Average Medicaid Office Visit Payments in Saugus, MA: $53.46
Avg. Paid
$53.46
Range
$5.90 – $109.06
Total Claims
24,977
Providers
18
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 Saugus, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jacinta A Grant
9 Sycamore Ln |
$30.45 | 3,989 | 3,890 |
|
Vidya Raju
1069 Broadway |
$29.32 | 3,213 | 3,125 |
|
Natasha Shah
1069 Broadway |
$50.21 | 2,550 | 2,447 |
|
Sharon L Jarmolowicz
156 Main St |
$79.99 | 2,286 | 2,226 |
|
Rekha Selvanaayagam
1069 Broadway |
$37.97 | 2,081 | 2,022 |
|
Christine Valdes
1069 Broadway |
$49.73 | 1,915 | 1,875 |
|
Henri Zhuri
1069 Broadway |
$67.77 | 1,803 | 1,747 |
|
Emily Carroca
1069 Broadway |
$27.77 | 1,541 | 1,495 |
|
Convenientmd Llc
180 Main St |
$109.06 | 1,511 | 1,468 |
|
Rosemonde Paulo
73 Chestnut St |
$89.57 | 1,227 | 1,067 |
|
Rebecca Delande
1069 Broadway |
$48.93 | 959 | 921 |
|
Convenientmd - Ffs Uc Llc
180 Main St |
$99.81 | 635 | 571 |
|
Afc Physicians Of Massachusetts, Pc
371 Broadway |
$106.04 | 552 | 537 |
|
Foteini Hernandez
1069 Broadway |
$5.90 | 284 | 278 |
|
Eva Ho
1201 Broadway |
$60.72 | 238 | 237 |
|
Ulyana Kryvenko-Zalizetsky
156 Main St |
$53.90 | 133 | 131 |
|
Amber Patrice Contrastan
156 Main St |
$49.51 | 41 | 40 |
|
David M Miller
480 Lincoln Ave |
$40.60 | 19 | 14 |
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 Saugus, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Saugus, MA is $53.46 per claim, based on 24,977 claims from 18 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 Saugus, MA?
There are 18 Medicaid providers offering Office Visit related services in Saugus, MA according to public payment data.
What is the price range for Office Visit in Saugus, MA?
Medicaid reimbursement for Office Visit in Saugus, MA ranges from $5.90 to $109.06 per claim, with an average of $53.46. 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 Saugus, MA
Case Management Services
Avg $0.00
291,090 claims
Physical Therapy
Avg $56.21
35,705 claims
Dental Cleaning & Exam
Avg $36.12
34,496 claims
Speech Therapy
Avg $29.34
13,340 claims
Nursing Facility Care
Avg $6.56
11,976 claims
Dental Filling
Avg $77.58
8,946 claims
Psychiatric Evaluation
Avg $87.30
6,100 claims
Chiropractic Care
Avg $23.73
2,732 claims