Average Medicaid Office Visit Payments in South Yarmouth, MA: $50.77
Avg. Paid
$50.77
Range
$18.01 – $96.57
Total Claims
47,287
Providers
19
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 Yarmouth, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mathew H Baldasaro
237 Station Ave |
$50.93 | 8,561 | 7,905 |
|
Paul L Marz
237 Station Ave |
$48.52 | 7,678 | 6,980 |
|
Kenneth P Colmer
237 Station Ave |
$49.43 | 7,209 | 6,741 |
|
Karin R Gilbert
237 Station Ave |
$50.44 | 5,491 | 5,169 |
|
Lorraine Zito
237 Station Ave |
$49.68 | 4,806 | 4,437 |
|
Jennifer Ann Berrick
257 Station Ave |
$55.93 | 3,988 | 3,679 |
|
Dimitrios N Minadakis
495 Station Ave |
$61.93 | 2,054 | 1,980 |
|
Mahmood Muhammad Rana
495 Station Ave |
$46.49 | 1,874 | 1,704 |
|
Jorge A Alfonso
495 Station Ave |
$53.73 | 1,661 | 1,578 |
|
M. Francine Carbonneau
257 Station Avenue |
$52.09 | 1,385 | 1,359 |
|
Ann M Gryboski
495 Station Ave |
$59.75 | 956 | 905 |
|
Arthur George Kalil
23 Whites Path |
$28.34 | 855 | 823 |
|
Barbara A. Colocino
23 Whites Path Ste G |
$18.01 | 267 | 262 |
|
Mary Gallagher
495 Station Ave |
$56.75 | 154 | 145 |
|
Marissa Frongillo
495 Station Ave |
$70.09 | 135 | 126 |
|
Peter M. Ripley
23 Whites Path |
$96.57 | 132 | 121 |
|
Jacquelyn Marie Lamb
23 Whites Path Ste F |
$53.37 | 43 | 43 |
|
Brittany Elizabeth Enz
23 Whites Path |
$55.99 | 20 | 13 |
|
Kumara Sidhartha
495 Station Ave |
$45.10 | 18 | 17 |
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 Yarmouth, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Yarmouth, MA is $50.77 per claim, based on 47,287 claims from 19 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 Yarmouth, MA?
There are 19 Medicaid providers offering Office Visit related services in South Yarmouth, MA according to public payment data.
What is the price range for Office Visit in South Yarmouth, MA?
Medicaid reimbursement for Office Visit in South Yarmouth, MA ranges from $18.01 to $96.57 per claim, with an average of $50.77. 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 Yarmouth, MA
Vaccines & Immunizations
Avg $12.74
43,781 claims
Physical Therapy
Avg $16.06
9,758 claims
Behavioral & Mental Health Therapy
Avg $411.26
6,348 claims
Eye Exam
Avg $29.55
5,690 claims
Chiropractic Care
Avg $22.90
4,101 claims
Speech Therapy
Avg $21.19
4,075 claims
Blood Work & Lab Tests
Avg $3.76
3,794 claims
Substance Abuse Treatment
Avg $41.32
655 claims