Average Medicaid Office Visit Payments in Somersworth, NH: $24.63
Avg. Paid
$24.63
Range
$0.00 – $66.65
Total Claims
132,145
Providers
75
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 Somersworth, NH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Greater Seacoast Community Health
311 Route 108 |
$0.73 | 18,080 | 12,081 |
|
Kevin B. Zent
311 Nh Route 108 |
$12.81 | 14,805 | 12,030 |
|
Bertrand P Cole
255 Route 108 |
$42.67 | 13,681 | 9,827 |
|
Donna Marie Flynn
5 Clark Way |
$39.22 | 12,022 | 8,012 |
|
John P. Athans
255 Route 108 |
$37.65 | 7,105 | 4,391 |
|
Michael Thompson
311 Route 108 |
$11.79 | 5,837 | 4,703 |
|
Mitchell Ned Pivor
311 Route 108 |
$6.14 | 5,579 | 4,897 |
|
Sonya Layla Hovsepian
311 Route 108 |
$56.39 | 5,155 | 3,039 |
|
Nong Chrang
7 Works Way |
$38.47 | 3,509 | 2,858 |
|
Daniel Adam Graubert
255 Route 108 |
$24.62 | 3,396 | 2,294 |
|
Catherine Coolidge
255 Route 108 |
$31.54 | 2,879 | 2,129 |
|
Maria Alejandra Martin
311 Route 108 |
$23.14 | 2,655 | 2,320 |
|
Steven E Johnson
361 High St |
$30.09 | 2,559 | 2,161 |
|
Girish C Joshi
7 Works Way |
$46.07 | 2,391 | 1,915 |
|
Gregory Paul Andrecyk
85 Main St |
$32.47 | 2,274 | 1,815 |
|
James John Hudyma
255 Route 108 |
$42.94 | 2,250 | 1,647 |
|
Steven Molnar-Gabor
311 Route 108 |
$0.64 | 2,114 | 1,684 |
|
David Lunianski
311 Route 108 |
$5.45 | 1,859 | 1,674 |
|
Kelly Moore
311 Route 108 |
$1.78 | 1,720 | 1,563 |
|
Robert A Ruben
21 Clark Way |
$28.75 | 1,696 | 1,254 |
|
Sonya W Alyea
21 Clark Way |
$29.19 | 1,302 | 1,017 |
|
Michael Joseph Robustelli
311 Route 108 |
$2.78 | 1,115 | 968 |
|
Mark J Geppert
7 Marsh Brook Dr |
$36.49 | 1,067 | 912 |
|
Alexander Harris Asch
353 High St |
$27.43 | 988 | 780 |
|
Deborah S Charles
5 Clark Way |
$27.83 | 963 | 831 |
|
Michael J Samaan
311 Route 108 |
$12.70 | 957 | 885 |
|
Claire D Menard
7 Works Way |
$39.00 | 939 | 778 |
|
Jodie-Marie Voishnis
361 High St |
$26.05 | 756 | 616 |
|
Sean Lynch
21 Clark Way |
$25.44 | 712 | 550 |
|
Lauren Caroline Koczela
311 Route 108 |
$2.66 | 681 | 628 |
|
Aaron Corbett
21 Clark Way |
$22.28 | 669 | 491 |
|
Dawn M Richardson
311 Route 108 |
$14.61 | 643 | 410 |
|
Heath Pelletier
7 Marsh Brook Dr Ste 205 |
$26.58 | 627 | 550 |
|
Gertrude Johanna Trumpy
311 Route 108 |
$0.00 | 603 | 460 |
|
Richard Renner
255 Route 108 |
$62.21 | 529 | 510 |
|
Diane B. Bernard
311 Route 108 |
$0.00 | 521 | 305 |
|
Adam Benjamin Fleit
7 Marsh Brook Dr |
$37.60 | 515 | 430 |
|
Jennifer M Lewis
21 Clark Way |
$25.82 | 512 | 401 |
|
Alyssa Young
21 Clark Way |
$43.74 | 511 | 436 |
|
Mark Mooradian
7 Marsh Brook Dr Ste 205 |
$42.77 | 506 | 486 |
|
Brian S Wilson
7 Marsh Brook Dr Ste 205 |
$39.78 | 474 | 388 |
|
Reiko Kayashima Johnson
311 Route 108 |
$5.17 | 443 | 410 |
|
Jessica Lorraine Parent
311 Route 108 |
$13.57 | 400 | 350 |
|
Shelby Anne Menard
21 Clark Way |
$28.61 | 334 | 279 |
|
Vicki Tanner Petalas
255 Route 108 |
$29.02 | 319 | 227 |
|
William E Maher
21 Clark Way |
$27.62 | 300 | 220 |
|
Edwin L Charle
255 Route 108 |
$37.35 | 261 | 212 |
|
Eric James Ouellette
311 Route 108 |
$27.54 | 241 | 220 |
|
Michael A Guidi
7 Works Way |
$35.41 | 225 | 168 |
|
Sukeerti Kesar
21 Clark Way |
$43.62 | 208 | 174 |
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 Somersworth, NH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Somersworth, NH is $24.63 per claim, based on 132,145 claims from 75 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 Somersworth, NH?
There are 75 Medicaid providers offering Office Visit related services in Somersworth, NH according to public payment data.
What is the price range for Office Visit in Somersworth, NH?
Medicaid reimbursement for Office Visit in Somersworth, NH ranges from $0.00 to $66.65 per claim, with an average of $24.63. 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 Somersworth, NH
Blood Work & Lab Tests
Avg $39.50
34,590 claims
Behavioral & Mental Health Therapy
Avg $25.80
21,617 claims
Physical Therapy
Avg $9.64
16,418 claims
Psychiatric Evaluation
Avg $19.96
15,825 claims
Vaccines & Immunizations
Avg $1.53
13,866 claims
Speech Therapy
Avg $7.44
13,104 claims
Dental Cleaning & Exam
Avg $35.44
11,394 claims
Anesthesia Services
Avg $304.37
3,741 claims