Average Medicaid Office Visit Payments in Stoneham, MA: $46.11
Avg. Paid
$46.11
Range
$0.00 – $107.33
Total Claims
49,984
Providers
78
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 |
|---|---|---|---|
|
Anil Kumar
3 Woodland Rd |
$33.86 | 7,395 | 6,655 |
|
Farrokh Khajavi-Noori
3 Woodland Rd Ste 418 |
$73.18 | 5,266 | 4,983 |
|
Yuhong Gong
92 Montvale Ave Ste 3675 |
$10.40 | 3,714 | 1,898 |
|
Michelle L. Lock
92 Montvale Ave |
$61.68 | 3,028 | 2,814 |
|
Sheaumei Tsai
3 Woodland Rd |
$42.18 | 2,915 | 2,844 |
|
Angelica R Espinosa-Louissaint
92 Montvale Ave |
$55.80 | 2,556 | 2,405 |
|
Patriot Urgent Care Professionals, Pc
16 Main St |
$107.33 | 2,249 | 2,184 |
|
Jacqueline Elyse Marong
92 Montvale Ave Ste 4200 |
$37.75 | 1,668 | 1,576 |
|
Sohail N Husain
92 Montvale Ave |
$44.40 | 1,485 | 1,425 |
|
Abraham T Shurland
92 Montvale Ave |
$40.96 | 1,447 | 1,387 |
|
Shant A Parseghian
92Montvale Ave |
$40.93 | 1,396 | 1,379 |
|
Anna Mei
92 Montvale Ave Ste 1400 |
$18.79 | 1,238 | 1,152 |
|
Evan J. Zahner
92 Montvale Ave |
$42.68 | 1,218 | 1,172 |
|
Smita Patel
92 Montvale Ave |
$56.79 | 1,005 | 951 |
|
Yuriy Andrusyshyn
88 Monvale Ave |
$40.49 | 877 | 845 |
|
Sameer O. Kapasi
92 Montvale Ave Ste 1400 |
$48.54 | 849 | 821 |
|
Brian Thomas Clark
51 Montvale Ave |
$46.80 | 796 | 790 |
|
Samila Francois
3 Woodland Rd |
$68.83 | 660 | 658 |
|
Christopher H Leung
51 Montvale Ave |
$45.46 | 659 | 655 |
|
Jessica Ann Lynch
88 Montvale Ave |
$45.21 | 586 | 520 |
|
Margaret Leigh Inners Hart
92 Montvale Ave Ste 4100 |
$5.96 | 578 | 560 |
|
Marie Walcott
92 Montvale Ave |
$38.05 | 543 | 518 |
|
Jillian Clare Cunningham
92 Montevale Ave Suite 4200 |
$4.67 | 520 | 499 |
|
Arthur Foster Little
Mystic Valley Urological |
$37.88 | 502 | 489 |
|
Kelly Anne St Bernard
41 Montvale Ave |
$41.12 | 491 | 471 |
|
David John Lesnik
1 Montvale Ave |
$48.63 | 457 | 454 |
|
Donald J. Grande
92 Montvale Ave Ste 3000 |
$62.36 | 451 | 444 |
|
William Joseph Doherty
92 Montvale Ave |
$41.62 | 435 | 431 |
|
Angel Joel Diaz Martinez
92 Montvale Ave Ste 3000 |
$92.32 | 389 | 388 |
|
Wanda P Blanton
51 Montvale Ave |
$43.07 | 289 | 288 |
|
Erin P Murphy
92 Montvale Ave Ste 3675 |
$43.44 | 241 | 230 |
|
Joshua Michael Stern
3 Woodland Rd Ste 216 |
$67.43 | 234 | 227 |
|
Daniel W. Bienkowski
3 Woodland Rd |
$27.46 | 213 | 193 |
|
Robert P Waugh
92 Montvale Ave |
$67.06 | 207 | 205 |
|
Sudha Bolla
41 Montvale Ave |
$31.07 | 205 | 192 |
|
Jennifer Mary Lane
91 Montvale Ave Ste 208 |
$43.95 | 200 | 187 |
|
John Andrew Younghein
92 Montvale Ave Ste 1400 |
$45.09 | 191 | 180 |
|
Joseph L Pennacchio
41 Montvale Ave |
$23.54 | 190 | 174 |
|
Robert Pastan
3 Woodland Rd |
$24.11 | 189 | 187 |
|
Caroline Dudman
45 Fieldstone Dr |
$7.22 | 185 | 174 |
|
Aarti Kakkar
51 Montvale Ave |
$46.23 | 165 | 163 |
|
Laurel Tillinghast Tainsh
1 Montvale Ave Ste 501 |
$37.41 | 157 | 154 |
|
Matthew Scott Russell
41 Montvale Ave Ste 200 |
$43.57 | 135 | 133 |
|
Audra L Bake
3 Woodland Rd |
$25.10 | 134 | 134 |
|
Dukhee Rhee
41 Montvale Ave Ste 200 |
$41.52 | 127 | 123 |
|
Laurie Gumuchian
88 Monvale Ave |
$8.33 | 109 | 107 |
|
Rose S Weld
88 Monvale Ave |
$31.09 | 93 | 93 |
|
Oluwatobi Ogbechie-Godec
92 Montvale Ave Ste 3000 |
$79.23 | 91 | 91 |
|
Alyson Schreiner
41 Montvale Ave |
$28.22 | 85 | 71 |
|
Kaitlyn Nelson
41 Montvale Ave |
$16.39 | 83 | 80 |
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.
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 Stoneham, MA
Dental Cleaning & Exam
Avg $38.80
32,666 claims
Tooth Extraction
Avg $151.18
28,682 claims
Nursing Facility Care
Avg $11.21
10,690 claims
EKG / ECG (Electrocardiogram)
Avg $3.92
8,993 claims
Eye Exam
Avg $30.75
7,415 claims
Physical Therapy
Avg $19.49
5,760 claims
Blood Work & Lab Tests
Avg $20.59
5,248 claims
Vaccines & Immunizations
Avg $28.44
3,675 claims