Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Waltham, MA: $51.98

Avg. Paid

$51.98

Range

$0.78 – $129.88

Total Claims

64,014

Providers

103

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 Waltham, MA

Provider	Avg. Paid	Claims	Patients
Devasena Balasubramaniam 40 Second Ave	$81.35	12	12
Neil Beneck 465 Waverley Oaks Rd	$65.59	12	12
Arthur King-Fan Tong 40 Second Ave	$76.12	12	12
Margaret O.P. Fallon 52 Second Ave	$58.41	13	13
Daniel P. Gaposchkin 40 Second Ave	$48.42	13	12
Talia Ossowski 9 Hope Ave	$49.64	13	13
Robert Marc Schainfeld 52 Second Ave	$17.65	14	14
Peter Tebet Greenspan 40 2Nd Ave	$63.52	14	14
Heena Banker 20 Hope Ave	$57.26	16	13
Rebecca Eve O'Donnell Blake 52 Second Ave	$45.12	17	17
Victoria R Mcevoy 40 Second Ave	$61.59	24	24
Qiaomei Cheng 57 Matthew Ln	$111.17	24	24
Yiming Yu 52 Second Ave	$28.80	24	24
Waltham Behavioral Health Llc 210 Bear Hill Rd	$71.62	26	24
Thomas Hartmann Wuerz 71 Border Rd Ste 300	$46.00	26	24
Elissa Stecker 355 Waverley Oaks Rd	$72.96	26	25
Christina Gelev 40 Second Ave	$65.98	27	24
Pearl Alweny 273 Ridge Ln Apt 308	$67.31	34	30
Theresa A Schnorr 40 Second Ave	$52.42	37	37
Laura Coyle Begor 415 South St	$52.38	45	44
Cynthia Gosselin 950 Winter St	$24.36	45	44
Riwa Sabbagh 130 Second Ave	$34.15	46	43
Stuart J. Brink 40 2Nd Ave	$40.67	49	42
Alice L Zacarian 355 Waverley Oaks Rd	$57.80	54	50
Jocelyn Hulburt 9 Hope Ave	$38.92	55	52
Rebecca J Kano 1030 Main St	$67.75	55	55
Ekaterina Brodski-Quigley 1030 Main St	$30.42	59	59
Charles River Community Health, Inc 43 Foundry Ave	$21.67	60	60
Mark Robert Drews 564 Main St	$18.30	64	64
Albert Y Kim 130 Forest St	$6.37	66	66
Nicole Higden 52 Second Ave Ste 2000	$30.19	76	74
Mawya Shocair 6 Lexington St Ste 300	$25.17	84	79
Titilayo Oluseyi Alabi 52 2Nd Ave	$48.85	84	81
Jinsil Kim Sung 840 Winter St	$49.86	87	83
Judith M Crouch 9 Hope Ave	$42.66	89	89
Keren Matveev 75 Third Avenue	$53.77	89	88
Eric L Putnoi 20 Hope Avenue	$14.56	104	102
Carl Wilkins 1440 Main St Ste 201	$77.10	108	108
Colleen Maloney-Hesser 20 Hope Ave	$34.34	123	119
Edward James Busick 20 Hope Avenue	$9.73	124	124
Sophia Yang 355 Waverly Oaks Rd Ste 275	$6.48	130	127
Brittanie Mccabe 9 Hope Avenue	$39.12	132	129
Nandini Venkateswaran 1601 Trapelo Rd Ste 184	$36.06	139	128
Charles Mahdy 19 Winthrop St Apt 1	$42.15	145	131
Haylee Borgstrom 52 2Nd Ave	$57.64	149	134
Yim Hui 6 Lexington St Fl 2	$8.34	151	138
Jennifer Leigh Rosenblum 40 2Nd Ave Ste 300	$54.74	154	148
Alice Whittier Newton 465 Waverley Oaks Rd	$43.67	170	164
Beth Ann Mccabe 40 2Nd Ave	$58.20	174	168
Christine A. Robb 9 Hope Ave	$28.19	208	203

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 Waltham, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waltham, MA is $51.98 per claim, based on 64,014 claims from 103 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 Waltham, MA?

There are 103 Medicaid providers offering Office Visit related services in Waltham, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Waltham, MA ranges from $0.78 to $129.88 per claim, with an average of $51.98. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Waltham, MA: $51.98

Providers Offering Office Visit in Waltham, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Dental Cleaning & Exam

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Vaccines & Immunizations

Personal Care Services

Speech Therapy

Dental Filling