Average Medicaid Office Visit Payments in Somerville, MA: $55.30
Avg. Paid
$55.30
Range
$0.00 – $140.51
Total Claims
119,469
Providers
124
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 Somerville, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kirsten Meisinger
337 Somerville Ave |
$49.48 | 11,507 | 10,688 |
|
Deborah Bershel
260 Elm St |
$52.63 | 6,046 | 5,178 |
|
Amanda Klein
300 Broadway |
$47.24 | 5,114 | 4,959 |
|
Gregory A. Johnson
40 Holland St |
$92.88 | 4,979 | 4,854 |
|
Lucia Dias-Hoff
440 Foley St |
$63.02 | 4,792 | 4,407 |
|
David Charles Osler
300 Broadway |
$39.61 | 4,564 | 4,384 |
|
Jill E Kasper
300 Broadway |
$38.70 | 4,465 | 4,333 |
|
Bruce Michael Kalow
300 Broadway |
$33.50 | 4,083 | 3,863 |
|
Louis A Bley
40 Holland St Dept 9Th |
$107.73 | 3,671 | 3,550 |
|
Amy M Smith
337 Somerville Ave |
$46.57 | 3,499 | 3,372 |
|
David W Wing
5 Middlesex Ave |
$50.21 | 3,487 | 3,421 |
|
Dzenana Idrizovic
65 Beacon St |
$93.20 | 3,318 | 3,144 |
|
Mark Joseph Albanese
26 Central St |
$54.64 | 2,890 | 2,519 |
|
Tony Leung
230 Highland Ave |
$43.98 | 2,573 | 2,530 |
|
Bonni Laundrie Stahl
300 Broadway |
$53.17 | 2,522 | 2,303 |
|
Michael Hercules Theodoulou
230 Highland Ave |
$44.38 | 2,409 | 2,328 |
|
Elizabeth Irene Malvey
26 Central St |
$55.43 | 2,247 | 1,959 |
|
Michael Paul Thackrey
337 Somerville Ave |
$45.62 | 1,993 | 1,908 |
|
Lee J Jarnagin
300 Broadway |
$40.58 | 1,959 | 1,909 |
|
David A Epstein
300 Broadway |
$47.32 | 1,852 | 1,760 |
|
Rebecca Elysia Pappo Rogers
300 Broadway |
$51.88 | 1,754 | 1,574 |
|
Virginia Smith
42 Cross St |
$29.19 | 1,614 | 1,564 |
|
Grace Dorothy Bouton
401 Highland Ave |
$76.97 | 1,435 | 1,109 |
|
Rachel B Vogel
337 Somerville Ave |
$38.44 | 1,415 | 1,385 |
|
Laura Obbard Brightman
300 Broadway |
$46.85 | 1,382 | 1,286 |
|
Alex Russakovsky
22 Mcgrath Hwy |
$93.87 | 1,378 | 1,377 |
|
Christopher Mulvey
401 Highland Ave |
$59.80 | 1,356 | 1,127 |
|
Michael S Whitner
40 Holland St |
$140.51 | 1,300 | 1,248 |
|
Jonathan Efrem Selwitz
401 Highland Ave |
$77.55 | 1,297 | 918 |
|
Claire Elwyn
260 Beacon St |
$94.12 | 1,142 | 884 |
|
Manish Tandon
230 Highland Ave |
$57.83 | 1,083 | 1,058 |
|
Prium Deshmukh
26 Central St |
$47.11 | 1,034 | 984 |
|
Todd Richardson Griswold
26 Central St |
$63.94 | 986 | 869 |
|
Jude Herbert Koomson
26 Central St |
$36.30 | 973 | 929 |
|
Alexandra Rose Clifton Oxnard
26 Central St |
$49.63 | 947 | 795 |
|
Brian D Tedesco
53 Main St |
$24.62 | 928 | 741 |
|
Jan R Shoyer
40 Holland St |
$89.04 | 888 | 867 |
|
James Michael Ehrlich
440 Foley St |
$44.44 | 877 | 752 |
|
Jon Wesley Boyd
236 Highland Ave |
$59.12 | 875 | 707 |
|
Arturo Villarreal-Verdecia
236 Highland Ave |
$80.09 | 764 | 680 |
|
Jaclyn A. Limberakis
300 Broadway |
$26.24 | 717 | 633 |
|
Christopher Paul Deangelis
300 Broadway |
$82.52 | 662 | 645 |
|
Natalie Diacovo
236 Highland Ave |
$19.83 | 603 | 588 |
|
Hala Omar Ali Ibrahim
40 Holland St |
$18.87 | 584 | 575 |
|
Barbara Hume
300 Broadway |
$50.05 | 577 | 568 |
|
James A Luccio
22 Mcgrath Hwy |
$26.47 | 576 | 568 |
|
Maria Pia Terra
300 Broadway |
$33.69 | 563 | 538 |
|
Parra Tomkins
645 Broadway |
$77.05 | 562 | 537 |
|
Ashley Lauren Paine
236 Highland Ave |
$57.11 | 559 | 551 |
|
Pieter A Cohen
236 Highland Ave |
$56.57 | 558 | 546 |
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 Somerville, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Somerville, MA is $55.30 per claim, based on 119,469 claims from 124 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 Somerville, MA?
There are 124 Medicaid providers offering Office Visit related services in Somerville, MA according to public payment data.
What is the price range for Office Visit in Somerville, MA?
Medicaid reimbursement for Office Visit in Somerville, MA ranges from $0.00 to $140.51 per claim, with an average of $55.30. 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 Somerville, MA
Ambulance Transport
Avg $90.64
682,509 claims
Non-Emergency Medical Transportation
Avg $30.19
248,533 claims
Dental Cleaning & Exam
Avg $36.84
149,112 claims
Eye Exam
Avg $34.78
68,781 claims
Personal Care Services
Avg $146.65
63,721 claims
Home Health Visit
Avg $1,114
61,038 claims
Behavioral & Mental Health Therapy
Avg $69.49
60,786 claims
Physical Therapy
Avg $15.31
42,206 claims