Average Medicaid Office Visit Payments in Swampscott, MA: $50.32
Avg. Paid
$50.32
Range
$1.60 – $91.14
Total Claims
59,427
Providers
33
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 Swampscott, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher J Coffey
383 Paradise Rd |
$31.96 | 12 | 12 |
|
Patrice Helen Fox
383 Paradise Road |
$52.68 | 12 | 12 |
|
Amy A Chan
990 Paradise Rd |
$42.07 | 56 | 54 |
|
Patricia Malone
383 Paradise Road |
$45.16 | 96 | 89 |
|
Wendy Paige Beaumier
250 Paradise Rd |
$51.49 | 125 | 117 |
|
Julie Ann Zabar
990 Paradise Rd |
$46.15 | 131 | 130 |
|
R. Louis Rotondo
990 Paradise Rd |
$14.77 | 163 | 158 |
|
Kelly Mizraji
383 Paradise Rd |
$53.71 | 184 | 182 |
|
Artem Gutmanovich
413 Paradise Rd Ste B |
$41.39 | 233 | 190 |
|
Joel B Heller
383 Paradise Road |
$70.86 | 251 | 244 |
|
Carlyn Mcgrath Wikar
Howard S Goldsberg Md In |
$58.40 | 256 | 251 |
|
Kimberly A Comeau
990 Paradise Road |
$35.42 | 307 | 307 |
|
Tiffany Andrea Phyoe-Battaglia
383 Paradise Rd |
$69.18 | 326 | 313 |
|
John Gelinas
383 Paradise Road |
$61.79 | 333 | 321 |
|
Justine M Gelinas
383 Paradise Rd |
$50.06 | 396 | 386 |
|
Sunmi Yang
250 Paradise Rd |
$91.14 | 623 | 601 |
|
Anthony G Spartos
250 Paradise Rd |
$37.60 | 885 | 796 |
|
Joshua Cohen
250 Paradise Rd |
$27.35 | 943 | 900 |
|
John E Beaulieu
990 Paradise Rd |
$54.84 | 1,129 | 1,035 |
|
Keith C Nobil
250 Paradise Rd |
$41.49 | 1,189 | 1,128 |
|
Kristin A Donovan
440 Humphrey St |
$1.60 | 1,195 | 1,102 |
|
Urgent Care Operations Pc
450 Paradise Rd |
$87.87 | 1,405 | 1,358 |
|
Elizabeth N Alt
250 Paradise Rd |
$56.63 | 1,642 | 1,565 |
|
Emily Prahl
250 Paradise Rd |
$72.87 | 2,244 | 1,639 |
|
Amanda Rae Ritvo
250 Paradise Rd |
$53.11 | 2,282 | 2,150 |
|
Peter M Barker
250 Paradise Rd |
$46.24 | 2,392 | 2,299 |
|
Laurie H Witts
250 Paradise Rd |
$45.27 | 2,637 | 2,492 |
|
Lisa Michelle Ceplikas
250 Paradise Rd |
$53.61 | 3,489 | 3,321 |
|
Miguel Angel Concepcion
250 Paradise Rd |
$45.11 | 3,889 | 3,694 |
|
Mana C Mcclain
990 Paradise Rd Ste 2B |
$56.23 | 5,800 | 5,726 |
|
Eva Marie Volf
990 Paradise Rd |
$55.57 | 6,598 | 6,483 |
|
Susan C Dedominicis
990 Paradise Road |
$45.79 | 8,588 | 8,478 |
|
Howard S Goldberg
990 Paradise Road |
$45.04 | 9,616 | 9,402 |
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 Swampscott, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Swampscott, MA is $50.32 per claim, based on 59,427 claims from 33 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 Swampscott, MA?
There are 33 Medicaid providers offering Office Visit related services in Swampscott, MA according to public payment data.
What is the price range for Office Visit in Swampscott, MA?
Medicaid reimbursement for Office Visit in Swampscott, MA ranges from $1.60 to $91.14 per claim, with an average of $50.32. 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 Swampscott, MA
Behavioral & Mental Health Therapy
Avg $221.11
8,383 claims
Physical Therapy
Avg $21.01
6,625 claims
Personal Care Services
Avg $31.01
6,170 claims
Psychiatric Evaluation
Avg $69.25
6,131 claims
Blood Work & Lab Tests
Avg $3.84
5,691 claims
Home Health Visit
Avg $27.48
3,944 claims
Chiropractic Care
Avg $15.95
1,863 claims
Dental Cleaning & Exam
Avg $35.45
889 claims