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
Ourania G. Madias 230 Worcester St	$145.31	4,708	4,256
Marcus W. Tjia 230 Worcester St	$128.82	3,348	3,182
Michael W Tsappis 372 Washington St	$92.89	2,981	2,870
Sarah Diana Sidhu 111 Pilgrim Rd	$100.48	2,462	2,247
Michael Delisle 892 Worcester St Ste 210	$63.13	2,342	2,181
Sheena John 230 Worcester St	$38.88	2,340	2,190
Elizabeth Harrington Humphreys 25 Walnut St	$44.34	1,898	1,840
Sandra L French 11 River St	$12.20	1,517	1,340
Kelly Marie Terral 230 Worcester St	$165.04	1,345	1,244
Walter Sussman 20 Walnut St Ste 14	$40.94	1,272	1,198
Glen S Blair 230 Worcester St	$21.82	1,251	1,237
Andreea C Cazacu 230 Worcester St	$105.82	1,182	1,147
Leah Bellman Miller 8 Grove St Ste 400A	$65.43	1,173	1,030
Hyemin Yang Pomerantz 70 Hastings St Ste Ll-2	$125.61	994	979
Judit Saenz-Badillos 230 Worcester St	$71.84	887	861
Mahnoosh Eslami 230 Worcester St	$132.79	713	663
Elizabeth Ham 230 Worcester St	$15.00	656	628
Virginia Ann Moye 372 Washington St Ste 2	$51.27	613	501
Sarwada Tuladhar Jha 195 Worcester St Ste 102	$15.41	563	520
Dorothy Victoria Saad Carroll 80 Walnut St	$1.75	541	480
Taylor H Monica 230 Worcester St	$77.63	539	519
Rosina M Mele 422 Worcester St	$58.99	472	444
Patricia M Peters 230 Worcester St	$94.32	409	397
Kumiko E Tanaka 30 Washington St	$55.34	380	308
Kiran Sunil Lulla 219 Washington St	$84.09	350	319
Qiye Wendy Li 65 Walnut St Ste 330	$16.50	323	307
Nadaa Basharat Ali 230 Worcester St	$158.10	315	304
Thomas Cooper 230 Worcester St	$74.13	310	310
Amanda Harrow 230 Worcester St	$64.25	309	275
Katrina Klaus 230 Worcester St	$101.17	301	286
Arthur J Lee 378 Washington St	$50.98	285	270
Flavia Fedeles 10 Laurel Ave Ste 300	$45.82	268	267
Priyamvada Kota Harvard Vanguard Medical Associates	$187.95	248	237
Margaret Lang Bauman 65 Walnut St	$54.73	247	246
Nancy Venditti 195 Worcester St	$45.56	229	225
James Edward Phillips 230 Worcester St	$177.10	224	218
Meenakshi B Kumar 170 Worcester St	$58.72	215	198
Ida P Gorenburg 230 Worcester St	$112.36	209	200
Caroline Elizabeth Macisaac 230 Worcester St	$2.40	204	200
James R Cooley 230 Worcester St	$123.16	204	196
Julianne Nemes Walsh 230 Worcester St	$5.17	194	186
Laura Holdway Montgomery 230 Worcester St	$6.99	193	187
Kenneth C Gorson 110 Cedar St	$25.94	187	175
Jeffrey A Yablonski 230 Worcester St	$40.36	177	171
Kevin Santos 230 Worcester St	$115.34	156	155
Eukeria R Asamoah 230 Worcester St	$116.26	146	130
Debra A Bradford 230 Worcester St	$27.69	142	135
Omar Hammam El Abd 378 Washington St	$25.48	138	131
Erek W Latzka 20 Walnut St Ste 14	$58.55	132	132
Lynn Elizabeth Pittsinger 230 Worcester St	$138.90	122	106

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

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