Average Medicaid Office Visit Payments in Sturbridge, MA: $37.19
Avg. Paid
$37.19
Range
$4.39 – $86.16
Total Claims
25,895
Providers
19
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 Sturbridge, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Martha G Charley
Southbridge Pain Clinic |
$18.05 | 12 | 12 |
|
Samantha Elizabeth Donlon
198 Charlton Rd |
$12.27 | 134 | 134 |
|
Ginny K Crosse
198 Charlton Rd |
$14.70 | 164 | 158 |
|
Lien-Thu Van Dao
100 Charlton Rd |
$57.42 | 171 | 167 |
|
Shanell H Vance
198 Charlton Rd |
$36.71 | 180 | 172 |
|
Ayodeji E Okorafor
58 Main St Ste 3 |
$62.72 | 254 | 228 |
|
Gary F Jeznach
118 Main St |
$54.74 | 468 | 413 |
|
Jessica Locke
198 Charlton Rd |
$15.97 | 472 | 454 |
|
David Michael Erani
128 Main St |
$54.26 | 566 | 560 |
|
Arturo Aguillon-Bouche
69 Hall Rd |
$31.60 | 583 | 544 |
|
Stephany Khalil Matta
198 Charlton Rd |
$39.89 | 815 | 756 |
|
Junjie Fang
118 Main St |
$86.16 | 899 | 825 |
|
Margo Rockwell Stevenson
198 Charlton Rd |
$47.45 | 1,069 | 1,023 |
|
Stephanie Elizabeth Keaney
67 Hall Rd |
$45.27 | 1,483 | 1,454 |
|
Meenakshi Vemuri
258 Main St |
$80.14 | 1,579 | 1,463 |
|
Mohamed Hashi Abib
128 Main St Ste 4 |
$4.39 | 2,049 | 1,848 |
|
Ashraf Farid
48 Main St Ste 6 |
$30.82 | 4,482 | 4,249 |
|
Michael Charles Jedrzynski
118 Main St #4 |
$22.44 | 4,567 | 4,450 |
|
Gennady Gelman
198 Charlton Rd |
$40.38 | 5,948 | 5,702 |
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 Sturbridge, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sturbridge, MA is $37.19 per claim, based on 25,895 claims from 19 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 Sturbridge, MA?
There are 19 Medicaid providers offering Office Visit related services in Sturbridge, MA according to public payment data.
What is the price range for Office Visit in Sturbridge, MA?
Medicaid reimbursement for Office Visit in Sturbridge, MA ranges from $4.39 to $86.16 per claim, with an average of $37.19. 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 Sturbridge, MA
Behavioral & Mental Health Therapy
Avg $81.70
84,597 claims
Eye Exam
Avg $30.20
21,234 claims
Dental Cleaning & Exam
Avg $29.77
8,749 claims
Home Health Visit
Avg $146.21
7,266 claims
Ambulance Transport
Avg $98.44
4,512 claims
Psychiatric Evaluation
Avg $26.41
3,106 claims
Chiropractic Care
Avg $27.57
1,717 claims
Speech Therapy
Avg $65.65
1,335 claims