Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Swansea, MA: $39.07

Avg. Paid

$39.07

Range

$3.80 – $69.38

Total Claims

65,046

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 Swansea, MA

Provider	Avg. Paid	Claims	Patients
Kerry Pimentel Taveira 440 Swansea Mall Dr	$44.50	11,848	11,396
Margaret Inacio 440 Swansea Mall Dr Fl 2	$25.89	6,687	6,481
Lindsay Medeiros 440 Swansea Mall Dr	$25.43	5,125	4,971
Erin Mcdonough 440 Swansea Mall Dr	$23.02	4,732	4,668
Mark A. Ringiewicz 479 Swansea Mall Dr	$41.76	2,984	2,901
Gina Marie Costello 2200 Gar Hwy	$51.83	2,938	2,776
Nicole Saikali 440 Swansea Mall Dr	$26.68	2,794	2,684
Chelsea Rae Manzone 479 Swansea Mall Dr	$44.91	2,717	2,688
Katherine Y Benevides 479 Swansea Mall Dr	$39.43	2,170	2,087
Kelly Reynolds 2200 Gar Hwy	$50.53	1,936	1,867
William R Blair 479 Swansea Mall Dr	$31.78	1,862	1,735
Jessica Huang 479 Swansea Mall Dr	$50.51	1,750	1,718
James R. Lippincott 479 Swansea Mall Dr	$53.27	1,743	1,683
Jeffrey B. Syme 479 Swansea Mall Dr	$45.76	1,632	1,539
Elzbieta N Cummings 2200 Gar Hwy	$65.25	1,612	1,536
Diane M Kuttner 479 Swansea Mall Dr	$42.26	1,504	1,490
Barbara E Denuyl 2200 Gar Hwy	$45.91	1,486	1,429
Priscilla Shube 479 Swansea Mall Dr	$46.81	1,339	1,296
Stephanie G Lawrence 479 Swansea Mall Dr	$69.38	1,135	1,021
Jessica Lynn Runquist 1675 Gar Hwy	$38.18	1,110	1,098
Michael A Iadevaia 479 Swansea Mall Dr	$30.73	1,027	1,006
Brian Costa 479 Swansea Mall Dr	$3.80	814	802
Sarah Shreter 1738 Gar Highway	$49.96	708	637
Marc Adams 28 Market St	$42.08	637	621
Joseph Timothy Lifrak 479 Swansea Mall Dr	$54.88	580	562
Hannah R Stoops 479 Swansea Mall Dr	$27.15	500	477
Hugh Woolverton 479 Swansea Mall Dr	$45.37	436	419
Joan T Wildenhain 479 Swansea Mall Dr	$30.42	398	394
Katrina Jane Roi 479 Swansea Mall Dr	$37.24	381	369
Lisa M Porto 2340 Gar Hwy	$41.01	294	286
Joyce Elizabeth Monac 2200 Gar Hwy	$58.05	85	84
Marian Jean Markowitz 260 Ocean Grove Avenue	$44.98	69	68
Michael J. Cunha 28 Market St	$25.03	13	13

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 Swansea, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Swansea, MA is $39.07 per claim, based on 65,046 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 Swansea, MA?

There are 33 Medicaid providers offering Office Visit related services in Swansea, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Swansea, MA ranges from $3.80 to $69.38 per claim, with an average of $39.07. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Swansea, MA: $39.07

Providers Offering Office Visit in Swansea, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Swansea, MA

Dental Cleaning & Exam

Psychiatric Evaluation

Ambulance Transport

Tooth Extraction

Speech Therapy

Vaccines & Immunizations

Emergency Room Visit

Behavioral & Mental Health Therapy