Average Medicaid Office Visit Payments in Reading, MA: $46.15
Avg. Paid
$46.15
Range
$0.00 – $75.62
Total Claims
16,482
Providers
34
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 Reading, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lily S Narusevicius
30 New Crossing Rd |
$44.57 | 3,524 | 3,403 |
|
Thomas Russell Jevon
30 Newcrossing Rd Ste 301 |
$45.45 | 2,049 | 1,915 |
|
Mandy Kaur
274 Main St |
$31.15 | 1,483 | 1,320 |
|
Nicholas Stephan Kasdon
52 Haven St |
$52.99 | 1,414 | 1,339 |
|
Namgyal Tsewang
30 New Crossing Rd Ste 200 |
$54.97 | 919 | 866 |
|
Natalia D Yurkovetsky
30 New Crossing Rd Ste 205 |
$59.22 | 864 | 819 |
|
Amy Beth Devlin
30 New Crossing Rd Ste 210 |
$53.11 | 822 | 814 |
|
George A Abboud
30 New Crossing Rd Ste 311 |
$17.85 | 674 | 483 |
|
Francisco Jose Pais Brincheiro
30 New Crossing Rd |
$36.40 | 641 | 597 |
|
Jennifer M Corwin
107 Woburn St |
$21.61 | 562 | 528 |
|
Xiaohui L Wang
30 New Crossing Rd |
$73.23 | 482 | 454 |
|
Isaac Kasper
30 New Crossing Rd Ste 210 |
$52.30 | 476 | 460 |
|
Lina Feldman
30 New Crossing Rd |
$60.18 | 462 | 440 |
|
Esperanza Knight
30 New Crossing Rd |
$43.81 | 370 | 351 |
|
Haesik Min
52 Haven St |
$75.62 | 341 | 326 |
|
Margarette Pierre
30 New Crossing Rd |
$38.07 | 265 | 249 |
|
David Siegenberg
30 Newcrossing Rd |
$63.87 | 208 | 197 |
|
Adam Bied
34 Salem St Ste 201 |
$39.46 | 205 | 150 |
|
Priya Subramanya Shastri
30 New Crossing Rd Ste 207 |
$72.33 | 194 | 192 |
|
Elizabeth J Donahue-Valeri
30 New Crossing Rd Ste 200 |
$13.76 | 118 | 113 |
|
Hallmark Health Urgent Care Physicians Llc
30 New Crossing Rd |
$61.04 | 84 | 82 |
|
Teresita M Alejo
52 Haven St |
$54.56 | 54 | 52 |
|
Joseph Paul Guanci
315 Main St |
$32.00 | 44 | 40 |
|
Robin A Smith
107 Woburn St |
$64.73 | 41 | 37 |
|
Destiny Evangeline Fillmore
451 Lowell St |
$21.66 | 37 | 37 |
|
Joan W Sachs
107 Woburn St |
$36.25 | 30 | 27 |
|
Jeremiah D Frank
46 Woburn Street |
$70.13 | 25 | 25 |
|
Howard W Rashba
107 Woburn St |
$68.61 | 16 | 12 |
|
Erika Gallagher
30 New Crossing Rd Ste 301 |
$11.08 | 14 | 14 |
|
Joseph Thomas Guarino
12 B St |
$51.31 | 14 | 13 |
|
Ying Yi Zhang
52 Haven St |
$0.00 | 13 | 13 |
|
Michael Bruce Cohen
30 New Crossing Rd Ste 310 |
$43.64 | 13 | 12 |
|
Carl Conui
30 New Crossing Rd Ste 311 |
$39.12 | 12 | 12 |
|
Garrett Melick
50 Haven St |
$46.09 | 12 | 12 |
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 Reading, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Reading, MA is $46.15 per claim, based on 16,482 claims from 34 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 Reading, MA?
There are 34 Medicaid providers offering Office Visit related services in Reading, MA according to public payment data.
What is the price range for Office Visit in Reading, MA?
Medicaid reimbursement for Office Visit in Reading, MA ranges from $0.00 to $75.62 per claim, with an average of $46.15. 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 Reading, MA
Dental Cleaning & Exam
Avg $36.39
18,616 claims
Podiatry (Foot Care)
Avg $9.96
5,590 claims
Home Health Visit
Avg $27.32
4,660 claims
Ambulance Transport
Avg $62.91
2,729 claims
Vaccines & Immunizations
Avg $16.70
2,438 claims
Dental Filling
Avg $62.74
2,435 claims
Physical Therapy
Avg $16.30
1,650 claims
Ultrasound
Avg $147.22
746 claims