Average Medicaid Office Visit Payments in S Weymouth, MA: $48.22
Avg. Paid
$48.22
Range
$27.63 – $79.82
Total Claims
6,158
Providers
6
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 S Weymouth, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joshua Prudent
55 Fogg Rd |
$46.80 | 4,505 | 4,080 |
|
Karin L Cunnie
549 Columbian St |
$57.84 | 985 | 943 |
|
Mairead Rynn Wilson
55 Fogg Rd |
$49.40 | 443 | 426 |
|
Keith T Tracy
780 Main St |
$27.63 | 183 | 180 |
|
Maria Antonia Depina
541 Main St Ste 400 |
$38.86 | 28 | 27 |
|
Christine Dailey Hirsemann
90 Libbey Parkway |
$79.82 | 14 | 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 S Weymouth, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in S Weymouth, MA is $48.22 per claim, based on 6,158 claims from 6 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 S Weymouth, MA?
There are 6 Medicaid providers offering Office Visit related services in S Weymouth, MA according to public payment data.
What is the price range for Office Visit in S Weymouth, MA?
Medicaid reimbursement for Office Visit in S Weymouth, MA ranges from $27.63 to $79.82 per claim, with an average of $48.22. 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 S Weymouth, MA
Non-Emergency Medical Transportation
Avg $26.17
321,050 claims
Case Management Services
Avg $338.84
37,728 claims
Urinalysis & Urine Tests
Avg $2.50
1,183 claims
Personal Care Services
Avg $588.65
1,069 claims
Emergency Room Visit
Avg $85.75
822 claims
Culture & Microbiology Tests
Avg $6.20
190 claims
Vaccines & Immunizations
Avg $32.73
160 claims
Pregnancy & Prenatal Care
Avg $445.38
13 claims