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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Randolph, MA: $56.21

Avg. Paid

$56.21

Range

$5.12 – $122.28

Total Claims

55,015

Providers

30

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 Randolph, MA

Provider Avg. Paid Claims Patients
Edith Pepper

500 N Main St

 $74.04 8,558 4,937
Lina Rios

25 Warren St

 $47.54 5,857 5,617
Anuradha M Bhimavarapu

25 Warren St

 $39.02 5,426 5,066
Muriana Jeanniton

490 N Main St Rear Suite2

 $70.57 4,975 4,282
Robyn M Hayes

25 Warren St

 $61.31 4,894 4,633
Janet Louise Decourcey

25 Warren St

 $53.99 4,021 3,817
Olarewaju James Oladipo

999 N Main St

 $30.72 3,927 3,127
Walk-In Md Clinic

81 Memorial Pkwy

 $91.81 3,531 3,361
Carine Marie Luxama

1 Frank Leary Way Unit 1

 $30.22 2,599 2,349
Ann Glasman

999 N Main St

 $55.43 2,085 1,993
Helen H.N. Le

27 Memorial Pkwy

 $36.27 1,792 1,711
Nicole Alexis Siracusa

32 S Main St Ste 100

 $45.54 1,718 1,619
Sandra Bellerice

10 Mazzeo Dr

 $30.55 1,345 1,220
Sherley Valcourt Boisvert

500 N Main St Ste C

 $68.47 1,203 1,092
Marcella A Dixon

14 Robert Arey Dr

 $122.28 665 625
Chika Ugwumba

14 Fern Ave

 $34.67 595 584
Blondel Jarvis

5 Scally Cir

 $55.94 570 497
Sulayman Zuod

81 Memorial Pkwy Ofc A

 $50.80 279 265
Elysee M Njontu

35 Mitchell St

 $95.29 277 260
Joel T Chariton

999 North Main Street

 $12.47 241 196
Stephanie Duverge

53 Union St Apt 1

 $32.91 132 123
Fiona Y Mudge

1093 N Main St

 $9.97 81 77
Randolph Behavioral Health Services, Inc.

21 Mazzeo Dr Ste 102

 $79.98 66 57
Comfort Atwereboanah

18 Lambert Rd

 $5.12 31 28
Ronald Cline

27 Memorial Pkwy

 $21.46 30 29
Erin Youhas

800 N Main St

 $7.26 29 26
Andy Huynh

9 Warren St

 $44.23 28 27
Carmel M Kelly

1093 N Main St

 $43.13 26 26
Gina Genoveffa Vitiello

47 Concetta Sass Dr

 $113.52 18 14
Cvs Pharmacy Inc

171 N Main St

 $84.00 16 16

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 Randolph, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Randolph, MA is $56.21 per claim, based on 55,015 claims from 30 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 Randolph, MA?

There are 30 Medicaid providers offering Office Visit related services in Randolph, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Randolph, MA ranges from $5.12 to $122.28 per claim, with an average of $56.21. 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 Randolph, MA

Behavioral & Mental Health Therapy

Avg $125.37

300,640 claims

Non-Emergency Medical Transportation

Avg $72.96

72,807 claims

Psychiatric Evaluation

Avg $72.72

49,550 claims

Home Health Visit

Avg $74.72

42,375 claims

Personal Care Services

Avg $184.43

41,642 claims

Dental Cleaning & Exam

Avg $38.85

35,511 claims

Physical Therapy

Avg $20.03

27,042 claims

Eye Exam

Avg $33.23

24,742 claims