Average Medicaid Office Visit Payments in Plymouth, NH: $85.78
Avg. Paid
$85.78
Range
$0.00 – $248.27
Total Claims
83,057
Providers
54
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, NH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Speare Memorial Hospital
71 Highland St |
$200.16 | 11,496 | 9,200 |
|
Lydia Anne Mckenzie
13 Town West Rd Ste B3 |
$61.44 | 10,116 | 4,843 |
|
Speare Memorial Hospital
103 Boulder Point Drive |
$129.72 | 5,766 | 4,323 |
|
David S Fagan
101 Boulder Point Dr |
$0.06 | 5,214 | 4,538 |
|
Speare Memorial Hospital
16 Hospital Rd |
$136.18 | 5,100 | 2,969 |
|
Speare Health Ventures, Inc.
389 Tenney Mountain Hwy |
$40.93 | 5,010 | 4,689 |
|
Mid-State Health Center
101 Boulder Point Drive |
$4.86 | 4,895 | 3,473 |
|
Alan E Rosen
101 Boulder Point Dr |
$0.04 | 3,071 | 2,651 |
|
Carolyn Haskell
101 Boulder Point Dr Ste 1 |
$48.52 | 2,901 | 2,695 |
|
Eric Matthew Shamansky
71 Highland St |
$218.27 | 2,147 | 1,887 |
|
Danette T Colella
101 Boulder Point Dr Ste 1 |
$0.01 | 1,803 | 1,664 |
|
Gabrielle Elizabeth Gray
71 Highland St |
$53.75 | 1,757 | 1,529 |
|
Speare Memorial Hospital
16 Hospital Rd |
$12.26 | 1,697 | 919 |
|
Richard Nasstrom
1 Warren St |
$24.39 | 1,662 | 837 |
|
Matthew John Zak
101 Boulder Point Dr Ste 1 |
$73.05 | 1,658 | 1,518 |
|
Elizabeth Disney
16 Hospital Rd |
$139.01 | 1,424 | 1,188 |
|
Cecilia Lynch Disney
101 Boulder Point Dr |
$15.40 | 1,309 | 1,187 |
|
Cynthia E Pawlowicz
16 Hospital Rd |
$37.49 | 1,303 | 1,141 |
|
Laurel Galvin
71 Highland St |
$232.01 | 1,302 | 1,218 |
|
Katie Leone
389 Tenney Mountain Hwy |
$59.34 | 1,259 | 1,179 |
|
Ashley Francis
71 Highland St |
$238.46 | 1,254 | 1,166 |
|
Brittany Kalae Anibal
71 Highland St |
$225.06 | 1,218 | 1,164 |
|
Heather Wright Williams
71 Highland St |
$56.42 | 966 | 890 |
|
Diane L Arsenault
101 Boulder Point Dr |
$0.00 | 814 | 673 |
|
Devan Rooney
101 Boulder Point Dr Ste 1 |
$60.96 | 744 | 649 |
|
Kristen Rosemary Craig
101 Boulder Point Dr |
$0.48 | 739 | 641 |
|
Kathleen Wood Hedberg
16 Hospital Rd |
$0.24 | 662 | 559 |
|
Jessica M Lescarbeau
101 Boulder Point Dr Ste 1 |
$30.36 | 608 | 505 |
|
John A. Eppolito
Speare Memorial Hospital, 16 Hospital Road |
$78.33 | 606 | 506 |
|
Kelley J White
101 Boulder Point Drive |
$0.20 | 530 | 447 |
|
Joseph A Ebner
16 Hospital Road |
$163.41 | 496 | 397 |
|
Jennifer Bentwood
16 Hospital Rd |
$171.80 | 492 | 384 |
|
Laura Spears
16 Hospital Rd |
$36.46 | 457 | 359 |
|
Kristina Marie Foss
103 Boulder Point Dr |
$31.97 | 395 | 324 |
|
Amy Marie Mccormack
101 Boulder Point Dr Ste 1 |
$0.00 | 321 | 281 |
|
Jonathan Charles Beach
16 Hospital Rd |
$97.76 | 255 | 251 |
|
Tasha Gallup
101 Boulder Point Dr Ste 1 |
$27.21 | 215 | 161 |
|
Katrina Dopp
101 Boulder Point Dr |
$0.00 | 193 | 170 |
|
Carol Gould Lurie
71 Highland St |
$0.00 | 168 | 150 |
|
Frederick S Kelsey
101 Boulder Point Dr |
$0.00 | 165 | 86 |
|
Stephen John Regan
101 Boulder Point Dr Ste 1 |
$68.06 | 140 | 129 |
|
Jean L. Richardson
Speare Memorial Hospital, 16 Hospital Road |
$33.90 | 118 | 106 |
|
Victor Gennaro
103 Boulder Point Drive |
$22.90 | 108 | 101 |
|
Jennelle Ann Guiod
101 Boulder Point Dr Ste 1 |
$0.00 | 94 | 74 |
|
Amanda Stryke
101 Boulder Point Dr Ste 1 |
$0.00 | 90 | 74 |
|
Barbara J Hatch
101 Boulder Point Dr |
$29.11 | 67 | 65 |
|
Sarah Lynn Shadallah
1 Warren St |
$46.79 | 62 | 55 |
|
Heather Leigh Stewart
101 Boulder Point Dr Ste 1 |
$0.00 | 46 | 34 |
|
Katherine Gagan
101 Boulder Point Dr Ste 1 |
$35.67 | 44 | 38 |
|
Brittania Mcdonald
16 Hospital Road |
$248.27 | 30 | 28 |
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, NH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plymouth, NH is $85.78 per claim, based on 83,057 claims from 54 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, NH?
There are 54 Medicaid providers offering Office Visit related services in Plymouth, NH according to public payment data.
What is the price range for Office Visit in Plymouth, NH?
Medicaid reimbursement for Office Visit in Plymouth, NH ranges from $0.00 to $248.27 per claim, with an average of $85.78. 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, NH
Blood Work & Lab Tests
Avg $11.22
79,097 claims
Emergency Room Visit
Avg $119.47
59,474 claims
Behavioral & Mental Health Therapy
Avg $20.63
27,913 claims
Vaccines & Immunizations
Avg $6.74
27,410 claims
Psychiatric Evaluation
Avg $26.89
20,434 claims
Urinalysis & Urine Tests
Avg $18.90
17,782 claims
Physical Therapy
Avg $48.27
12,912 claims
EKG / ECG (Electrocardiogram)
Avg $22.51
10,369 claims