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 |
|---|---|---|---|
|
Casey C O'Boyle
45 Resnik Rd |
$1.39 | 12 | 12 |
|
Stephanie Lynn Haden
46 Obery St |
$41.78 | 12 | 12 |
|
Dima Ezzedine
45 Home Depot Dr Ste 100 |
$28.45 | 13 | 13 |
|
Heidi Sophia Gomes
139 Sandwich St |
$57.26 | 13 | 13 |
|
Michelle Manware
118 Long Pond Rd |
$30.35 | 14 | 12 |
|
Robert Jan Gapinski
10 Cordage Park Cir Ste 227 |
$83.00 | 14 | 14 |
|
Timothy Hurlburt
30 Aldrin Rd |
$39.01 | 14 | 14 |
|
Kyle Linehan
30 Aldrin Rd |
$19.02 | 14 | 14 |
|
Ricardo Pollitt
1 Scobee Cir |
$51.65 | 15 | 15 |
|
Ryan Christopher Racette
212 S Meadow Rd Unit 5C |
$40.45 | 15 | 12 |
|
Sarai Rivera
118 Long Pond Rd Ste 104 |
$82.21 | 15 | 15 |
|
R. Scott Oliver
41 Resnik Rd |
$27.02 | 16 | 15 |
|
Cheryl Lucchetti
10 Cordage Park Cir |
$50.75 | 16 | 16 |
|
Stephanie Delande
8 Pilgrim Hill Rd |
$19.47 | 17 | 16 |
|
Susan Mcmackin
10 Cordage Park Cir |
$19.47 | 17 | 15 |
|
Alexa Jolles
61 Industrial Park Rd Ste 1 |
$0.00 | 19 | 17 |
|
Elizabeth Nelson-Frazier
50 Aldren Road |
$0.00 | 20 | 17 |
|
Jared Joseph Donnellan Ballard
4 Court St Ste 203 |
$78.91 | 21 | 15 |
|
Jonathan Matt Russo
47 Obery St |
$31.26 | 24 | 24 |
|
Daina L Peirce
110 Long Pond Rd |
$92.98 | 26 | 26 |
|
Jessica Dacius
46 Obery St |
$49.34 | 27 | 27 |
|
Donald Moore
10 Cordage Park Cir |
$4.64 | 29 | 28 |
|
Iulia Veronica Seaman
51 Brigantine Cir |
$20.30 | 31 | 30 |
|
Louis A Reines
46 Obery St |
$19.89 | 31 | 28 |
|
Ashley Renee Mcinnis
148 Industrial Park Rd |
$0.00 | 32 | 32 |
|
Psychology Associates Inc.
323 Court St |
$78.17 | 32 | 32 |
|
Injil Abu Bakar
3 Village Grn N Ste 321 |
$54.27 | 32 | 32 |
|
Erin Marie Shekane
47 Obery St |
$31.19 | 35 | 35 |
|
Tanya Doan
45 Resnik Rd |
$52.58 | 36 | 36 |
|
Ma. Dolores Del Castillo
110 Long Pond Rd |
$24.57 | 37 | 37 |
|
John M Wengryn
116 Court St Ste 1 |
$26.85 | 39 | 38 |
|
Marcelo Bogliolo P Siqueira
46 Obery St Ste 100 |
$34.77 | 39 | 38 |
|
Ashley Laranjo
275 Sandwich St |
$24.36 | 41 | 37 |
|
Jose C Teixeira-Da-Silva
47 Obery St Ste 1A |
$43.37 | 41 | 41 |
|
Ajaypaul Singh
45 Resnick Road |
$16.30 | 43 | 40 |
|
Justine Lee Mitchell
45 Resnik Rd Ste 202 |
$2.26 | 45 | 42 |
|
Jordan Physician Associates, Inc.
275 Sandwich St |
$50.74 | 51 | 43 |
|
Gregory Martin Frechette
41 Resnik Rd |
$90.49 | 55 | 53 |
|
Cara Strobel
6 Greenside Way S |
$8.26 | 57 | 55 |
|
Jennifer Marie Burke
45 Resnik Rd |
$14.29 | 59 | 57 |
|
Veronica Mary Fitzgerald
39A Industrial Park Rd |
$1.49 | 59 | 56 |
|
Heather Hogan Foshey
47 Obery St #201 |
$29.33 | 69 | 69 |
|
Adeeb H Al-Quthami
30 Resnik Rd Lowr Level |
$44.75 | 72 | 72 |
|
Jill Monique Harrison
1 Bumps Pond Road |
$32.97 | 74 | 69 |
|
John F Humphrys
147 Court St |
$74.05 | 74 | 65 |
|
Patricia Allison Hall
8 Pilgrim Hill Rd |
$25.33 | 76 | 75 |
|
Steven Koufman Leckie
41 Resnik Rd |
$41.69 | 76 | 75 |
|
Stevie Lee Gallerani
4 Collins Ave # 201A |
$54.84 | 76 | 72 |
|
Walter G Stanwood
41 Resnik Rd |
$38.42 | 78 | 76 |
|
Beth Israel Deaconess Hospital Plymouth, Inc.
275 Sandwich St |
$123.49 | 81 | 62 |
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