Average Medicaid Office Visit Payments in Ware, MA: $60.93
Avg. Paid
$60.93
Range
$9.46 – $111.82
Total Claims
28,089
Providers
17
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 Ware, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael H Hakim
182 West St |
$69.69 | 9,557 | 8,225 |
|
Elam Safi
83 South St |
$67.79 | 6,016 | 4,959 |
|
Ramune Garniene
83 South St |
$49.79 | 4,727 | 4,522 |
|
Narayana R Lebaka
85 South Street |
$24.83 | 2,553 | 2,490 |
|
David S Shenker
85 South St |
$111.82 | 1,688 | 1,685 |
|
Maureen Pendergast Fuller
85 South St |
$18.24 | 1,145 | 883 |
|
George P Grillo
85 South St |
$69.87 | 630 | 326 |
|
Richard Gerstein
85 South St |
$74.32 | 383 | 219 |
|
Denise Finn-Rizzo
83 South Street |
$55.43 | 372 | 366 |
|
Thomas Andrew Schultz
40 E Main St |
$37.54 | 329 | 316 |
|
Thoronage Hn Kankanam Gamage
83 South St |
$47.58 | 195 | 182 |
|
Jorge Sotelo
83 South St Ste 1 |
$24.46 | 142 | 142 |
|
Roger Charles Lafleur
85 South St |
$46.68 | 127 | 125 |
|
Anzhela Savonina
85 South St |
$9.46 | 89 | 68 |
|
Harshad V Sanghvi
85 South St |
$31.58 | 75 | 73 |
|
Erin Jo Braden
182 West St |
$24.21 | 32 | 28 |
|
Miah Digregorio
85 South St |
$34.96 | 29 | 29 |
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 Ware, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ware, MA is $60.93 per claim, based on 28,089 claims from 17 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 Ware, MA?
There are 17 Medicaid providers offering Office Visit related services in Ware, MA according to public payment data.
What is the price range for Office Visit in Ware, MA?
Medicaid reimbursement for Office Visit in Ware, MA ranges from $9.46 to $111.82 per claim, with an average of $60.93. 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 Ware, MA
Ambulance Transport
Avg $100.86
9,061 claims
Behavioral & Mental Health Therapy
Avg $161.27
6,848 claims
Vaccines & Immunizations
Avg $13.05
5,612 claims
Speech Therapy
Avg $14.42
4,523 claims
Psychiatric Evaluation
Avg $48.83
4,301 claims
Eye Exam
Avg $33.21
3,217 claims
Emergency Room Visit
Avg $44.96
2,387 claims
EKG / ECG (Electrocardiogram)
Avg $4.24
1,447 claims