Average Medicaid Office Visit Payments in Southbridge, MA: $54.94
Avg. Paid
$54.94
Range
$6.08 – $109.48
Total Claims
186,614
Providers
80
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 Southbridge, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Umass Memorial Health-Harrington Hospital Inc
100 South Street |
$90.80 | 26,597 | 23,933 |
|
Cynthia Mae Wilson Grillo
100 South St |
$22.11 | 15,955 | 9,654 |
|
Anu Radha Pathak
85 South St |
$66.00 | 15,547 | 13,293 |
|
Renaissance Primary Care, Llc
11-15 Sandersdale Road |
$75.43 | 13,264 | 12,618 |
|
Marsha A Lavoie
100 South St |
$60.60 | 10,689 | 10,049 |
|
Yelena Samofalov
100 South St Ste 102 |
$42.43 | 7,860 | 7,192 |
|
John S. Howland
141 Main St |
$68.43 | 7,318 | 5,802 |
|
Diana Rabkina
100 South St |
$42.98 | 6,928 | 6,492 |
|
Robert F. Mccarron
100 South St |
$53.97 | 5,434 | 5,264 |
|
Andrey Yuryevich Sayko
100 South St |
$20.87 | 4,573 | 4,375 |
|
Samantha M Chase
94 South St |
$65.84 | 4,155 | 4,005 |
|
Vladas Litani
100 South St |
$47.44 | 3,725 | 3,601 |
|
Erin Dashnaw
222 Main St |
$42.45 | 3,628 | 3,571 |
|
Paul A Santolucito
100 South St |
$43.85 | 3,381 | 3,300 |
|
Sean M Stevenson
100 South St Ste 108 |
$41.16 | 3,261 | 3,138 |
|
Young-Ho Oh
94 South St |
$48.83 | 3,193 | 3,034 |
|
Harrington Physician Services Inc
100 South St |
$65.72 | 3,014 | 2,828 |
|
Mary E Frisella
100 South St |
$21.22 | 2,846 | 2,594 |
|
Jeffrey A Gordon
55 Sayles St |
$39.40 | 2,838 | 2,493 |
|
Allison Doreen Read
100 South Street |
$27.21 | 2,373 | 2,255 |
|
Russell D Donnelly
94 South St |
$40.67 | 2,247 | 2,161 |
|
Richard James Manolian
94 South St |
$37.54 | 2,175 | 2,004 |
|
Allison S Betts
100 South St |
$95.92 | 2,172 | 2,147 |
|
John Michael Tumolo
100 South St |
$36.49 | 2,066 | 2,015 |
|
Mark J Simonelli
100 South St |
$49.11 | 1,839 | 1,759 |
|
Sarah J Daigle
94 South St |
$39.61 | 1,773 | 1,471 |
|
George M Gachuma
29 Pine St |
$20.11 | 1,591 | 1,560 |
|
Paula M Shonak
79 Sayles St |
$21.71 | 1,580 | 1,518 |
|
William Francis Dunn
100 South St |
$37.41 | 1,566 | 1,403 |
|
Craig E Goldberg
100 South St |
$65.02 | 1,565 | 1,237 |
|
Michael P. Gaudet
100 South St |
$74.01 | 1,477 | 1,449 |
|
Kathryn Edith Swanson
222 Main Street |
$38.03 | 1,345 | 1,320 |
|
John J Diggins
29 Pine St |
$77.75 | 1,320 | 1,261 |
|
Christopher W. Seidler
55 Sayles St |
$36.08 | 1,227 | 1,121 |
|
Nicole Marie Lynn Fillipon
79 Sayles St |
$71.84 | 1,225 | 1,200 |
|
Andrei Bandarchuk
55 Sayles St |
$30.21 | 1,096 | 1,027 |
|
Ariel Jane Bullock
100 South St Ste 102 |
$44.93 | 1,059 | 996 |
|
Donna Marie Kentley
55 Sayles St |
$21.08 | 1,001 | 921 |
|
Carol Ann Eliadi
29 Pine St |
$31.72 | 920 | 880 |
|
Elias Belezos
100 South St |
$29.45 | 914 | 858 |
|
Kirti Patel
100 South St Ste G05 |
$36.68 | 826 | 806 |
|
Katie Beer
176 Main St |
$41.62 | 722 | 667 |
|
Pamela D. Kutzer
100 South St |
$85.32 | 653 | 648 |
|
Konstantino A Avradopoulos
94 South St |
$17.67 | 642 | 459 |
|
Harrington Physician Services, Inc.
164 South St |
$46.33 | 545 | 524 |
|
Tina Irene Render
100 South St |
$6.08 | 535 | 516 |
|
Agata Marta Menard
29 Pine St |
$50.08 | 481 | 421 |
|
Shanise Margot Perez
29 Pine St |
$36.53 | 458 | 445 |
|
William Francis Petrone
Harrington Memorial Hospital |
$49.71 | 448 | 267 |
|
Eileen Marie Kane
100 South St |
$36.24 | 448 | 420 |
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 Southbridge, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Southbridge, MA is $54.94 per claim, based on 186,614 claims from 80 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 Southbridge, MA?
There are 80 Medicaid providers offering Office Visit related services in Southbridge, MA according to public payment data.
What is the price range for Office Visit in Southbridge, MA?
Medicaid reimbursement for Office Visit in Southbridge, MA ranges from $6.08 to $109.48 per claim, with an average of $54.94. 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 Southbridge, MA
Non-Emergency Medical Transportation
Avg $26.45
1,362,619 claims
Blood Work & Lab Tests
Avg $8.47
224,974 claims
Psychiatric Evaluation
Avg $79.54
202,198 claims
Emergency Room Visit
Avg $140.99
105,545 claims
Behavioral & Mental Health Therapy
Avg $89.53
104,626 claims
Home Health Visit
Avg $21.89
72,252 claims
EKG / ECG (Electrocardiogram)
Avg $5.09
69,845 claims
Case Management Services
Avg $338.70
60,301 claims