Average Medicaid Office Visit Payments in Rochester, NH: $43.03
Avg. Paid
$43.03
Range
$0.00 – $117.41
Total Claims
60,119
Providers
48
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 Rochester, NH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Behavioral Health And Developmental Services Of Strafford County, Inc
25 Old Dover Rd |
$47.70 | 29,787 | 18,435 |
|
Pamela S Udomprasert
245 Rochester Hill Rd Ste 2 |
$33.73 | 4,353 | 3,979 |
|
Erin Elizabeth Walsh-Hebel
35 Industrial Way Ste B |
$117.41 | 3,480 | 2,195 |
|
Richard Cappello
5 Whitehall Rd |
$43.17 | 2,827 | 2,515 |
|
Joseph Edward Fuller
245 Rochester Hill Rd |
$13.31 | 2,389 | 2,114 |
|
Tara Jean Kenney
25 Old Dover Rd |
$4.84 | 2,100 | 1,850 |
|
Joseph Edward Nossiff
40 Winter St Ste 204 |
$0.39 | 1,587 | 1,044 |
|
Joseph John Miller
245 Rochester Hill Rd |
$43.60 | 1,480 | 1,359 |
|
Lori Wood
92 Farmington Road |
$28.02 | 1,074 | 850 |
|
Christopher J Knox
245 Rochester Hill Road |
$35.94 | 923 | 804 |
|
Frisbie Memorial Hospital
11 Whitehall Rd |
$10.15 | 905 | 805 |
|
Kendra Cline
6 Healthcare Drive, Suite 2 |
$31.03 | 762 | 564 |
|
John Mirabello
21 Whitehall Rd |
$17.95 | 721 | 516 |
|
Sara M Dion
245 Rochester Hill Rd Ste 1A |
$39.28 | 695 | 615 |
|
Ellen Douglas Jessop
6 Healthcare Drive, Suite 2 |
$31.20 | 670 | 641 |
|
Jolene Jan Shuman
150 Marketplace Blvd |
$38.12 | 667 | 557 |
|
Haley Paige Mcdougal
245 Rochester Hill Rd Ste 1 |
$37.25 | 642 | 526 |
|
Frisbie Memorial Hospital
11 Whitehall Rd |
$28.87 | 618 | 471 |
|
Valerie Elizabeth Hellen
245 Rochester Hill Rd Ste 1A |
$40.08 | 599 | 535 |
|
Robert J Allister
25 Old Dover Rd |
$8.75 | 559 | 267 |
|
Katie E. Bunnell
11 Whitehall Rd |
$45.35 | 470 | 459 |
|
Ellen King Schlefer
25 Old Dover Road |
$102.53 | 428 | 393 |
|
Fmh Health Services, Llc
11 Whitehall Rd |
$5.19 | 387 | 245 |
|
Malathy T Sundaram
60 Rochester Hill Rd Ste 7 |
$35.14 | 240 | 166 |
|
Amanda Brennan
323 Gonic Rd Ste 2A |
$54.91 | 192 | 164 |
|
Brian Cartier
11 Whitehall Rd |
$28.56 | 177 | 175 |
|
Amit Joglekar
21 Whitehall Rd |
$15.34 | 171 | 122 |
|
Michael Southworth
6 Healthcare Dr Ste 1 |
$27.06 | 127 | 106 |
|
Mona Nesrallah
11 Whitehall Rd |
$27.09 | 124 | 103 |
|
Stephanie Lynne Gauthier-Sevin
21 Whitehall Rd Ste 201 |
$38.80 | 115 | 106 |
|
Deborah Anne Harrigan
6 Healthcare Drive, Suite 2 |
$23.67 | 103 | 83 |
|
Christina J Simpson
8 Lilac Mall |
$33.17 | 94 | 80 |
|
Caitlin Phelps Jessel
11 Whitehall Rd |
$36.95 | 90 | 77 |
|
Scott W Gerry
21 Whitehall Rd Ste 302 |
$15.66 | 88 | 63 |
|
Judy Miles
245 Rochester Hill Rd Ste 1A |
$28.71 | 85 | 76 |
|
Alexander Geller
6 Healthcare Drive, Suite 2 |
$15.85 | 68 | 39 |
|
Joseph J Jordan
8 Lilac Mall |
$13.99 | 46 | 39 |
|
Trevor W Eide
11 Whitehall Rd |
$28.43 | 42 | 39 |
|
Ellen C Bennett
150 Marketplace Blvd Unit 9 |
$72.37 | 38 | 38 |
|
Shawn M Rayder
7 Dreyer Way |
$30.86 | 30 | 30 |
|
Greater Seacoast Community Health
180 Farmington Rd |
$0.00 | 29 | 29 |
|
Lea A. Gottfredsen
6 Healthcare Dr |
$22.36 | 25 | 13 |
|
Heidi Macvittie
21 Whitehall Rd |
$0.00 | 22 | 12 |
|
Samantha G Myers
21 Whitehall Road |
$22.11 | 20 | 13 |
|
Ron Rob Greenberg
11 Whitehall Rd |
$71.91 | 20 | 16 |
|
Alexandra Roberts
6 Healthcare Drive, Suite 2 |
$22.10 | 19 | 12 |
|
Laurel Ashley Elkin
11 Whitehall Rd |
$28.64 | 16 | 13 |
|
Ashok Shah
161 Rochester Hill Rd |
$21.36 | 15 | 13 |
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 Rochester, NH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rochester, NH is $43.03 per claim, based on 60,119 claims from 48 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 Rochester, NH?
There are 48 Medicaid providers offering Office Visit related services in Rochester, NH according to public payment data.
What is the price range for Office Visit in Rochester, NH?
Medicaid reimbursement for Office Visit in Rochester, NH ranges from $0.00 to $117.41 per claim, with an average of $43.03. 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 Rochester, NH
Psychiatric Evaluation
Avg $55.81
175,539 claims
Behavioral & Mental Health Therapy
Avg $51.57
157,826 claims
Blood Work & Lab Tests
Avg $4.25
124,466 claims
Emergency Room Visit
Avg $84.44
87,544 claims
Case Management Services
Avg $257.30
73,441 claims
Physical Therapy
Avg $14.15
51,578 claims
Speech Therapy
Avg $8.31
44,772 claims
Ambulance Transport
Avg $24.77
43,398 claims