Average Medicaid Office Visit Payments in Sandwich, MA: $62.23
Avg. Paid
$62.23
Range
$4.01 – $85.00
Total Claims
45,568
Providers
20
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 Sandwich, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Urgi Center Medical Group
2 Jan Sebastian Dr |
$74.34 | 24,752 | 23,626 |
|
Kathryn M Rudman
68B Route 6A |
$65.24 | 3,035 | 2,934 |
|
Vanessa Lee Rallis
68B Route 6A |
$35.43 | 2,790 | 2,669 |
|
Elizabeth Ann Mccarthy
68B Route 6A |
$41.97 | 2,534 | 2,443 |
|
Kyle Marie E Beres
68B Route 6A |
$35.73 | 2,189 | 2,070 |
|
Lily Mulcahy Sylvia
68B Route 6A |
$42.46 | 1,757 | 1,659 |
|
Marianne Sarah Koenig
449 Route 130 |
$85.00 | 1,422 | 1,307 |
|
Katelyn Cotter
68B Route 6A |
$30.17 | 1,287 | 1,237 |
|
Myles La Verne Schultz
2 Jan Sebastian Dr |
$63.34 | 1,241 | 1,170 |
|
Li Li
74 Route 6A |
$47.55 | 901 | 850 |
|
Munir Ahmed
90 Route 6A Unit 5A |
$58.77 | 802 | 748 |
|
Cassandra Perry
Briarpatch Pediatrics 68B Route A |
$4.01 | 778 | 715 |
|
Thomas A Hanna
2 Jan Sebastian Dr Ste 202 |
$59.19 | 553 | 520 |
|
Mieke Ackell
68B Route 6A |
$70.36 | 409 | 396 |
|
Magda A Bishai
2 Jan Sebastian Way |
$62.77 | 376 | 363 |
|
Krista Quick
74 Route 6A |
$4.06 | 350 | 338 |
|
Linda F Habeeb
2 Jan Sebastian Way |
$56.05 | 241 | 231 |
|
Nazanin Jelveh Ronan
2 Jan Sebastian Way |
$52.26 | 95 | 78 |
|
Robert E Ledwith
68B Route 6A |
$59.83 | 41 | 40 |
|
Mary B Callahan
68A Route 6A # 1757 |
$45.07 | 15 | 15 |
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 Sandwich, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sandwich, MA is $62.23 per claim, based on 45,568 claims from 20 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 Sandwich, MA?
There are 20 Medicaid providers offering Office Visit related services in Sandwich, MA according to public payment data.
What is the price range for Office Visit in Sandwich, MA?
Medicaid reimbursement for Office Visit in Sandwich, MA ranges from $4.01 to $85.00 per claim, with an average of $62.23. 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 Sandwich, MA
Dental Cleaning & Exam
Avg $42.53
24,471 claims
Durable Medical Equipment (DME)
Avg $48.15
15,111 claims
Vaccines & Immunizations
Avg $19.28
8,561 claims
Ambulance Transport
Avg $83.30
7,620 claims
Nursing Facility Care
Avg $16.59
4,707 claims
Eye Exam
Avg $31.77
4,016 claims
Urinalysis & Urine Tests
Avg $3.82
3,363 claims
Psychiatric Evaluation
Avg $95.35
1,715 claims