Average Medicaid Office Visit Payments in Portsmouth, NH: $43.24
Avg. Paid
$43.24
Range
$0.00 – $250.00
Total Claims
181,205
Providers
134
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 Portsmouth, NH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Seacoast Mental Health Center, Inc.
1145 Sagamore Ave |
$58.27 | 61,977 | 41,945 |
|
Convenientmd Llc
599 Lafayette Rd |
$69.24 | 9,599 | 8,610 |
|
Joshua L Greenspan
14 Manchester Square |
$13.86 | 7,615 | 5,026 |
|
Stephanie Ayan
100 Campus Dr |
$57.60 | 6,875 | 5,413 |
|
Emily Kaiser
8 Greenleaf Woods Dr Unit 100 |
$5.35 | 5,218 | 3,761 |
|
Greater Seacoast Community Health
8 Greenleaf Woods Dr |
$2.85 | 4,546 | 3,270 |
|
James G. Dinulos
330 Borthwick Ave |
$37.18 | 4,262 | 3,735 |
|
Walter Arnold Hoerman
200 Griffin Rd Ste 12A |
$12.58 | 4,179 | 3,492 |
|
Robert Lehn
14 Manchester Sq |
$16.33 | 4,125 | 2,504 |
|
Danilo Nagtalon Ablan
330 Borthwick Ave Ste 108 |
$52.50 | 4,101 | 3,804 |
|
Pmc Medical Group, Llc
100 Griffin Rd Unit B |
$25.98 | 3,599 | 1,443 |
|
Paul Anthony Fallon
1145 Sagamore Ave |
$28.66 | 3,362 | 3,056 |
|
Hca Health Services Of New Hampshire, Inc.
333 Borthwick Ave |
$18.79 | 3,139 | 2,728 |
|
H. Dixon Turner
330 Borthwick Ave |
$37.56 | 2,861 | 2,256 |
|
Siobhan Maureen Arey
330 Borthwick Ave Ste 303 |
$71.74 | 2,635 | 2,599 |
|
Aristomenis Kounavis
100 Griffin Rd Unit A |
$99.28 | 2,262 | 2,251 |
|
Ruth Ellen James
111 New Hampshire Ave Ste 2 |
$12.80 | 2,051 | 1,671 |
|
Yohanna Adelba Garcia Hernandez
25 New Hampshire Ave |
$14.27 | 1,998 | 1,859 |
|
Samuel W Trotzky
333 Borthwick Ave |
$58.49 | 1,997 | 1,888 |
|
Lisa Benton
330 Borthwick Ave |
$43.59 | 1,992 | 1,705 |
|
Marjorie Eden Beams
100 Campus Dr Ste 100 |
$3.99 | 1,972 | 1,796 |
|
Wendy Lee Berman
1145 Sagamore Ave |
$41.81 | 1,876 | 1,658 |
|
Jonathan Saul Glass
330 Borthwick Ave Ste 303 |
$35.54 | 1,751 | 1,366 |
|
Priyanka Shekhawat
121 Corporate Dr Ste 200 |
$63.51 | 1,742 | 1,697 |
|
Paul J Urbanek
67 Corporate Dr Bldg A2Nd |
$46.57 | 1,726 | 1,616 |
|
Joshua Peter Cole
1145 Sagamore Ave |
$12.53 | 1,709 | 875 |
|
Jonathan R Morency
8 Greenleaf Woods Dr Unit 100 |
$38.12 | 1,659 | 1,476 |
|
Kimberly A Hyer
330 Borthwick Ave |
$41.33 | 1,558 | 1,316 |
|
Elizabeth Remillong
161 Corporate Dr |
$64.75 | 1,355 | 1,260 |
|
Mark C Cullen
67 Corporate Dr, 2Nd Fl |
$50.53 | 1,332 | 1,213 |
|
Heather Layfield
333 Borthwick Ave |
$42.65 | 1,196 | 1,155 |
|
William Stanley Sutherland
8 Greenleaf Woods Dr |
$27.87 | 1,155 | 977 |
|
Kelly Rose Sargent
330 Borthwick Ave Ste 303 |
$65.36 | 1,145 | 1,136 |
|
John Stark
161 Corporate Dr |
$41.13 | 1,074 | 892 |
|
Elizabeth I Harrison
100 Campus Dr |
$16.93 | 1,015 | 870 |
|
Vanessa R Amatucci
67 Corporate Dr |
$44.85 | 988 | 861 |
|
Natasha Saiyed
333 Borthwick Ave Ste 305 |
$16.96 | 970 | 289 |
|
Dafer W Al-Haddadin
155 Borthwick Ave Ste 202 |
$12.63 | 821 | 352 |
|
David R Gagnon
100 Campus Dr Ste 12 |
$28.92 | 738 | 665 |
|
Kinley Danae Beck
155 Borthwick Ave Ste 200E |
$23.66 | 717 | 521 |
|
John P. Ryan
330 Borthwick Ave Ste 101 |
$35.63 | 687 | 566 |
|
Michael Paul Morwood
1900 Lafayette Rd Ste A |
$28.54 | 671 | 570 |
|
Glen D Crawford
1900 Lafayette Rd |
$33.91 | 635 | 535 |
|
Megan E Spurling
1900 Lafayette Rd |
$36.43 | 626 | 597 |
|
Hca Health Services Of New Hampshire Inc
333 Borthwick Ave |
$6.36 | 585 | 512 |
|
Steven Thomas Olive
161 Corporate Dr |
$33.19 | 522 | 396 |
|
Eric W. Eisenberg
8 Greenleaf Woods Dr |
$31.95 | 521 | 478 |
|
Tyler P Welch
1900 Lafayette Rd |
$31.99 | 510 | 447 |
|
Jenne R Wax
1600 Woodbury Ave |
$61.08 | 507 | 476 |
|
Ashley S Holtan
1600 Woodbury Ave |
$0.28 | 488 | 441 |
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 Portsmouth, NH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Portsmouth, NH is $43.24 per claim, based on 181,205 claims from 134 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 Portsmouth, NH?
There are 134 Medicaid providers offering Office Visit related services in Portsmouth, NH according to public payment data.
What is the price range for Office Visit in Portsmouth, NH?
Medicaid reimbursement for Office Visit in Portsmouth, NH ranges from $0.00 to $250.00 per claim, with an average of $43.24. 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 Portsmouth, NH
Home Health Visit
Avg $337.53
300,389 claims
Behavioral & Mental Health Therapy
Avg $61.61
236,024 claims
Psychiatric Evaluation
Avg $59.93
215,815 claims
Case Management Services
Avg $294.18
162,619 claims
Blood Work & Lab Tests
Avg $5.41
138,966 claims
Emergency Room Visit
Avg $199.28
92,226 claims
Dental Cleaning & Exam
Avg $36.31
34,518 claims
Physical Therapy
Avg $18.98
33,154 claims