren Gross
110 Long Pond Rd |
$43.50 | 1,034 | 1,015 |
|
Kelly Flaherty
20 Davenport Rd |
$3.29 | 1,013 | 967 |
|
Eric P Rightmire
41 Resnik Rd |
$40.41 | 1,002 | 955 |
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 Plymouth, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plymouth, MA is $46.64 per claim, based on 222,181 claims from 186 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 Plymouth, MA?
There are 186 Medicaid providers offering Office Visit related services in Plymouth, MA according to public payment data.
What is the price range for Office Visit in Plymouth, MA?
Medicaid reimbursement for Office Visit in Plymouth, MA ranges from $0.00 to $229.63 per claim, with an average of $46.64. 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 Plymouth, MA
Blood Work & Lab Tests
Avg $9.55
151,159 claims
Non-Emergency Medical Transportation
Avg $25.36
129,218 claims
Behavioral & Mental Health Therapy
Avg $136.09
74,148 claims
Emergency Room Visit
Avg $149.87
66,869 claims
Psychiatric Evaluation
Avg $76.75
51,366 claims
Dental Cleaning & Exam
Avg $32.74
49,828 claims
Physical Therapy
Avg $46.09
43,698 claims
Vaccines & Immunizations
Avg $20.42
42,791 claims