Average Medicaid Office Visit Payments in South Boston, MA: $94.44
Avg. Paid
$94.44
Range
$0.00 – $137.78
Total Claims
107,080
Providers
26
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 South Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Boston Medical Center Corporation
409 W Broadway |
$137.78 | 61,407 | 53,475 |
|
South Boston Community Health Center
409 W Broadway |
$42.56 | 8,132 | 7,432 |
|
Sheel Saxena
409 W Broadway |
$27.24 | 4,778 | 4,171 |
|
Blake Ritter
58 Old Colony Ave |
$21.16 | 4,144 | 3,714 |
|
Mohamed Azzam Mehssen
409 W Broadway |
$30.63 | 3,085 | 2,797 |
|
Sarah Aiko Sloan
409 W Broadway |
$33.49 | 3,063 | 2,771 |
|
Catholic Charitable Bureau Of The Archdiocese Of Boston, Inc.
275 W Broadway |
$61.11 | 2,615 | 2,462 |
|
Megan Catherine Chapman
409 W Broadway |
$32.45 | 2,168 | 1,993 |
|
Suru Lin
409 W Broadway |
$31.57 | 2,166 | 2,079 |
|
Mekkin E Lynch
409 W Broadway |
$19.88 | 2,096 | 1,990 |
|
Pamela Cattel
409 W Broadway |
$35.17 | 2,006 | 1,902 |
|
Amelia Fisher
409 W Broadway |
$37.17 | 1,854 | 1,766 |
|
Laura N Goldman
409 W Broadway |
$38.32 | 1,451 | 1,397 |
|
South Boston Community Health Center
409 W Broadway |
$101.36 | 1,386 | 1,204 |
|
Christina Curtis
409 W Broadway |
$17.99 | 1,215 | 1,161 |
|
Isabella Buzzo Bellon Brout
409 W Broadway |
$35.96 | 1,199 | 1,146 |
|
Carolyn Arnold
409 West Broadway |
$18.47 | 1,080 | 997 |
|
Nisha Thakrar
409 W Broadway |
$33.53 | 1,038 | 964 |
|
Gavin Foundation
49 L St |
$90.72 | 765 | 638 |
|
Michael J Gill
58 Old Colony Ave |
$14.29 | 548 | 516 |
|
Alison Marshall
409 W Broadway |
$21.12 | 486 | 481 |
|
Sophia Louise Harden
409 W Broadway |
$3.70 | 217 | 215 |
|
South Boston Community Health Center
409 W Broadway |
$61.45 | 104 | 93 |
|
Ryan J Narciso
409 W Broadway |
$4.15 | 52 | 52 |
|
Virginia Fitzgerald
409 W Broadway |
$73.57 | 13 | 13 |
|
Cierra Chiyoko Virtue
409 W Broadway |
$0.00 | 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 South Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Boston, MA is $94.44 per claim, based on 107,080 claims from 26 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 South Boston, MA?
There are 26 Medicaid providers offering Office Visit related services in South Boston, MA according to public payment data.
What is the price range for Office Visit in South Boston, MA?
Medicaid reimbursement for Office Visit in South Boston, MA ranges from $0.00 to $137.78 per claim, with an average of $94.44. 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 South Boston, MA
Psychiatric Evaluation
Avg $101.98
62,228 claims
Substance Abuse Treatment
Avg $244.37
43,728 claims
Vaccines & Immunizations
Avg $12.37
22,310 claims
Dental Cleaning & Exam
Avg $29.76
18,860 claims
Physical Therapy
Avg $21.19
13,177 claims
Urinalysis & Urine Tests
Avg $4.41
4,790 claims
Dental Filling
Avg $45.39
4,095 claims
Eye Exam
Avg $145.55
3,891 claims