Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Southbridge, MA: $54.94

Avg. Paid

$54.94

Range

$6.08 – $109.48

Total Claims

186,614

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 Southbridge, MA

Provider	Avg. Paid	Claims	Patients
Dexter E Hazlewood 100 South St	$30.21	13	12
Giza M. High 100 South St	$55.16	18	18
Thomas W Johnson 100 South St	$61.02	28	28
Patricia A Kent 100 South St	$51.32	29	27
Caroline Gaffney 94 South St	$13.92	29	29
Cindy A Shiro 428 Hamilton St Fl 2	$40.65	30	30
James A Goodwin 37 Oakes Ave	$57.96	38	38
Harrington Memorial Hospital, Inc. 100 South St	$59.83	40	40
John Gus Stagias 428 Hamilton St	$109.48	40	40
Jyotikaben N Patel 29 Pine St	$21.78	42	42
Doreen M Norberg 100 South St	$27.79	48	47
Julie Jutras 100 South St	$48.36	51	51
Vincent L. Kan 100 South St	$74.57	67	67
Jeffrey Steinberg 79 Sayles St	$9.09	67	66
Joanna Poluha-O'Neil 100 South St	$8.92	72	71
Stephen T Hilborn 94 South St	$38.44	74	50
Yasser Rehman 55 Sayles St	$41.45	94	93
Kally Ann Petka 100 South St	$56.15	99	77
Dorota Joanna Lebiedz-Odrobina 94 South St	$57.73	118	107
Christine Ann Surrette 11 Sandersdale Rd	$45.12	181	166
Christopher Glen Ilacqua 100 South St	$85.95	193	191
Peninah Elizabeth Waithira 29 Pine St	$43.35	200	192
Albina Kibirova 55 Sayles St	$26.27	200	136
Christine A Carey 100 South St	$40.62	261	256
Jennifer Bernardo-Bailey 100 South St	$40.04	285	252
Andrea Meyer 100 South St	$17.64	293	249
Edward Ye 100 South St	$38.55	322	312
Courtney Lynn Cowell 55 Sayles St	$21.57	363	329
James Arthur Faust 100 South St	$76.94	378	378
Lydia Parzych 94 South St	$45.14	446	435
William Francis Petrone Harrington Memorial Hospital	$49.71	448	267
Eileen Marie Kane 100 South St	$36.24	448	420
Shanise Margot Perez 29 Pine St	$36.53	458	445
Agata Marta Menard 29 Pine St	$50.08	481	421
Tina Irene Render 100 South St	$6.08	535	516
Harrington Physician Services, Inc. 164 South St	$46.33	545	524
Konstantino A Avradopoulos 94 South St	$17.67	642	459
Pamela D. Kutzer 100 South St	$85.32	653	648
Katie Beer 176 Main St	$41.62	722	667
Kirti Patel 100 South St Ste G05	$36.68	826	806
Elias Belezos 100 South St	$29.45	914	858
Carol Ann Eliadi 29 Pine St	$31.72	920	880
Donna Marie Kentley 55 Sayles St	$21.08	1,001	921
Ariel Jane Bullock 100 South St Ste 102	$44.93	1,059	996
Andrei Bandarchuk 55 Sayles St	$30.21	1,096	1,027
Nicole Marie Lynn Fillipon 79 Sayles St	$71.84	1,225	1,200
Christopher W. Seidler 55 Sayles St	$36.08	1,227	1,121
John J Diggins 29 Pine St	$77.75	1,320	1,261
Kathryn Edith Swanson 222 Main Street	$38.03	1,345	1,320
Michael P. Gaudet 100 South St	$74.01	1,477	1,449

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.

Average Medicaid Office Visit Payments in Southbridge, MA: $54.94

Providers Offering Office Visit in Southbridge, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

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Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Southbridge, MA

Non-Emergency Medical Transportation

Blood Work & Lab Tests

Psychiatric Evaluation

Emergency Room Visit

Behavioral & Mental Health Therapy

Home Health Visit

EKG / ECG (Electrocardiogram)

Case Management Services