Skip to content
Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Tewksbury, MA: $56.32

Avg. Paid

$56.32

Range

$7.90 – $88.72

Total Claims

74,411

Providers

32

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 Tewksbury, MA

Provider Avg. Paid Claims Patients
Laurie B. Botie

600 Clark Rd

 $52.63 10,867 6,826
Carewell Urgent Care Centers Of Ma, P.C

345 Main St

 $88.72 7,725 7,567
David Anthony Tortorella

170 Main St Units G4-G8

 $69.76 7,456 4,298
Daniel Ackroyd

17 Kansas Rd

 $67.51 7,263 6,871
Raymond Herbert Lewis

600 Clark Rd

 $55.41 5,038 4,842
Cindy S Cheng

600 Clark Rd

 $49.34 4,998 4,703
Emelyn Borja Molato

600 Clark Rd

 $52.28 3,604 3,462
Paul Gerard Harcourt

600 Clark Rd

 $46.26 3,192 3,047
Frank Osborn

600 Clark Rd

 $53.37 2,646 2,461
John Albert Ragucci

1565 Main St

 $46.39 2,591 2,471
Lisa Helen Diburro

600 Clark Rd

 $33.57 2,508 2,311
Myra Pieri

2345 Main St

 $59.94 2,507 1,765
Rebekah Ashton

600 Clark Rd Ste 3

 $38.93 2,358 2,261
James K Kuin

600 Clark Rd

 $48.05 2,286 2,135
Robert A Karr

North East Area Office

 $52.69 1,754 1,720
Catherine D Elie

1574 Main St

 $40.44 1,495 1,422
Alexa Aboshar

600 Clark Rd

 $22.06 1,013 990
Joseph P Rossacci

600 Clark Rd

 $35.73 989 980
Keren T Wilson

2345 Main Street

 $36.18 760 734
Malina Holmes

600 Clark Rd Ste 3

 $30.57 694 665
Karen Beth Poushter

170 Main St

 $32.49 657 630
George Karanja

1445 Main St Ste 9

 $50.33 618 592
Jennifer Li

2345 Main St

 $26.60 383 342
Patrick Joseph Canavan

82 Juniper Ln

 $49.65 310 305
Stephen R. Guay

2345 Main Street

 $13.99 211 206
Jeffrey Brown

345 Main St

 $73.82 198 195
Rebecca Wallach

2345 Main St

 $14.37 96 92
Margaret Walsh

10 Ronald Dr

 $7.90 77 73
Allison M Wehr

365 East St

 $56.44 35 34
Andrew Escoll

2345 Main St

 $39.40 30 29
Global Care Medical Group, P.C.

600 Clark Rd

 $62.95 27 24
Tara M. Coyne

600 Clark Rd

 $79.77 25 25

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 Tewksbury, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tewksbury, MA is $56.32 per claim, based on 74,411 claims from 32 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 Tewksbury, MA?

There are 32 Medicaid providers offering Office Visit related services in Tewksbury, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Tewksbury, MA ranges from $7.90 to $88.72 per claim, with an average of $56.32. 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 Tewksbury, MA

Home Health Visit

Avg $31.64

248,741 claims

Physical Therapy

Avg $24.25

46,210 claims

Personal Care Services

Avg $27.02

37,647 claims

Blood Work & Lab Tests

Avg $41.20

22,351 claims

Psychiatric Evaluation

Avg $45.27

18,491 claims

Ambulance Transport

Avg $103.03

14,331 claims

Dental Cleaning & Exam

Avg $38.59

13,626 claims

Behavioral & Mental Health Therapy

Avg $182.43

11,035 claims