Average Medicaid Office Visit Payments in Watertown, MA: $73.13
Avg. Paid
$73.13
Range
$0.00 – $136.75
Total Claims
99,439
Providers
53
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 Watertown, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sean Michael Calnan
11 Mount Auburn Street |
$5.99 | 12 | 12 |
|
Brianne M Mahoney
485 Arsenal St |
$47.66 | 13 | 13 |
|
Katherine Adele De Kanter
101 Walnut St |
$0.00 | 13 | 12 |
|
Damaris Nou
485 Arsenal St |
$111.47 | 14 | 13 |
|
David J Cancian
480 Pleasant St # A300 |
$25.48 | 15 | 13 |
|
Stacie Lynn Mercer
63 Pleasant St |
$5.28 | 26 | 26 |
|
Pooja Mehta
1 Mount Auburn St |
$21.91 | 27 | 26 |
|
Samantha Jewers
20 California Park |
$79.08 | 28 | 28 |
|
Lynne Michelle Henning
260 Arsenal Pl |
$56.66 | 30 | 23 |
|
Daniel H Slater
485 Arsenal St |
$96.95 | 39 | 38 |
|
Dimitri Lamisere
485 Arsenal St |
$7.74 | 52 | 51 |
|
Drx Uc Watertown Pc
376 Arsenal St |
$106.57 | 53 | 52 |
|
Joo Y Kim
485 Arsenal St |
$114.66 | 79 | 77 |
|
Heather Wolf
485 Arsenal St |
$69.57 | 81 | 80 |
|
Carrie Ann Macleod
194 Orchard St |
$5.55 | 90 | 88 |
|
Kathryn Sutherland
124 Watertown St |
$70.05 | 92 | 67 |
|
Margaret J Layo
480 Pleasant St Ste A300 |
$7.87 | 94 | 93 |
|
Kaitlyn M. Shoelson
485 Arsenal St |
$4.76 | 111 | 105 |
|
Marianne Khoury
485 Arsenal St |
$101.92 | 138 | 133 |
|
Robert P Kelleher
521 Mount Auburn St |
$27.09 | 154 | 140 |
|
Kelly Jo Nelson
260 Arsenal Place |
$34.59 | 158 | 123 |
|
Henry D Mitcheson
521 Mount Auburn St Ste 201 |
$26.44 | 178 | 161 |
|
Szu-Ping Huang
376 Arsenal St |
$8.52 | 182 | 182 |
|
Andrew Cutler
521 Mount Auburn St |
$20.65 | 192 | 187 |
|
Mahlet Jimma
11 Mount Auburn St |
$49.08 | 255 | 250 |
|
Susan R. Liu
485 Arsenal St |
$16.91 | 256 | 250 |
|
Jahansouz Shokri
485 Arsenal St |
$115.42 | 270 | 264 |
|
Hoang-Oanh Thi Doan
63 Pleasant St |
$52.21 | 278 | 260 |
|
Lisa A Thayer
485 Arsenal St |
$60.14 | 407 | 398 |
|
Aida M. Yavshayan
375 Mount Auburn St |
$43.99 | 486 | 467 |
|
Ehsan Azimi
485 Arsenal St |
$75.23 | 518 | 502 |
|
Amanda T Bolbotowski
376 Arsenal St |
$60.65 | 558 | 551 |
|
Kathleen F Mitchell
485 Arsenal St |
$107.01 | 568 | 555 |
|
Jancie Webb Lawrence
260 Arsenal Pl |
$26.83 | 618 | 230 |
|
Andrea M Forde
485 Arsenal St |
$115.46 | 691 | 656 |
|
Subbuluxmi Natarajan
485 Arsenal St |
$129.59 | 757 | 722 |
|
Nicole Roy
11 Mount Auburn St |
$41.69 | 821 | 753 |
|
Megan Macleod
124 Watertown St Ste 2D |
$73.50 | 872 | 737 |
|
Melissa Bowen Draves
485 Arsenal St |
$136.75 | 949 | 921 |
|
Alice Frawley
480 Pleasant St # A400 |
$80.28 | 970 | 827 |
|
Jamie Patel
260 Arsenal Pl |
$51.02 | 1,113 | 1,065 |
|
Tanya Gershman
124 Watertown St Ste 2D |
$69.41 | 1,262 | 1,118 |
|
Eleanor A Bueno
101 Walnut St |
$57.17 | 1,420 | 1,351 |
|
Alberto Yu-Wong
63 Pleasant Street |
$39.76 | 1,832 | 1,770 |
|
Inna Wegner
40 Spring St |
$44.28 | 1,840 | 1,816 |
|
Richard John Kerbel
548 Mount Auburn St |
$55.56 | 1,849 | 1,600 |
|
Allison B Davidson
485 Arsenal St |
$87.92 | 1,854 | 1,469 |
|
Natalie Leonid Lender
124 Watertown St |
$60.48 | 1,961 | 1,791 |
|
Shirley Gonzalez
40 Spring St |
$50.91 | 4,275 | 3,955 |
|
Kenneth Jay Adelman
124 Watertown St Ste 2D |
$72.79 | 7,857 | 7,110 |
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 Watertown, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Watertown, MA is $73.13 per claim, based on 99,439 claims from 53 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 Watertown, MA?
There are 53 Medicaid providers offering Office Visit related services in Watertown, MA according to public payment data.
What is the price range for Office Visit in Watertown, MA?
Medicaid reimbursement for Office Visit in Watertown, MA ranges from $0.00 to $136.75 per claim, with an average of $73.13. 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 Watertown, MA
Non-Emergency Medical Transportation
Avg $42.83
260,505 claims
Personal Care Services
Avg $247.00
175,402 claims
Home Health Visit
Avg $582.92
168,658 claims
Behavioral & Mental Health Therapy
Avg $100.43
117,826 claims
Case Management Services
Avg $51.25
85,832 claims
Psychiatric Evaluation
Avg $64.79
75,088 claims
Blood Work & Lab Tests
Avg $31.16
29,881 claims
Dental Cleaning & Exam
Avg $38.58
27,656 claims