Average Medicaid Office Visit Payments in Taunton, MA: $67.37
Avg. Paid
$67.37
Range
$0.00 – $160.18
Total Claims
407,318
Providers
155
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 Taunton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Citizens For Citizens, Inc.
1 Taunton Grn |
$35.57 | 12 | 12 |
|
Manet Community Health Center, Inc.
1 Washington Street |
$21.34 | 13 | 13 |
|
Mary P Cahill
1 Washington St |
$0.00 | 16 | 13 |
|
Athalia Ballantyne
1 Washington St |
$16.28 | 18 | 16 |
|
Cynthia Podesta
59 Broadway |
$69.07 | 18 | 17 |
|
Lineidys Contreras
587 Tremont St |
$11.44 | 19 | 17 |
|
Ankita Jain
88 Washington St |
$7.09 | 21 | 20 |
|
Peter C Gherardi
1 Washington St |
$50.71 | 23 | 23 |
|
Brendan William Riley
88 Washington St |
$36.44 | 25 | 24 |
|
Susan E Thomas
152 Dean St |
$55.43 | 26 | 25 |
|
Harry Leroy Shoemaker
167 Broadway |
$62.52 | 27 | 27 |
|
Joshua Alexander Harpel
63 Winthrop St |
$55.21 | 31 | 31 |
|
Christine S Ament
2005 Bay St Ste 206 |
$25.85 | 36 | 28 |
|
Nicole Marie Leger
54 Court St |
$56.84 | 36 | 36 |
|
Maddison Gwynn Shumway
72 Washington St |
$17.31 | 43 | 43 |
|
Peter Bosco
88 Washington St |
$71.70 | 46 | 46 |
|
Thomas S Huth
72 Washington St. |
$52.70 | 50 | 46 |
|
Pathway To Recovery Llc
59 Broadway |
$100.73 | 51 | 44 |
|
Glen Wheeler
2007 Bay Street |
$25.10 | 52 | 50 |
|
Rohini Rao
2005 Bay St Ste 206 |
$17.44 | 56 | 52 |
|
Bryan J Bagdasian
72 Washington St Ste 2100 |
$70.64 | 60 | 57 |
|
Lisa Marie Shaffer
30 Taunton Grn Ste 5 |
$87.88 | 61 | 56 |
|
Saba Pervez Khokhar
100 Industrial Park Rd |
$32.94 | 68 | 66 |
|
Elizabeth Curtis
284 Winthrop St |
$5.75 | 76 | 76 |
|
Mary Joyal
54 Court St |
$64.18 | 76 | 67 |
|
Jiawei Zhao
2005 Bay St Ste 206 |
$44.92 | 85 | 85 |
|
Nicole Hauptman Siegel
2005 Bay St Ste 206 |
$42.88 | 89 | 86 |
|
Donald D Accetta
101 Industrial Park Road |
$48.09 | 90 | 88 |
|
Anna Kupcha
2005 Bay St Ste 206 |
$36.00 | 93 | 92 |
|
Alison Verdone
35 Summer St |
$56.56 | 95 | 91 |
|
Samuel K Staula
75 Washington Street |
$18.42 | 103 | 103 |
|
Stacey Dobrowolski
30 Taunton Grn Ste 5 |
$23.48 | 111 | 100 |
|
Lauren Turner
72 Washingtonst |
$27.58 | 111 | 88 |
|
Archana Thangappan Seethala
2005 Bay St Ste 206 |
$58.10 | 112 | 103 |
|
Morton Hospital, A Steward Family Hospital, Inc.
88 Washington St |
$160.18 | 114 | 103 |
|
Sandra O'Loughlin
1 Washington St |
$17.41 | 115 | 107 |
|
Jean Ann Helger
1 Washington Street |
$32.17 | 151 | 137 |
|
John W Gittinger
2005 Bay St |
$39.60 | 159 | 155 |
|
Laurie A Curry
91 Washington St |
$53.03 | 194 | 190 |
|
Wuqaas M Munir
2005 Bay St |
$113.57 | 195 | 174 |
|
Melissa Marie Vuolo
72 Washington St Ste 2100 |
$39.54 | 198 | 192 |
|
Evan R Kaiser
152 Dean St |
$54.18 | 198 | 188 |
|
Terri A. Sullivan
2005 Bay St |
$41.07 | 202 | 198 |
|
Victor Komry
70 Main St |
$73.13 | 215 | 211 |
|
Erica Barratt
1 Washington St |
$0.83 | 219 | 213 |
|
Kevin Michael Berney
152 Dean St Ste 13 |
$101.00 | 220 | 193 |
|
Annmarie Katelyn Lynch
146 Dean St |
$11.28 | 223 | 191 |
|
Melissa Sylvia
284 Winthrop St |
$22.51 | 228 | 221 |
|
Alissa Alexandra Robinson
72 Washington St Ste 1600 |
$38.52 | 248 | 241 |
|
Pharmacy Corporation Of America
350 Myles Standish Blvd Ste 104 |
$36.91 | 248 | 238 |
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 Taunton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Taunton, MA is $67.37 per claim, based on 407,318 claims from 155 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 Taunton, MA?
There are 155 Medicaid providers offering Office Visit related services in Taunton, MA according to public payment data.
What is the price range for Office Visit in Taunton, MA?
Medicaid reimbursement for Office Visit in Taunton, MA ranges from $0.00 to $160.18 per claim, with an average of $67.37. 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 Taunton, MA
Psychiatric Evaluation
Avg $95.11
1,262,030 claims
Case Management Services
Avg $27.94
616,482 claims
Substance Abuse Treatment
Avg $33.04
522,430 claims
Non-Emergency Medical Transportation
Avg $21.70
299,150 claims
Behavioral & Mental Health Therapy
Avg $78.51
200,523 claims
Eye Exam
Avg $31.90
182,220 claims
Dental Cleaning & Exam
Avg $29.97
149,745 claims
Blood Work & Lab Tests
Avg $9.14
140,528 claims