Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wellesley, MA: $82.88

Avg. Paid

$82.88

Range

$0.00 – $240.02

Total Claims

42,134

Providers

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 Wellesley, MA

Provider	Avg. Paid	Claims	Patients
Jameila Y Haddawi 230 Worcester St	$193.68	12	12
Phillip D Mccrary 30 Washington St	$18.10	12	12
Li Tso 70 Hastings St	$64.58	12	12
Kara Allison Sullivan 230 Worcester St	$2.06	12	12
Whitney Leigh Mcgiffin Kress 978 Worcester St Fl 2	$125.58	13	12
Nina Schussler 65 Walnut St Ste 380	$51.01	13	13
John U Ingard 230 Worcester St	$3.95	13	13
Maureen Walsh 65 Walnut St	$5.18	14	13
Jessie Bernstein 65 Walnut St	$19.53	14	13
Aida Kuri Martinez 230 Worcester St	$23.18	15	12
Ikram A Farooqi 978 Worcester St Ste 2	$23.43	20	12
Vanessa Catherine Nalivaika 195 Worcester St	$0.00	22	22
Anne Riley 65 Walnut St Ste 301	$14.04	24	24
Surbhi Rohatgi 195 Worcester St	$51.76	24	24
Andrew J. Bouley 110 Cedar St Ste 110	$56.72	27	27
Jennifer Robert Roache 230 Worcester St	$0.00	29	29
Wendy A. Chabot 230 Worcester St	$57.26	31	30
Anna Higgins Tommasini 230 Worcester St	$112.44	31	28
Alan I Glaser 65 Walnut St	$37.11	32	30
Dr Tola Tsarumi Md Llc 332 Washington St Ste 360	$100.73	34	26
Katherine Strand Teixeira-Dasilva 231 Forest St	$214.12	35	32
Darshini Kumarasena 332 Washington St	$26.84	37	31
Ellen B Royer 230 Worcester St	$53.22	41	39
Linda Rice 230 Worcester St	$51.20	41	41
Nina A. Palmer 230 Worcester St	$240.02	50	43
Jennifer Revis Snider 173 Worcester St	$36.64	57	54
Meghan York 65 Walnut St Ste 301	$9.96	58	57
Hien Tue Tierney 230 Worcester St	$106.36	61	61
Eric Nou 173 Worcester St	$39.38	68	67
David I Krohn 230 Worcester St	$40.25	69	67
Mary Kavanagh Barker 230 Worcester St	$56.74	74	70
Joshua D Katz 110 Cedar St Ste 110	$49.72	81	81
Kristen Heather Behrens 60 Walnut St	$2.81	86	80
Natalie Penelopy Pauli 1 Hollis St Ste 350	$59.79	104	100
Laura Teresa Boitano 981 Worcester St Ste A	$25.33	105	103
Fern Wirth 230 Worcester St	$176.14	106	106
Thalia Rei Bowie 80 Walnut St	$0.00	121	110
Lynn Elizabeth Pittsinger 230 Worcester St	$138.90	122	106
Peter C Britton 230 Worcester St	$89.67	122	119
Erek W Latzka 20 Walnut St Ste 14	$58.55	132	132
Omar Hammam El Abd 378 Washington St	$25.48	138	131
Debra A Bradford 230 Worcester St	$27.69	142	135
Eukeria R Asamoah 230 Worcester St	$116.26	146	130
Kevin Santos 230 Worcester St	$115.34	156	155
Jeffrey A Yablonski 230 Worcester St	$40.36	177	171
Kenneth C Gorson 110 Cedar St	$25.94	187	175
Laura Holdway Montgomery 230 Worcester St	$6.99	193	187
Julianne Nemes Walsh 230 Worcester St	$5.17	194	186
James R Cooley 230 Worcester St	$123.16	204	196
Caroline Elizabeth Macisaac 230 Worcester St	$2.40	204	200

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 Wellesley, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wellesley, MA is $82.88 per claim, based on 42,134 claims from 88 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 Wellesley, MA?

There are 88 Medicaid providers offering Office Visit related services in Wellesley, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Wellesley, MA ranges from $0.00 to $240.02 per claim, with an average of $82.88. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Wellesley, MA: $82.88

Providers Offering Office Visit in Wellesley, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Non-Emergency Medical Transportation

Dental Filling