Average Medicaid Office Visit Payments in Roslindale, MA: $81.57
Avg. Paid
$81.57
Range
$4.55 – $109.75
Total Claims
53,205
Providers
21
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 Roslindale, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sophia Montissol
4 Ainsworth Street |
$51.94 | 15 | 13 |
|
Lily Ann Black
4199 Washington St |
$13.06 | 26 | 25 |
|
Matthew L. Russell
1200 Centre Street |
$23.66 | 42 | 41 |
|
Natalie Elizabeth Schaeffer
341 Belgrade Ave |
$33.59 | 54 | 52 |
|
Judith R Darrow
4199 Washington St Unit 2 |
$36.89 | 66 | 66 |
|
Emily Regier
4199 Washington St |
$11.87 | 95 | 89 |
|
Darlyne Christy Janvier
39 Aldrich St |
$55.49 | 118 | 118 |
|
Julia M. Kirchner
4199 Washington Street |
$29.69 | 156 | 149 |
|
Theresa O Lim
4199 Washington St |
$8.88 | 167 | 162 |
|
Camille Nakita Rivers
4199 Washington Street |
$4.55 | 329 | 299 |
|
Kaitlin Kirby
126 Aldrich St Apt 2 |
$47.62 | 361 | 278 |
|
Phyllis Andrejko
4199 Washington Street, Suite 2 |
$37.13 | 368 | 359 |
|
Julian R Gonzalez
4199 Washington St |
$19.53 | 1,709 | 1,601 |
|
Alison T. Presti
4199 Washington St |
$20.28 | 1,880 | 1,812 |
|
Ilia J Coka
4199 Washington St |
$19.56 | 1,894 | 1,780 |
|
Theresa Marie Vela
4199 Washington St |
$28.77 | 2,440 | 2,339 |
|
Brenda F. Levy
4199 Washington St |
$33.19 | 2,536 | 2,410 |
|
James Constantinos Salemis
149 Belgrade Ave |
$63.39 | 2,838 | 2,608 |
|
The Home For Little Wanderers
780 American Legion Hwy |
$95.64 | 2,947 | 2,804 |
|
Antonio C Mendes
55 Belgrade Ave |
$54.23 | 5,340 | 4,530 |
|
Boston Medical Center Corporation
4199 Washington St |
$109.75 | 29,824 | 27,127 |
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 Roslindale, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Roslindale, MA is $81.57 per claim, based on 53,205 claims from 21 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 Roslindale, MA?
There are 21 Medicaid providers offering Office Visit related services in Roslindale, MA according to public payment data.
What is the price range for Office Visit in Roslindale, MA?
Medicaid reimbursement for Office Visit in Roslindale, MA ranges from $4.55 to $109.75 per claim, with an average of $81.57. 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 Roslindale, MA
Psychiatric Evaluation
Avg $97.17
312,995 claims
Substance Abuse Treatment
Avg $56.88
187,792 claims
Behavioral & Mental Health Therapy
Avg $146.91
170,360 claims
Dental Cleaning & Exam
Avg $32.65
45,569 claims
Durable Medical Equipment (DME)
Avg $23.41
43,403 claims
Vaccines & Immunizations
Avg $12.13
20,464 claims
Blood Work & Lab Tests
Avg $7.37
19,930 claims
Eye Exam
Avg $31.89
15,529 claims