Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Stoughton, MA: $58.82

Avg. Paid

$58.82

Range

$2.48 – $118.32

Total Claims

43,913

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 Stoughton, MA

Provider	Avg. Paid	Claims	Patients
Abelard Psychotherapy Inc. 450 Pearl St	$63.92	13,849	11,352
Margaret R. Brown 294 Pleasant St Ste 205	$65.60	4,655	4,358
Charles F Leonard 1214 Park St Ste 201	$47.82	4,308	2,331
Gabrielle P Abelard 450 Pearl St.	$61.95	3,437	3,162
Francine Deluca-Champion 907 Sumner St	$53.43	2,415	2,259
Howard A Fogel 150 York St	$21.00	1,829	1,815
Susan Ruth Cohen 907 Sumner St	$71.43	1,790	1,631
Alexis K Baird 909 Sumner St	$22.46	1,568	1,378
Jill Cori Weiskopf 907 Sumner St	$73.43	1,158	1,071
Meghan Alana Molnar 450 Pearl St	$86.13	992	750
Gabriel Goldberger 966C Park St	$72.82	966	894
Duny Damas 489 Page St	$61.56	796	720
Mary Catherine Dinallo 450 Pearl St Ste 3&3B	$33.65	752	665
Carley Lemay 450 Pearl St	$83.19	635	578
Tracy Callahan 286 Washington St	$21.74	626	616
Jose Alberto Betances 1524 Turnpike St	$91.98	565	546
Ogo George 810 Washington St Ste 3	$31.39	451	393
Carecentral Urgent Care Medical Group Pc 286 Washington St	$113.83	420	407
Kasey Lynne Dietzman 907 Sumner St Ste M-102	$4.81	335	318
Inas O Almasry 907 Sumner St	$87.41	332	295
Philip Anthony Hourigan 907 Sumner St	$65.85	318	300
Irhene Kelvin Osagie 14 Page Ter Ste 3Cd	$14.00	273	252
Woudelyne Jean 909 Sumner St	$47.22	246	224
Danielle Marie Gallan 101 Donahue Way	$67.44	210	158
Melissa Almeida Williams 286 Washington St	$81.02	163	161
Lisa Beth Graff 450 Pearl St Ste 3	$85.05	144	115
Eugenia Alex Wilkinson 450 Pearl St	$53.27	121	107
Alexander C White 150 York Street	$46.74	112	111
Katlyne Brutus 286 Washington St	$78.51	94	93
Carecentral Urgent Care Medical Group Pc 286 Washington St	$118.32	68	67
Shelagh Macropoulos 150 York St	$64.56	51	50
Katherine Boone 450 Pearl St Ste 3	$66.58	42	38
Joel S Golden 907 Sumner St	$16.38	38	37
Brian B Bloom 150 York Street	$53.40	37	37
Michelle M Ritchie 150 York St	$18.92	37	37
Lee S Altman 1044 Central St	$89.07	36	31
Joshua Quinones 450 Pearl St Ste 3&3B	$33.50	31	29
Brenda Hung 1025 Central St	$2.48	13	12

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 Stoughton, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Stoughton, MA is $58.82 per claim, based on 43,913 claims from 38 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 Stoughton, MA?

There are 38 Medicaid providers offering Office Visit related services in Stoughton, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Stoughton, MA ranges from $2.48 to $118.32 per claim, with an average of $58.82. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Stoughton, MA: $58.82

Providers Offering Office Visit in Stoughton, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Stoughton, MA

Home Health Visit

Non-Emergency Medical Transportation

Case Management Services

Personal Care Services

Ultrasound

Behavioral & Mental Health Therapy

Psychiatric Evaluation

Physical Therapy