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
Baystate Medical Center Inc 759 Chestnut St	$147.62	546,994	468,015
Behavioral Health Network Inc 417 Liberty St	$51.52	76,802	72,123
Center For Human Development, Inc. 332 Birnie Ave	$88.61	45,726	43,592
Behavioral Health Network, Inc 395 Liberty St	$62.20	38,884	36,885
Medexpress Urgent Care, Pc - Massachusetts 430 Cooley St	$79.35	29,599	28,875
Bharati Nandlal Reejhsinghani 754 Chestnut Street	$66.97	27,138	19,106
Gandara Mental Health Center Inc 2155 Main St	$76.53	26,488	25,605
Peter T Demos 125 Liberty St	$61.12	21,684	21,292
Audrey Susan Guhn 380 Plainfield St	$37.21	21,095	20,387
Andrew H Balder 11 Wilbraham Rd	$39.56	18,809	18,173
Baystate Medical Practices, Inc 759 Chestnut St	$86.45	18,759	18,165
Maura E. Munoz 11 Wilbraham Rd	$40.85	17,724	17,017
Behavioral Health Network, Inc 395 Liberty St	$44.69	17,441	16,415
Ricardo F. Villalba Lopez 50 Wason Avenue	$1.81	17,214	15,529
Moris Pardo 299 Carew St Ste 207	$53.95	16,059	15,654
Orlando L Torres 140 High St	$49.20	15,985	15,557
Cortney Cristen Haynes 11 Wilbraham Rd	$44.48	15,288	14,644
Afc Physicians Of Massachusetts, Pc 415 Cooley St	$87.12	14,994	14,718
Right Choice Health Group Llc 125 Liberty St	$83.73	14,975	4,784
Maria Ethel Evales 299 Carew St Ste 126	$68.67	14,427	12,504
Paul Azimov 3640 Main St Ste 102	$58.48	14,388	14,045
Wendelin K. Reymond 3400 Main Street	$59.89	14,258	13,931
Antonette M Comeau 819 Worcester St	$54.08	14,232	10,514
Carolyn S Goldstein 50 Wason Ave	$29.24	14,029	13,589
The Shriners' Hospital For Children 516 Carew St	$204.87	13,974	13,450
Nicola T. Sumorok 140 High St	$40.32	13,950	13,698
Lauren B Meade 140 High St	$39.54	13,845	13,550
Beata Tyminska-Paluchowska 299 Carew St	$57.79	13,304	12,096
Kathryn A Jobbins 140 High St	$45.36	12,886	12,608
Mark S. Kassis 3400 Main St	$57.62	12,792	12,447
Magdalena Czerkawska-Zydzik 299 Carew St	$58.95	12,464	11,238
James Francis Carroll 271 Carew St	$67.29	12,298	9,474
Mayu Sekiguchi Runge 140 High St	$36.64	11,661	11,351
Mark Stanley Skalski 305 Bicentennial Hwy	$51.20	11,605	10,972
John R. O'Reilly 140 High St	$47.52	11,359	11,072
Linda J Canty 140 High St	$48.21	10,809	10,576
Booker T. Bush 140 High St	$43.02	10,665	10,460
Christine A Sickle 1515 Allen St, Suite B	$60.55	10,426	9,485
Eric C Churchill 140 High Street	$40.32	10,309	10,104
Community Services Institute, Inc. 1695 Main St	$67.92	10,245	9,729
Robin B Buckingham 3400 Main St	$50.71	10,222	7,751
Paul S Salva 781 Chestnut St	$83.32	10,115	9,516
Christopher Wolf 175 Carew Street	$44.33	9,966	9,499
Deborah Marie Branco 759 Chestnut St	$54.40	9,922	8,853
Phanthila Singhaviranon 50 Wason Ave	$35.95	9,871	9,694
Sharon Baribeau 3300 Main Street	$54.57	9,724	7,072
Frances M Hurley 80 Congress St	$58.95	9,685	4,587
Matthew D Sadof 140 High St	$43.55	9,647	9,216
Amy L Pelletier 50 Wason Ave	$31.13	9,589	9,227
Daniel I Plosky 100 Wason Avenue	$53.18	9,528	9,316

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

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

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