Average Medicaid Office Visit Payments in Sudbury, MA: $30.35
Avg. Paid
$30.35
Range
$1.81 – $193.68
Total Claims
17,028
Providers
18
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 Sudbury, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Randall H Mcshine
490 Boston Post Rd |
$5.71 | 6,748 | 5,992 |
|
Hayley Rebekah Deangelis
501 Boston Post Rd |
$34.16 | 2,248 | 1,353 |
|
Robert B Swotinsky
21 Raymond Rd |
$48.09 | 1,548 | 952 |
|
Sana Assaf
616 Boston Post Rd |
$51.77 | 1,431 | 1,381 |
|
Katherine M Medford
616 Boston Post Road |
$58.09 | 809 | 779 |
|
John Joseph Reap
616 Boston Post Rd |
$56.01 | 718 | 687 |
|
Bryant A. Tarr
111 Boston Post Rd |
$11.72 | 651 | 643 |
|
Brian Foster Digiovanni
616 Boston Post Rd |
$50.47 | 623 | 608 |
|
Morgan M Brooks
144 North Rd |
$80.06 | 589 | 480 |
|
Kristy Poulliot
29 Hudson Rd Ste 3310 |
$44.55 | 482 | 452 |
|
William F Wirth
410 Boston Post Rd #6 |
$50.87 | 439 | 404 |
|
Andrea R Rizzo
490 Boston Post Rd |
$26.78 | 394 | 378 |
|
Heather Roanna Connors
144 North Rd Ste 3450 |
$84.60 | 228 | 184 |
|
Jennifer Gillard
Post Road Pediatrics, Llp |
$1.81 | 55 | 54 |
|
Sandy Tan
501 Boston Post Rd |
$49.66 | 27 | 26 |
|
Paula Jo Carbone
29 Hudson Rd Ste 3310 |
$84.21 | 13 | 13 |
|
William Zachary Barnard
322 Boston Post Rd # 208 |
$193.68 | 13 | 13 |
|
Raina Basak
68 Brookdale Rd |
$71.06 | 12 | 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 Sudbury, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sudbury, MA is $30.35 per claim, based on 17,028 claims from 18 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 Sudbury, MA?
There are 18 Medicaid providers offering Office Visit related services in Sudbury, MA according to public payment data.
What is the price range for Office Visit in Sudbury, MA?
Medicaid reimbursement for Office Visit in Sudbury, MA ranges from $1.81 to $193.68 per claim, with an average of $30.35. 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 Sudbury, MA
Home Health Visit
Avg $24.75
70,587 claims
Nursing Facility Care
Avg $9.00
7,728 claims
Physical Therapy
Avg $8.54
4,863 claims
Vaccines & Immunizations
Avg $15.08
4,855 claims
Blood Work & Lab Tests
Avg $38.07
4,315 claims
Personal Care Services
Avg $23.59
4,018 claims
Non-Emergency Medical Transportation
Avg $21.42
2,622 claims
Podiatry (Foot Care)
Avg $10.00
2,055 claims