Average Medicaid Office Visit Payments in Wareham, MA: $46.61
Avg. Paid
$46.61
Range
$0.80 – $98.77
Total Claims
141,330
Providers
75
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 Wareham, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Health Imperatives Inc.
106 Main Street |
$57.26 | 13 | 13 |
|
Katie Camara
100 Rosebrook Way |
$3.65 | 44 | 43 |
|
Ann Marie Wohler Sylvester
53 Marion Rd |
$3.71 | 56 | 55 |
|
Alexa Brynildsen
100 Rosebrook Way |
$23.84 | 67 | 67 |
|
Lisa M. Billings
43 High St |
$6.80 | 70 | 68 |
|
John Mills
100 Rosebrook Way |
$98.77 | 72 | 72 |
|
Jean Callahan
43 Hight St |
$79.08 | 107 | 106 |
|
Courtney Richardson
100 Rosebrook Way |
$58.95 | 116 | 113 |
|
John D Scheub
43 High St |
$70.63 | 142 | 96 |
|
Randy H. Caplan
40 Church Avenue |
$64.18 | 146 | 143 |
|
Martha Smith
2621 Cranberry Hwy |
$44.11 | 154 | 146 |
|
Catelyn Rueger
53 Marion Rd |
$1.01 | 170 | 165 |
|
Rebecca Lynn Hebert
106 Main St |
$46.40 | 184 | 176 |
|
Kevin R Murphy
100 Rosebrook Way |
$42.31 | 187 | 184 |
|
Hillary Costa
100 Rosebrook Way |
$5.19 | 197 | 184 |
|
Jeanne B Larock
100 Rosebrook Way |
$41.82 | 217 | 208 |
|
Khoryn Cote
100 Rosebrook Way Fl 2 |
$4.37 | 232 | 218 |
|
Emmet J Eby
100 Rosebrook Way |
$21.73 | 234 | 233 |
|
Samantha Jane Roy
100 Rosebrook Way |
$38.38 | 241 | 238 |
|
Susan Dorry
268 Main St |
$15.94 | 258 | 249 |
|
Elise Arsenault
100 Rosebrook Way Fl 3 |
$43.67 | 312 | 312 |
|
Jennifer L Porter
100 Rosebrook Way |
$48.74 | 449 | 433 |
|
Keith Newman Chappell
43 High St |
$69.38 | 463 | 459 |
|
Thomas T. Streeter
100 Rosebrook Way |
$46.21 | 475 | 460 |
|
Rachel A. J. Cimaomo
100 Rosebrook Way |
$67.32 | 551 | 544 |
|
Allyson Preston
53 Marion Rd |
$4.12 | 578 | 550 |
|
Amy Gleason Wiegandt
2621 Cranberry Highway |
$16.85 | 578 | 536 |
|
Rachel E. Fortes
100 Rosebrook Way |
$51.84 | 581 | 568 |
|
Zachary A Zanfes
100 Rosebrook Way |
$47.30 | 582 | 560 |
|
Robert L Tripp
100 Rosebrook Way |
$49.57 | 600 | 577 |
|
Erin A. Edwards
100 Rosebrook Way |
$39.03 | 643 | 622 |
|
Rayford S. Kruger
100 Rosebrook Way |
$38.18 | 670 | 643 |
|
Brian P. Fitzpatrick
100 Rosebrook Way |
$34.12 | 710 | 667 |
|
Karen A Hussion
100 Rosebrook Way |
$47.68 | 714 | 630 |
|
Michael P Messina
100 Rosebrook Way |
$57.82 | 875 | 828 |
|
Ashwini Sahni
100 Rosebrook Way |
$35.41 | 907 | 894 |
|
Jason W Sadeck
1 Recovery Rd |
$29.85 | 920 | 868 |
|
Rose Arabella Shorter
100 Rosebrook Way |
$57.19 | 1,016 | 968 |
|
Donald A. Colacchio
100 Rosebrook Way |
$47.95 | 1,110 | 1,080 |
|
Sherry Ann Vieira
100 Rosebrook Way |
$37.77 | 1,185 | 1,156 |
|
Theodore A Spevack
43 High St |
$67.73 | 1,229 | 1,222 |
|
Melissa F Gaffney
100 Rosebrook Way |
$42.60 | 1,294 | 1,289 |
|
Pilar Alonso
43 High St |
$44.49 | 1,313 | 1,213 |
|
Catherine A Obin
100 Rosebrook Way |
$37.99 | 1,417 | 1,372 |
|
Michelle L Anderson
53 Marion Road |
$24.65 | 1,431 | 1,396 |
|
Amanda Drummond Conley
53 Marion Rd |
$19.99 | 1,603 | 1,542 |
|
John H Macfarlane
106 Main St |
$48.87 | 1,683 | 1,601 |
|
Elizabeth C Coughlin
53 Marion Road |
$18.97 | 1,854 | 1,796 |
|
Shannon Kriehn
191 Main St Ste 213 |
$64.36 | 1,906 | 1,657 |
|
Kaitlyn Marie Gibson
53 Marion Rd |
$30.27 | 1,955 | 1,845 |
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 Wareham, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wareham, MA is $46.61 per claim, based on 141,330 claims from 75 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 Wareham, MA?
There are 75 Medicaid providers offering Office Visit related services in Wareham, MA according to public payment data.
What is the price range for Office Visit in Wareham, MA?
Medicaid reimbursement for Office Visit in Wareham, MA ranges from $0.80 to $98.77 per claim, with an average of $46.61. 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 Wareham, MA
Blood Work & Lab Tests
Avg $9.24
80,604 claims
Emergency Room Visit
Avg $167.97
45,401 claims
Vaccines & Immunizations
Avg $19.21
22,710 claims
Physical Therapy
Avg $92.48
21,654 claims
Ambulance Transport
Avg $87.62
21,326 claims
EKG / ECG (Electrocardiogram)
Avg $5.03
20,443 claims
Dental Cleaning & Exam
Avg $40.74
12,598 claims
Urinalysis & Urine Tests
Avg $4.13
12,466 claims