Average Medicaid Office Visit Payments in Walpole, MA: $64.46
Avg. Paid
$64.46
Range
$0.00 – $110.27
Total Claims
65,949
Providers
31
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 Walpole, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Myriam T Villalobos
175 South St |
$90.17 | 21 | 21 |
|
Carley Thomas
22 Conifer Dr |
$30.90 | 25 | 24 |
|
Nancy E Hamel
272 Main St |
$47.32 | 26 | 26 |
|
Daniel W Kahn
55 West St |
$3.28 | 42 | 40 |
|
Hana Karim
111 Norfolk St |
$23.96 | 58 | 54 |
|
Hannah Webb Roberts
1350 Main St |
$110.27 | 60 | 49 |
|
Courtney Healy
111 Norfolk St |
$15.86 | 82 | 82 |
|
Frances Ann Orlando
1350 Main St |
$48.10 | 92 | 90 |
|
Wasila Mansouri
1350 Main St |
$0.00 | 95 | 86 |
|
Rachel Levenson Acker
1350 Main St |
$41.29 | 103 | 99 |
|
Peter B Cohn
1350 Main St |
$54.75 | 113 | 109 |
|
Denise R Shiu
1350 Main St |
$30.42 | 125 | 122 |
|
Robin Sue Shannon
420 Main St Ste 15 |
$61.62 | 154 | 147 |
|
Town Of Walpole
135 School St |
$2.72 | 166 | 104 |
|
D&M Powers Inc.
2150 Providence Highway |
$32.50 | 166 | 150 |
|
Kimberly Marie Keeks
1600 Providence Hwy Ste 167 |
$102.82 | 201 | 163 |
|
Matthew John Feeley
1350 Main St |
$36.75 | 243 | 234 |
|
Melissa E Eaton
420 Main St Ste 15 |
$53.13 | 316 | 242 |
|
Amy Rose Gribauskas
420 Main St Ste 15 |
$76.19 | 325 | 259 |
|
Neal R Patel
1350 Main Street |
$50.27 | 454 | 429 |
|
Meghan Marie Mcgrath
420 Main St Ste 15 |
$61.69 | 620 | 490 |
|
Vivens Ulysse
420 Main St |
$68.40 | 732 | 604 |
|
Belal H. El-Husayni
103 Providence Hwy |
$56.57 | 934 | 915 |
|
Emanuel S Chris
420 Main Street |
$72.34 | 1,113 | 1,082 |
|
Neuro Behavioral Center, Llc
420 Main St |
$80.70 | 1,402 | 1,261 |
|
Boston Healthcare Inc
420 Main St |
$88.55 | 2,001 | 1,759 |
|
Russell William Bisesi
420 Main St |
$100.76 | 3,690 | 3,000 |
|
Yousef Abou-Allaban
420 Main St |
$75.43 | 3,725 | 3,185 |
|
Matthew Peculis
1600 Providence Hwy Unit 167 |
$79.85 | 6,281 | 5,376 |
|
Seema Arora
85 West St |
$52.80 | 12,413 | 9,802 |
|
Angela Aimee Steinhardt
85 West St |
$59.27 | 30,171 | 14,735 |
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 Walpole, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Walpole, MA is $64.46 per claim, based on 65,949 claims from 31 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 Walpole, MA?
There are 31 Medicaid providers offering Office Visit related services in Walpole, MA according to public payment data.
What is the price range for Office Visit in Walpole, MA?
Medicaid reimbursement for Office Visit in Walpole, MA ranges from $0.00 to $110.27 per claim, with an average of $64.46. 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 Walpole, MA
Non-Emergency Medical Transportation
Avg $27.06
347,023 claims
Case Management Services
Avg $339.20
38,114 claims
Blood Work & Lab Tests
Avg $40.88
35,473 claims
Dental Cleaning & Exam
Avg $36.24
35,417 claims
Speech Therapy
Avg $15.70
15,271 claims
Psychiatric Evaluation
Avg $61.66
12,087 claims
Urinalysis & Urine Tests
Avg $6.09
11,564 claims
Physical Therapy
Avg $8.19
11,251 claims