Average Medicaid Office Visit Payments in South Hadley, MA: $51.74
Avg. Paid
$51.74
Range
$17.56 – $80.56
Total Claims
19,228
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 Hadley, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ronald R Leombruno
470 Granby Rd |
$48.05 | 3,987 | 3,775 |
|
Julianne Mary Touchette
470 Granby Rd Ste 1 |
$66.18 | 2,310 | 1,591 |
|
Andrew K Fay
470 Granby Rd |
$47.72 | 2,187 | 2,095 |
|
Kathleen L. Meade
84 Willimansett St |
$61.68 | 1,894 | 1,268 |
|
Edward K Ryter
470 Granby Road |
$48.31 | 1,693 | 1,628 |
|
Arthur H Krulewitz
470 Granby Rd |
$52.21 | 1,327 | 1,269 |
|
Servicenet Autism Services
258 Old Lyman Rd |
$80.56 | 1,303 | 1,274 |
|
Erik Meunier
81 Willimansett St |
$23.99 | 797 | 785 |
|
Theresa A Lind
470 Granby Rd |
$46.57 | 762 | 723 |
|
Patrick Joseph Boyce
84 Willimansett St |
$24.13 | 677 | 615 |
|
Megan Chartier
470 Granby Rd |
$39.49 | 477 | 461 |
|
Kayla Rose Lusnia
470 Granby Rd Ste 1 |
$54.47 | 456 | 448 |
|
Ryan E Pryor
50 College St |
$39.84 | 267 | 225 |
|
Rachel Lee Thomas
6 Hadley St |
$57.18 | 236 | 231 |
|
Rebecca Gianni
470 Granby Rd |
$41.59 | 198 | 192 |
|
Adam M Stern
470 Granby Road |
$41.81 | 195 | 187 |
|
Robert D Smith
470 Granby Rd |
$31.59 | 135 | 133 |
|
Sarah Marlyne Lake
470 Granby Road |
$47.14 | 72 | 70 |
|
Ashlee Lorin Osowski
470 Granby Road |
$42.67 | 61 | 61 |
|
Lauren Ann Perica
81 Willimansett St |
$27.93 | 55 | 54 |
|
Samantha Marie Barcome
470 Granby Rd |
$41.02 | 53 | 50 |
|
Andrew James Martin
470 Granby Rd |
$49.06 | 38 | 38 |
|
Guinevere Arthur Vanhorne
470 Granby Rd |
$73.34 | 12 | 12 |
|
Walter Wolf
81 Willimansett St |
$17.56 | 12 | 12 |
|
Emily Demartino
50 College Street |
$52.70 | 12 | 12 |
|
David L Clinton
129 College Street |
$33.03 | 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 Hadley, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Hadley, MA is $51.74 per claim, based on 19,228 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 Hadley, MA?
There are 26 Medicaid providers offering Office Visit related services in South Hadley, MA according to public payment data.
What is the price range for Office Visit in South Hadley, MA?
Medicaid reimbursement for Office Visit in South Hadley, MA ranges from $17.56 to $80.56 per claim, with an average of $51.74. 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 Hadley, MA
EKG / ECG (Electrocardiogram)
Avg $3.86
42,740 claims
Psychiatric Evaluation
Avg $80.01
8,647 claims
Ambulance Transport
Avg $89.72
6,555 claims
Blood Work & Lab Tests
Avg $9.83
5,796 claims
Podiatry (Foot Care)
Avg $15.86
5,344 claims
Physical Therapy
Avg $15.79
5,162 claims
Speech Therapy
Avg $16.89
4,201 claims
Emergency Room Visit
Avg $158.36
1,590 claims