Based on public Medicaid payment data.

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
Savvas John Saragas 413 Highland Ave	$26.43	13	12
Caroline Anne Mcfadden 40 Holland St	$32.89	13	13
Madeline Barott 236 Highland Ave	$65.85	15	13
James C Liu 40 Holland St	$82.70	15	14
Michael Berdan 399 Revolution Dr	$25.89	15	15
Vincent J Patalano 236 Highland Ave	$65.85	15	15
Kavita Davina Ketwaroo 40 Holland St	$31.83	15	13
Patrick Leong 440 Foley St	$46.90	15	14
Elisa Inmee Choi 40 Holland St	$54.41	27	26
Steven M Patalano 236 Highland Ave	$65.85	28	27
Brian Smerkers 440 Foley St	$26.18	29	27
Patricia M Chaudhuri 230 Highland Ave	$31.61	31	30
Tatiana Slavsky 40 Holland St	$110.17	31	27
Nora Ruth Marchiando 236 Highland Ave	$0.00	37	37
Erica Kristen Childs 236 Highland Ave	$94.34	38	37
Danielle Marie Jacobsen 26 Laurel St	$25.59	40	40
Daphne Eleanor Schneider 236 Highland Ave	$45.39	43	41
Sandra Auguste 645 Broadway	$76.97	44	40
Yixi Dong 259 Elm St Ste 201	$89.00	46	39
Pasquale Cancelliere 53 Main St	$7.71	48	40
Katherine Lemons 5 Middlesex Ave Fl 1	$0.70	51	49
Eleanor T Hobbs 40 Holland St	$80.65	62	62
Sarah Bansen 230 Highland Ave	$38.10	70	64
Marcia F Dworkind 40 Holland St	$47.39	76	76
Julie Lopes Stepanian 300 Broadway	$56.52	77	74
W Zoe D Stitt 349 Broadway	$91.06	79	77
Charles William Connolly 120 College Ave	$32.58	80	79
Henry W Stoll 40 Holland St	$51.46	85	85
Carewell Urgent Care Centers Of Ma, Pc 349 Broadway	$77.86	86	85
Michele Klau 26 Central St	$43.80	92	78
Andrew Angel 40 Holland St	$87.92	92	90
Kourtney Kacian 40 Holland St	$3.95	98	96
Emily Alice Brown Marini 440 Foley St	$28.31	99	93
Lindsay Flynn Campbell 5 Middlesex Ave	$28.09	102	86
Marcela Horvitz-Lennon 26 Central Street	$81.39	105	99
Casey Callahan 300 Broadway	$2.29	108	107
Jessamyn Blau 300 Broadway	$60.46	109	96
Nicolas Sluyter-Beltrao 26 Central St	$1.38	111	106
Silvina B Padro 40 Holland St	$49.17	125	120
Jack Krushell 40 Holland St	$133.90	125	124
Marie Grace Han 440 Foley St	$0.00	127	124
Jill Francine Ashcraft 40 Holland St	$91.10	153	150
Danielle Shih 40 Holland St	$73.23	153	145
Michael David Mccarthy 40 Holland St	$6.10	161	154
Luis Marcelo Henkel 440 Foley St	$57.75	164	161
Donald H. Perlo 40 Holland St	$50.13	165	165
Dawn Marie Peters 40 Holland St	$70.20	166	163
Brian E. Herrick 337 Somerville Ave	$23.67	180	179
Karen Lefkowitz 230 Highland Ave	$38.41	181	168
Anil Gullapalli 40 Holland St	$21.81	188	186

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.

Average Medicaid Office Visit Payments in Somerville, MA: $55.30

Providers Offering Office Visit in Somerville, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Somerville, MA

Ambulance Transport

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Eye Exam

Personal Care Services

Home Health Visit

Behavioral & Mental Health Therapy

Physical Therapy