Average Medicaid Office Visit Payments in Salem, MA: $52.29
Avg. Paid
$52.29
Range
$0.00 – $633.79
Total Claims
207,503
Providers
171
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 Salem, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
North Shore Medical Center, Inc.
81 Highland Ave |
$77.18 | 12,724 | 12,334 |
|
Stephen Morgan
72 Highland Avenue |
$53.82 | 10,958 | 10,617 |
|
Mazda Jalali
72 Highland Ave |
$51.05 | 9,902 | 9,583 |
|
North Shore Medical Center, Inc.
81 Highland Ave |
$134.35 | 8,634 | 7,878 |
|
Clovene P Campbell
72 Highland Ave |
$51.53 | 6,864 | 6,712 |
|
Ashutosh Satish Pareek
331 Highland Ave. |
$38.63 | 6,203 | 6,163 |
|
Cheryl M D Souza
72 Highland Ave |
$47.56 | 5,777 | 5,635 |
|
Esther Maria Dono De Quiusky
47 Congress St |
$33.27 | 5,497 | 5,292 |
|
North Shore Community Health, Inc
27 Congress St |
$14.57 | 4,494 | 3,578 |
|
Poongodi Chandrasekaran
331 Highland Ave |
$45.92 | 4,417 | 4,302 |
|
Andrew Kwait
84 Highland Ave |
$30.19 | 4,270 | 3,937 |
|
Thomas E Kingston
400 Highland Ave |
$30.00 | 4,236 | 4,091 |
|
Janine Post-Anderle
162 Federal St |
$44.77 | 3,483 | 3,244 |
|
Gurpreet Saini
55 Highland Ave Ste 304 |
$40.47 | 3,455 | 3,189 |
|
Paul D Dardeno
331 Highland Ave |
$42.90 | 3,253 | 3,121 |
|
Anthony M Filoso
400 Highland Ave |
$33.13 | 3,170 | 3,067 |
|
Donna Khodarahmi Wren
81 Highland Ave |
$17.99 | 3,035 | 3,003 |
|
Raymond William Waitekus
331 Highland Ave |
$42.54 | 2,927 | 2,763 |
|
Jocelyn Sicat
72 Highland Ave |
$63.59 | 2,677 | 2,624 |
|
Richard Stuart Eisner
55 Highland Ave |
$37.09 | 2,657 | 2,514 |
|
Cristina Mazzoni Palumbo
114R Highland Ave |
$53.62 | 2,592 | 2,543 |
|
Richard M Jackson
81 Highland Ave |
$61.72 | 2,570 | 2,536 |
|
Aaron Mofsen
81 Highland Ave |
$14.29 | 2,530 | 2,293 |
|
Hong Gao
81 Highland Ave |
$41.09 | 2,516 | 2,408 |
|
Alla Mikhaylovna Guenin
55 Highland Ave Ste 304 |
$24.96 | 2,457 | 2,296 |
|
Michael Ira Reich
400 Highland Ave |
$49.89 | 2,338 | 2,214 |
|
Jean David Thomas
Salem Family Health Center |
$45.84 | 2,262 | 1,153 |
|
Shelley Rose Waite
57 Highland Ave |
$94.13 | 2,249 | 2,240 |
|
Kathleen A Corrigan
55 Highland Ave |
$57.27 | 2,228 | 2,225 |
|
Marina Joseph
400 Highland Ave |
$48.20 | 2,204 | 2,085 |
|
Allison Leigh Cohen
331 Highland Ave Rear |
$37.61 | 2,158 | 2,135 |
|
Noel P Defelippo
400 Highland Ave |
$23.87 | 2,147 | 2,070 |
|
Mark Laspina
400 Highland Ave |
$26.15 | 2,031 | 1,956 |
|
Yuriy Levin
400 Highland Ave |
$32.61 | 2,006 | 1,858 |
|
James A Maclean
114R Highland Ave |
$47.05 | 1,947 | 1,935 |
|
Anne Marie Stanton
Dove Ave |
$46.44 | 1,905 | 1,829 |
|
Frank J Straccia
331 Highland Ave |
$40.89 | 1,821 | 1,765 |
|
David F Kahn
331 Highland Ave |
$40.78 | 1,821 | 1,778 |
|
Judith G Fokum
81 Highland Ave |
$49.93 | 1,766 | 1,722 |
|
Mark H Mandell
72 Highland Ave |
$50.86 | 1,761 | 1,736 |
|
Howard E Abrams
100 Highland Ave |
$31.42 | 1,645 | 1,595 |
|
Jon S Moussally
81 Highland Ave |
$62.59 | 1,637 | 1,622 |
|
Christopher Wesley Humphreys
55 Highland Ave |
$41.70 | 1,627 | 1,603 |
|
Peguy Sylvain
47 Congress St |
$41.49 | 1,437 | 1,387 |
|
Anil K Dubey
331 Highland Ave |
$38.32 | 1,338 | 1,273 |
|
Kavya Singareddy
81 Highland Ave |
$120.21 | 1,336 | 1,256 |
|
Edgar Y Oppenheimer
57 Highland Ave |
$49.00 | 1,296 | 1,285 |
|
Diana S Balekian
114R Highland Ave |
$64.15 | 1,242 | 1,233 |
|
Alejandra Balen
400 Highland Ave |
$57.58 | 1,202 | 1,176 |
|
Kara Pesola
47 Congress St |
$9.41 | 1,170 | 921 |
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 Salem, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Salem, MA is $52.29 per claim, based on 207,503 claims from 171 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 Salem, MA?
There are 171 Medicaid providers offering Office Visit related services in Salem, MA according to public payment data.
What is the price range for Office Visit in Salem, MA?
Medicaid reimbursement for Office Visit in Salem, MA ranges from $0.00 to $633.79 per claim, with an average of $52.29. 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 Salem, MA
Non-Emergency Medical Transportation
Avg $33.00
362,264 claims
Blood Work & Lab Tests
Avg $5.52
329,371 claims
Emergency Room Visit
Avg $116.60
167,439 claims
Psychiatric Evaluation
Avg $74.80
128,183 claims
Dental Cleaning & Exam
Avg $31.38
123,536 claims
EKG / ECG (Electrocardiogram)
Avg $4.10
90,574 claims
X-Ray
Avg $10.31
69,159 claims
Urinalysis & Urine Tests
Avg $2.83
64,569 claims