Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Southborough, MA: $70.32

Avg. Paid

$70.32

Range

$1.25 – $133.67

Total Claims

73,250

Providers

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 Southborough, MA

Provider	Avg. Paid	Claims	Patients
Umer Sayeed Shah 2 Parkcentral Drive Suite 210	$61.46	28,745	10,188
Angela Dawn Hunt 162 Cordaville Rd	$59.90	13,949	12,863
Kia J. Mccarthy 33 Turnpike Rd	$66.76	3,902	3,724
Christine Wertz 24 Newton St	$72.58	3,056	2,958
William Clayton Cooper 24 Newton St	$70.17	2,675	2,550
William Zachary Fenn 24 Newton St	$89.90	2,632	2,351
Usha S Rallapalli 24 Newton St	$68.71	2,322	2,158
Marie E. Briasco 24 Newton St	$85.20	2,106	2,056
Sarah Bechta 24 Newton St	$95.01	2,008	1,932
Justin Nathaniel Dorfman 24 Newton St	$103.18	1,771	1,722
Matthew John Bean 24 Newton St	$98.63	967	929
Michele J. Gottlieb 24 Newton St	$104.03	888	880
Mario F Flores 24 Newton St	$84.59	845	692
Kimberlee Smith Mccartney 24 Newton St	$93.07	829	797
Amee Rathod 24 Newton St	$93.87	806	802
Elena Eberle 24 Newton St	$98.72	698	681
Javeria Kouser 162 Cordaville Rd Ste 185	$110.47	678	628
Chris Pitsikoulis 103 Marlboro Rd	$26.05	592	553
Jeffrey A. Scott 24 Newton St	$103.70	591	567
Hassna Atlassi 162 Cordaville Rd	$125.73	528	500
Linda B Cozzens 24 Newton St	$105.13	487	477
Matthew W. Benz 24 Newton St	$106.19	412	400
Elizabeth Ann Minevich 24 Newton St	$80.17	359	342
Holly B. Damiano 24 Newton St	$87.18	256	252
Sarah Loy Gifford 24 Newton St	$80.50	173	169
Carmen Suarez 24 Newton St	$62.07	148	141
Frank Chau 24 Newton St	$98.95	138	131
Grace C Winship 24 Newton St	$11.43	94	92
Mary Ellen Dugan 24 Newton St	$109.25	86	83
Almas Dimitri 33 Turnpike Rd	$66.44	83	82
Steven Michael Solano 24 Newton St	$133.67	67	65
Tammy C. Harris 24 Newton St	$111.40	57	55
Elizabeth Martha Nation 24 Newton St	$71.72	44	43
Kirajean Frost 24 Newton St	$1.25	39	39
Lauren Rose Botelho 24 Newton St	$6.02	33	31
Robert C. Jandl 24 Newton St	$52.49	28	28
Iphigenia A. Balodimos 24 Newton St	$117.60	28	27
Laura Sullivan 24 Newton St	$99.45	27	26
James R. Bieber 24 Newton St	$22.87	26	26
Mai Chu 24 Newton St	$61.73	26	26
Asha Sherring 24 Newton St	$60.48	25	24
Qian Ru Cheng 30 Turnpike Rd Ste 7	$50.24	14	14
Rosalind Gendreau 24 Newton St	$76.97	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 Southborough, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Southborough, MA is $70.32 per claim, based on 73,250 claims from 43 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 Southborough, MA?

There are 43 Medicaid providers offering Office Visit related services in Southborough, MA according to public payment data.

What is the price range for Office Visit in Southborough, MA?

Medicaid reimbursement for Office Visit in Southborough, MA ranges from $1.25 to $133.67 per claim, with an average of $70.32. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Southborough, MA: $70.32

Providers Offering Office Visit in Southborough, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Southborough, MA

Durable Medical Equipment (DME)

Eye Exam

Blood Work & Lab Tests

Dental Cleaning & Exam

Vaccines & Immunizations

Physical Therapy

Behavioral & Mental Health Therapy

Hearing Test (Audiometry)