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 |
|---|---|---|---|
|
Howard M Waldman
81 Highland Ave |
$66.51 | 13 | 13 |
|
Delena Sauer
400 Highland Ave |
$13.52 | 13 | 13 |
|
Mark William Byrne
81 Highland Ave |
$60.58 | 14 | 14 |
|
Cristina F James
47 Congress St |
$5.97 | 14 | 14 |
|
Krista Suzanne Chavez
81 Highland Ave |
$0.00 | 14 | 14 |
|
Kendall Loraine Harer Mault
116R Highland Ave Fl 2 |
$24.72 | 15 | 15 |
|
Hon Hoi Yee
81 Highland Ave |
$84.98 | 15 | 15 |
|
Zayed M Yasin
81 Highland Ave |
$36.03 | 16 | 16 |
|
Dennis Suman
55 Highland Ave |
$0.00 | 18 | 18 |
|
Sasha Pierina Grullon
47 Congress St |
$23.84 | 19 | 16 |
|
Leah Simone Kims
47 Congress St |
$9.54 | 19 | 17 |
|
Jeffrey Osman
81 Highland Ave |
$36.93 | 21 | 21 |
|
Melissa A Minor
55 Highland Ave |
$44.68 | 24 | 24 |
|
Marti Jo Palmer
57 Highland Ave |
$32.80 | 25 | 24 |
|
Brian Thomas Mchugh
197 Lafayette St |
$36.66 | 27 | 27 |
|
Robin S Gross
Salem Hospital |
$93.30 | 28 | 26 |
|
Inyene Edem Essien
55 Highland Ave Ste 304 |
$45.89 | 28 | 28 |
|
Anastasia H Koniaris
80 Highland Ave |
$57.42 | 28 | 28 |
|
Rachel Barnum Rick
81 Highland Ave |
$12.64 | 29 | 27 |
|
Michael Dean Medlock
47 Congress St |
$78.68 | 29 | 25 |
|
Joshua Seth Corpuz
400 Highland Ave Ste 6 |
$27.11 | 32 | 30 |
|
Corinna R Mcallon
27 Congress Street |
$74.09 | 36 | 28 |
|
Timothy William Roedder
55 Highland Ave Ste 104 |
$54.24 | 40 | 40 |
|
Shayla Monahan
400 Highland Ave |
$23.73 | 40 | 39 |
|
Yulia Gibney
100 Highland Ave Ste 204 |
$47.23 | 41 | 38 |
|
Daniel Dustin
55 Highland Ave Ste 104 |
$80.15 | 43 | 42 |
|
Najwa Holtzman
Salem Family Health Center |
$5.16 | 45 | 40 |
|
Jeremy Sciascia
81 Highland Ave |
$13.12 | 45 | 45 |
|
Jennifer Lynne Eysie Femino
47 Congress St |
$18.32 | 46 | 43 |
|
Anastasios Sakellariou
81 Highland Ave |
$51.43 | 46 | 46 |
|
Janet Groth
35 Congress St |
$57.15 | 53 | 52 |
|
Kristin E Philbrick Darden
47 Congress St |
$15.85 | 61 | 52 |
|
Catherine Doyle
47 Congress Street |
$120.60 | 66 | 66 |
|
Kathleen Dawson Ayers
400 Highland Ave |
$54.27 | 67 | 66 |
|
Stephanie Joy Ferraro
55 Highland Ave |
$6.46 | 71 | 71 |
|
Eimile Ann Barletta
331R Highland Ave |
$3.43 | 76 | 70 |
|
Fikreta Cefo
35 Congress St Ste 225 |
$29.69 | 77 | 52 |
|
Susana Pellecer Castillo
47 Congress Street |
$9.69 | 79 | 73 |
|
Beenish Furquan
400 Highland Ave Ste 1 |
$22.93 | 90 | 85 |
|
Hiren Patel
81 Highland Ave |
$103.06 | 97 | 97 |
|
Mark R Anderson
81 Highland Ave |
$46.23 | 103 | 99 |
|
Kathleen Daly Bonaiuto
81 Highland Ave |
$54.35 | 112 | 110 |
|
Avalon Mertens
55 Highland Ave Ste 104 |
$46.42 | 117 | 115 |
|
Richard Louis Zaniewski
Shaughnessy-Kaplan Rehabilitation Hospital |
$25.34 | 121 | 119 |
|
Jeanne E Gose
114R Highland Ave |
$53.92 | 130 | 126 |
|
Michael S Katcher
81 Highland Ave |
$38.76 | 130 | 127 |
|
Robert A Freedman
400 Highland Ave |
$21.90 | 132 | 128 |
|
Steven Kurzrok
331 Highland Ave |
$43.32 | 137 | 133 |
|
Julie Larson
48 Bridge St |
$7.08 | 141 | 138 |
|
Rachael Rose Blackmar
81 Highland Hall |
$86.69 | 142 | 130 |
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