Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Roxbury, MA: $40.61

Avg. Paid

$40.61

Range

$0.00 – $165.49

Total Claims

42,362

Providers

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 Roxbury, MA

Provider	Avg. Paid	Claims	Patients
Vasken M Kroshian 818 Harrison Ave-Acc-3	$36.83	6,201	5,797
Dimock Community Health Center, Inc 45 Dimock St	$30.88	5,215	4,769
Monica M Morlote 55 Dimock Street	$37.51	3,137	2,972
Samuel Rivers 435 Warren St	$11.56	3,092	2,868
Margaret Riley 40 Dimock St	$74.03	2,610	2,264
Omar Alani 1290 Tremont St Ste 4	$11.99	2,176	2,156
Sherar Andalcio 1290 Tremont St	$32.73	1,991	1,899
Austin Agbonifo 36 Westminster Ct Apt E36	$65.97	1,574	1,417
Travis Corporation 1705 Columbus Ave.	$61.05	1,473	1,341
Dimock Community Services Corporation 45 Dimock St	$83.97	1,362	1,223
Melanie West 1290 Tremont St	$0.00	1,200	1,162
Kendrah Nealon 1125 Tremont Street	$100.51	977	930
Jenny Chu 45 Dimock St	$6.66	945	912
Kelly Flynn 55 Dimock St	$33.22	945	885
Clara Yvonne Jones 45 Dimock St	$52.10	937	885
Julie L Tishler 55 Dimock St	$37.99	845	814
Sandra Mccurbin 55 New Dudley St	$67.93	823	691
Jagriti Upadhyay 55 Dimock St	$45.88	790	777
Norin Dashoush 1290 Tremont St	$5.91	729	684
Maria Pugliese Natali 1290 Tremont St	$60.67	708	691
Sophonia Lucien 1290 Tremont St	$16.65	543	512
John Roberts 45 Dimock St	$0.29	469	430
Noreen Patricia Post 1290 Tremont St	$153.06	453	423
Marybeth Meservey 55 Dimock St	$35.27	440	429
Michelle Ellis 1290 Tremont St	$46.73	434	188
Community Caring Clinic Llc 55 Warren St	$96.68	424	375
Elizabeth Tisei 1290 Tremont St	$48.04	362	344
Nona M Girardi 45 Dimock St	$3.01	357	334
Julia Deaver Arnett 75 Malcolm X Blvd	$49.62	252	191
Lesa Dennis-Mahamed 2304 Washington St	$98.02	213	213
Daniela Connelly 45 Dimock St	$43.48	144	123
Jonathan Foster-Moore 45 Dimock St	$3.32	138	98
Caitrin Fay Macdonald 1290 Tremont St	$23.19	115	114
Cynthia Marie Slaga 55 Dimock St	$30.83	102	96
Kaitlyn N Sanders 45 Dimock St	$3.35	45	43
Adeyemi Christanah Adeniyi 45 Dimock St	$15.42	39	39
Kathryn Kochan 45 Dimock St	$165.49	33	20
Nicole Dawn Pogue 45 Dimock St	$50.33	31	30
James Steven Rice 1290 Tremont St	$10.91	25	25
Dimock Community Health Center 55 Dimock St	$58.57	13	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 Roxbury, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Roxbury, MA is $40.61 per claim, based on 42,362 claims from 40 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 Roxbury, MA?

There are 40 Medicaid providers offering Office Visit related services in Roxbury, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Roxbury, MA ranges from $0.00 to $165.49 per claim, with an average of $40.61. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Roxbury, MA: $40.61

Providers Offering Office Visit in Roxbury, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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