Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Stoneham, MA: $46.11

Avg. Paid

$46.11

Range

$0.00 – $107.33

Total Claims

49,984

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 Stoneham, MA

Provider	Avg. Paid	Claims	Patients
Linda V Pham 92 Montvale Ave Ste 3000	$38.95	12	12
Peter N Tiffany 3 Woodland Rd	$34.63	12	12
F Khajavi Md Facp Inc 3 Woodland Rd Ste 418	$86.37	12	12
Tess Stevens 41 Montvale Ave	$37.72	13	13
Andras Sandor 91 Montvale Ave Ste 208	$35.05	13	13
Mandy Jean Ladner 3 Woodland Rd	$71.58	14	12
Jerry R Rittenhouse 3 Woodland Rd	$26.98	16	13
Susan Bove 88 Monvale Ave	$41.29	16	16
Carolyn L Fallica 41 Montvale Ave	$29.46	17	13
Marisa J Nezaria 88 Montvale Ave Ste 3	$41.46	25	25
Kanta Nagpaul 3 Woodland Rd	$57.26	27	27
Sangeeta Banerjee 92 Montvale Ave	$63.79	28	27
Adam Blau 91 Montvale Ave Ste 208	$57.17	28	25
Jill Fleming 88 Monvale Ave	$10.91	39	38
Meghan Jewett 41 Montvale Ave	$26.38	39	38
Eric Puccini Paulson 41 Montvale Ave Ste 200	$0.00	44	44
Julie Arline Fenner 92 Montvale Ave	$36.83	44	44
Ronald L Nath 91 Montvale Ave	$35.23	47	42
Arantxa Lewis 88 Montvale Ave	$4.87	50	47
Jesse Maxwell Lock 120 Macarthur Rd	$57.26	52	50
Molly Swallow Reilly 91 Montvale Ave	$33.49	53	53
Kristin L Mannke 92 Montvale Ave Ste 3000	$63.81	59	56
Louis F Insalaco 41 Montvale Ave Ste 200	$63.58	62	61
Marc Pifko 88 Monvale Ave	$24.64	63	62
Lieke T Lee 3 Woodland Rd	$19.48	64	63
Nicole Ann Bazarian 92 Montvale Ave	$0.00	74	74
Mark Anthony Figueroa 61 Main St	$37.03	82	79
Kaitlyn Nelson 41 Montvale Ave	$16.39	83	80
Michael Bader 92 Montvale Ave	$36.94	83	80
Alyson Schreiner 41 Montvale Ave	$28.22	85	71
Oluwatobi Ogbechie-Godec 92 Montvale Ave Ste 3000	$79.23	91	91
Rose S Weld 88 Monvale Ave	$31.09	93	93
Laurie Gumuchian 88 Monvale Ave	$8.33	109	107
Dukhee Rhee 41 Montvale Ave Ste 200	$41.52	127	123
Audra L Bake 3 Woodland Rd	$25.10	134	134
Matthew Scott Russell 41 Montvale Ave Ste 200	$43.57	135	133
Laurel Tillinghast Tainsh 1 Montvale Ave Ste 501	$37.41	157	154
Aarti Kakkar 51 Montvale Ave	$46.23	165	163
Caroline Dudman 45 Fieldstone Dr	$7.22	185	174
Robert Pastan 3 Woodland Rd	$24.11	189	187
Joseph L Pennacchio 41 Montvale Ave	$23.54	190	174
John Andrew Younghein 92 Montvale Ave Ste 1400	$45.09	191	180
Jennifer Mary Lane 91 Montvale Ave Ste 208	$43.95	200	187
Sudha Bolla 41 Montvale Ave	$31.07	205	192
Robert P Waugh 92 Montvale Ave	$67.06	207	205
Daniel W. Bienkowski 3 Woodland Rd	$27.46	213	193
Joshua Michael Stern 3 Woodland Rd Ste 216	$67.43	234	227
Erin P Murphy 92 Montvale Ave Ste 3675	$43.44	241	230
Wanda P Blanton 51 Montvale Ave	$43.07	289	288
Angel Joel Diaz Martinez 92 Montvale Ave Ste 3000	$92.32	389	388

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 Stoneham, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Stoneham, MA is $46.11 per claim, based on 49,984 claims from 78 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 Stoneham, MA?

There are 78 Medicaid providers offering Office Visit related services in Stoneham, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Stoneham, MA ranges from $0.00 to $107.33 per claim, with an average of $46.11. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Stoneham, MA: $46.11

Providers Offering Office Visit in Stoneham, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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