Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Springfield, MA: $71.94

Avg. Paid

$71.94

Range

$0.00 – $446.14

Total Claims

2,654,243

Providers

1,017

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 Springfield, MA

Provider	Avg. Paid	Claims	Patients
Andrew R Doben 2 Medical Center Dr	$128.93	12	12
Mmaserame Gaefele Baystate Medical Center 759 Chestnut Street	$0.00	12	12
Joel Peter Gordon 3455 Main St	$37.99	12	12
Christopher M Bonci 271 Carew St	$49.65	12	12
Maryam M Hasan 759 Chestnut St	$163.83	12	12
Tatiana Parker 100 Wason Ave Ste 120	$47.68	12	12
Suzanne Starling 3300 Main Street	$42.80	12	12
Katelyn Sullivan Baystate Medical Ctr	$77.47	12	12
Barry E Slitzky 299 Carew St	$80.51	12	12
Linda L Denton 342 Birnie Ave	$76.64	12	12
Meredith Meier Sen 3455 Main St # C	$28.96	12	12
Krishna A Agarwal 100 Wason Ave Ste 210	$9.70	12	12
Yelena Mikich 3550 Main St Ste 302	$26.78	12	12
Sandra J Rae 3550 Main St	$55.82	12	12
Kelly M Binnall 3350 Main St	$27.12	12	12
Kristen Ashe Ventriglia 759 Chestnut St # Wg820	$33.39	12	12
Fariyda Mulrain 819 Worcester St	$36.16	12	12
Gerri Lynn Smith 3350 Main St	$44.51	12	12
Daniel R Fish 2 Medical Center Drive	$98.94	12	12
Nakul Ravikumar 3300 Main Street	$40.13	12	12
David Wartman 3455 Main St	$29.00	12	12
Jacqueline J Wu 2 Medical Center Dr	$27.95	12	12
Mohammed Absar Ullah 3300 Main Street	$82.02	12	12
James Hession 300 Birnie Ave	$12.92	13	13
Jessica Tatiana Elliot 417 Liberty St	$4.06	13	12
Ryann Nichole Mcchesney 380 Plainfield St	$35.57	13	13
Elizabeth Morrison Chrzan 1295 State St	$1.14	13	13
Ziad Nour Kutayli 2 Medical Center Dr	$33.58	13	13
Jamison A Bradshaw Baystate Medical Ctr	$240.24	13	13
Anita Ting Macdonald 759 Chestnut St Ste C3350	$0.00	13	13
Anita Watta Johnson 2 Medical Center Dr Ste 512	$27.63	13	13
Theresa S Howe 759 Chestnut Street	$27.37	13	13
African Diaspora Mental Health Association Llc. 605 State St	$107.78	13	12
Giorgio Giatsidis 2 Medical Center Dr Ste 206	$84.84	13	13
Mael Walkowiak 2 Medical Center Dr Ste 512	$36.81	13	13
Sherri G Cava 759 Chestnut St	$33.04	13	13
Erica V Staple 417 Liberty St	$56.21	13	13
Annette K Bates 819 Worcester St Ste 3	$39.13	13	13
Ya Zhou 759 Chestnut St	$67.42	13	13
Sharon M Woods 759 Chestnut St	$26.14	14	14
Brittany Lee Rahmberg 140 Carando Dr	$0.00	14	13
Amber Whitehill 100 Wason Ave Ste 120	$42.73	14	14
Loreiny Penalo 532 Sumner Ave	$15.74	14	13
Joel Anthony Fuller 759 Chestnut St	$48.67	14	14
Catherine Henry Tipton 100 Wason Avenue	$29.87	14	14
Richard Ogbuji 2 Medical Center Dr Ste 503	$94.60	14	14
Kathleen E Hogan-Soltys 263 Alden St	$50.88	14	13
Lisa M. Ledoux 3300 Main Street	$7.16	14	14
Center For Human Development, Inc 342 Birnie Ave	$54.84	14	12
Laura Bond Dube 3300 Main Street	$51.38	14	13

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 Springfield, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Springfield, MA is $71.94 per claim, based on 2,654,243 claims from 1017 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 Springfield, MA?

There are 1017 Medicaid providers offering Office Visit related services in Springfield, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Springfield, MA ranges from $0.00 to $446.14 per claim, with an average of $71.94. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Springfield, MA: $71.94

Providers Offering Office Visit in Springfield, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Houston, TX

Las Vegas, NV

Other Procedures in Springfield, MA

Substance Abuse Treatment

Blood Work & Lab Tests

Psychiatric Evaluation

Behavioral & Mental Health Therapy

Emergency Room Visit

Non-Emergency Medical Transportation

Personal Care Services

Case Management Services