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 |
|---|---|---|---|
|
Carl Conui
30 New Crossing Rd Ste 311 |
$39.12 | 12 | 12 |
|
Garrett Melick
50 Haven St |
$46.09 | 12 | 12 |
|
Ying Yi Zhang
52 Haven St |
$0.00 | 13 | 13 |
|
Michael Bruce Cohen
30 New Crossing Rd Ste 310 |
$43.64 | 13 | 12 |
|
Erika Gallagher
30 New Crossing Rd Ste 301 |
$11.08 | 14 | 14 |
|
Joseph Thomas Guarino
12 B St |
$51.31 | 14 | 13 |
|
Howard W Rashba
107 Woburn St |
$68.61 | 16 | 12 |
|
Jeremiah D Frank
46 Woburn Street |
$70.13 | 25 | 25 |
|
Joan W Sachs
107 Woburn St |
$36.25 | 30 | 27 |
|
Destiny Evangeline Fillmore
451 Lowell St |
$21.66 | 37 | 37 |
|
Robin A Smith
107 Woburn St |
$64.73 | 41 | 37 |
|
Joseph Paul Guanci
315 Main St |
$32.00 | 44 | 40 |
|
Teresita M Alejo
52 Haven St |
$54.56 | 54 | 52 |
|
Hallmark Health Urgent Care Physicians Llc
30 New Crossing Rd |
$61.04 | 84 | 82 |
|
Elizabeth J Donahue-Valeri
30 New Crossing Rd Ste 200 |
$13.76 | 118 | 113 |
|
Priya Subramanya Shastri
30 New Crossing Rd Ste 207 |
$72.33 | 194 | 192 |
|
Adam Bied
34 Salem St Ste 201 |
$39.46 | 205 | 150 |
|
David Siegenberg
30 Newcrossing Rd |
$63.87 | 208 | 197 |
|
Margarette Pierre
30 New Crossing Rd |
$38.07 | 265 | 249 |
|
Haesik Min
52 Haven St |
$75.62 | 341 | 326 |
|
Esperanza Knight
30 New Crossing Rd |
$43.81 | 370 | 351 |
|
Lina Feldman
30 New Crossing Rd |
$60.18 | 462 | 440 |
|
Isaac Kasper
30 New Crossing Rd Ste 210 |
$52.30 | 476 | 460 |
|
Xiaohui L Wang
30 New Crossing Rd |
$73.23 | 482 | 454 |
|
Jennifer M Corwin
107 Woburn St |
$21.61 | 562 | 528 |
|
Francisco Jose Pais Brincheiro
30 New Crossing Rd |
$36.40 | 641 | 597 |
|
George A Abboud
30 New Crossing Rd Ste 311 |
$17.85 | 674 | 483 |
|
Amy Beth Devlin
30 New Crossing Rd Ste 210 |
$53.11 | 822 | 814 |
|
Natalia D Yurkovetsky
30 New Crossing Rd Ste 205 |
$59.22 | 864 | 819 |
|
Namgyal Tsewang
30 New Crossing Rd Ste 200 |
$54.97 | 919 | 866 |
|
Nicholas Stephan Kasdon
52 Haven St |
$52.99 | 1,414 | 1,339 |
|
Mandy Kaur
274 Main St |
$31.15 | 1,483 | 1,320 |
|
Thomas Russell Jevon
30 Newcrossing Rd Ste 301 |
$45.45 | 2,049 | 1,915 |
|
Lily S Narusevicius
30 New Crossing Rd |
$44.57 | 3,524 | 3,403 |
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