Average Medicaid Office Visit Payments in Shrewsbury, MA: $67.55
Avg. Paid
$67.55
Range
$4.10 – $179.85
Total Claims
47,551
Providers
50
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 Shrewsbury, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Raymond R Zhou
415 Boston Tpke |
$67.56 | 6,490 | 5,675 |
|
Stacy Ann Nichols-Byll
6322 Arbor Dr |
$82.49 | 3,320 | 3,039 |
|
Aju Daniel
123 Summer Street |
$45.79 | 2,588 | 2,108 |
|
Robert E Kossack
378 Maple Ave |
$105.45 | 2,516 | 2,422 |
|
Muhammad Saiful Mowla
378 Maple Ave |
$52.29 | 2,253 | 2,060 |
|
Karissa Mako
181 Main St |
$48.36 | 2,242 | 2,166 |
|
Prashantha Devidas Holla
378 Maple Ave |
$100.24 | 2,116 | 2,019 |
|
Sabitha R Gopalswamy
378 Maple Ave |
$112.66 | 1,931 | 1,872 |
|
Joseph J Daigneault
24 Julio Dr |
$66.34 | 1,866 | 1,845 |
|
Shubhada D Javlekar
181 Main St |
$55.99 | 1,768 | 1,722 |
|
Kelsey Helen Brenner
12 Wilder Rd |
$20.57 | 1,739 | 1,699 |
|
Danielle N Moncrieffe
378 Maple Ave |
$73.81 | 1,521 | 1,478 |
|
Preeti Jain
378 Maple Ave |
$96.63 | 1,345 | 1,298 |
|
Nancy Shaffer
222 Boston Tpke |
$56.46 | 1,227 | 1,219 |
|
Jessica Erickson
378 Maple Ave |
$68.81 | 1,211 | 1,148 |
|
Janet A Slota
378 Maple Ave |
$111.86 | 1,135 | 1,105 |
|
Robert B Shepherd
415 Boston Tpke Ste 105 |
$36.06 | 1,088 | 986 |
|
Nivedita Gour
604 Main St |
$44.28 | 1,039 | 1,009 |
|
Madhavi Medipally
604 Main St |
$48.63 | 948 | 882 |
|
Neha Zaer Esmaeili
378 Maple Ave |
$4.10 | 784 | 758 |
|
Susan Cashion Robinson
378 Maple Ave |
$101.83 | 753 | 740 |
|
Christine M Collotta
7 Old Farm Cir |
$38.23 | 747 | 696 |
|
Allan Philip Kuong
222 Boston Tpke |
$53.99 | 741 | 724 |
|
Khwaja Ahmed Hussain
378 Maple Ave |
$32.58 | 714 | 631 |
|
Mikaela Andrea Lavallee
415 Boston Tpke Ste 105 |
$58.12 | 632 | 580 |
|
Deborah Hazen
555 Main St |
$48.72 | 617 | 519 |
|
Northwood Behavioral Healthcare, Inc.
512 W Main St |
$96.85 | 608 | 558 |
|
Michael A Burdulis
24 Julio Dr |
$51.39 | 509 | 495 |
|
Smita B Parulkar
378 Maple Ave |
$110.63 | 507 | 501 |
|
Gabriel Andres Luna
21 N Quinsigamond Ave Ste 2 |
$27.86 | 422 | 418 |
|
Gwenn S O'Keeffe
910 Boston Tpke Ste 3 |
$70.11 | 406 | 380 |
|
David C Ahern
604 Main St |
$179.85 | 342 | 317 |
|
Andrew Robert Macknair
378 Maple Ave |
$13.42 | 226 | 217 |
|
Sapna S Savant
555 Main St |
$68.21 | 183 | 179 |
|
Christina Y. Kim
604 Main St |
$71.66 | 177 | 156 |
|
Robert R Franger
626 Main St |
$10.53 | 157 | 157 |
|
Ingrid Fuller
24 Julio Dr |
$50.57 | 129 | 127 |
|
Aaron M Mendel
26 Julio Dr |
$53.35 | 122 | 117 |
|
Maria Narducci
26 Julio Dr |
$47.24 | 114 | 105 |
|
Afroz S Saquib
26 Julio Dr |
$56.42 | 55 | 52 |
|
Kathleen M Ogrady
378 Maple Ave |
$121.49 | 53 | 51 |
|
Melody M Banasiak
222 Boston Tpke |
$6.97 | 39 | 37 |
|
Vasilios Chrisostomidis
604 Main St |
$50.39 | 39 | 38 |
|
Linda Rebecca Spanagel
26 Julio Dr |
$67.02 | 37 | 37 |
|
Raymond Zhou Md Pc
415 Boston Tpke |
$94.89 | 27 | 24 |
|
Demetrios Carellas
378 Maple Ave |
$10.77 | 15 | 14 |
|
Carlos Alberto Perez-Velazquez
26 Julio Dr |
$48.66 | 15 | 15 |
|
Bingjie Ling
21 N Quinsigamond Ave Ste 2 |
$18.04 | 14 | 13 |
|
Elizabeth Anne Franger
626 Main St |
$5.68 | 12 | 12 |
|
Sarika Aggarwal
26 Julio Dr |
$44.20 | 12 | 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 Shrewsbury, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shrewsbury, MA is $67.55 per claim, based on 47,551 claims from 50 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 Shrewsbury, MA?
There are 50 Medicaid providers offering Office Visit related services in Shrewsbury, MA according to public payment data.
What is the price range for Office Visit in Shrewsbury, MA?
Medicaid reimbursement for Office Visit in Shrewsbury, MA ranges from $4.10 to $179.85 per claim, with an average of $67.55. 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 Shrewsbury, MA
Dental Cleaning & Exam
Avg $40.50
45,383 claims
Vaccines & Immunizations
Avg $26.76
15,440 claims
Behavioral & Mental Health Therapy
Avg $176.90
11,345 claims
Physical Therapy
Avg $14.95
10,098 claims
Dental Filling
Avg $86.11
7,531 claims
Blood Work & Lab Tests
Avg $2.53
6,343 claims
Chiropractic Care
Avg $18.04
6,102 claims
Speech Therapy
Avg $16.92
5,987 claims