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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

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

Other Procedures in Stoneham, MA