Average Medicaid Office Visit Payments in Wakefield, MA: $40.99
Avg. Paid
$40.99
Range
$1.73 – $63.68
Total Claims
16,694
Providers
24
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 Wakefield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Benjamin Calef
33 Avon St |
$31.55 | 3,188 | 2,808 |
|
David A Calef
33 Avon St |
$32.33 | 2,153 | 1,808 |
|
Enmei Wang
15 Richardson Ave |
$63.68 | 2,038 | 1,861 |
|
John David Mudrock
888 Main St Ste 101 |
$34.23 | 1,764 | 1,703 |
|
Elena Gorlovsky
15 Richardson Ave |
$54.54 | 1,356 | 1,255 |
|
Emily Chin
701 Edgewater Dr Ste 420 |
$28.07 | 1,328 | 1,308 |
|
Jessica Moniz Goulart
607 North Ave Ofc 18 |
$53.02 | 831 | 789 |
|
Bruce G Watrous
607 North Avenue, Door 17 |
$47.25 | 790 | 723 |
|
Davis Bu
888 Main St Ste 101 |
$48.56 | 638 | 617 |
|
Lynn Ellen Jumper
888 Main St Ste 101 |
$37.77 | 554 | 519 |
|
Prathima Vemuru Reddy
1 Walton Street |
$54.67 | 443 | 423 |
|
Douglas Robert Schulte
888 Main St |
$39.62 | 341 | 270 |
|
Nicole Anne Bloor
888 Main St Ste 101 |
$62.58 | 298 | 288 |
|
Sasha Alexandra Bodnaruk
75 Pleasant St |
$22.57 | 282 | 279 |
|
Elizabeth M Martell
201 Edgewater Dr Ste 102 |
$3.29 | 200 | 194 |
|
Deborah Karen Mchugh
603 Salem Street Suite 3 |
$45.53 | 153 | 146 |
|
Adam Grimm
336 Main St |
$28.74 | 133 | 107 |
|
Cathy Dowen
607 North Avenue Door 17 |
$8.89 | 55 | 51 |
|
Matthew W Brown
888 Main St Ste 101 |
$25.48 | 36 | 29 |
|
Kelly Elizabeth Campbell-Wigington
607 North Ave Ofc 18 |
$25.77 | 30 | 29 |
|
Ashley Marie Berry Mcedriss
27 Water St Ste 102B |
$46.99 | 28 | 28 |
|
Donna Vann
22 Yale Ave |
$41.80 | 27 | 24 |
|
Daniel John Witkowski
26 Princess St Fl 2 |
$44.58 | 14 | 13 |
|
Hannah Margaret Cheeseman
607 North Ave, Door 17 |
$1.73 | 14 | 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 Wakefield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wakefield, MA is $40.99 per claim, based on 16,694 claims from 24 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 Wakefield, MA?
There are 24 Medicaid providers offering Office Visit related services in Wakefield, MA according to public payment data.
What is the price range for Office Visit in Wakefield, MA?
Medicaid reimbursement for Office Visit in Wakefield, MA ranges from $1.73 to $63.68 per claim, with an average of $40.99. 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 Wakefield, MA
Behavioral & Mental Health Therapy
Avg $88.57
186,288 claims
Case Management Services
Avg $486.33
41,193 claims
Home Health Visit
Avg $38.80
24,048 claims
Eye Exam
Avg $44.12
18,284 claims
Personal Care Services
Avg $65.18
15,451 claims
Physical Therapy
Avg $28.55
14,436 claims
Non-Emergency Medical Transportation
Avg $21.35
8,025 claims
Psychiatric Evaluation
Avg $20.91
5,150 claims