Average Medicaid Office Visit Payments in West Roxbury, MA: $40.10
Avg. Paid
$40.10
Range
$1.23 – $128.78
Total Claims
10,553
Providers
27
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 West Roxbury, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael G Hamrock
2020 Centre St |
$33.87 | 3,688 | 2,029 |
|
Dominique Pham
1996 Centre St |
$41.22 | 1,741 | 1,558 |
|
Khang V Nguyen
1832 Centre St |
$48.20 | 911 | 879 |
|
Eugenie Du
1400 Vfw Pkwy |
$37.89 | 850 | 839 |
|
Asma Ahmed
1400 Vfw Pkwy |
$61.08 | 639 | 508 |
|
Rose M Fayette
1400 Vfw Pkwy |
$9.16 | 371 | 358 |
|
Elizabeth Sandman Norian
1400 Vfw Parkway |
$23.71 | 264 | 257 |
|
Meghan Colleen Perkins
1832 Centre St |
$20.58 | 242 | 231 |
|
Ashley G Wilson
1208B Vfw Pkwy Ste 200 |
$112.90 | 201 | 194 |
|
Alyson Mackenzie Bracken
1832 Centre St |
$34.62 | 191 | 181 |
|
Janine Ronayne Godfrey
1832 Centre St |
$51.57 | 191 | 187 |
|
Emily Grace Tsanotelis
1400 Vfw Pkwy |
$53.61 | 175 | 173 |
|
John A Lewis
1832 Centre St |
$67.11 | 173 | 170 |
|
Julie Petro
1400 Vfw Pkwy |
$46.32 | 156 | 155 |
|
Katherine E Taylor
1832 Centre Street |
$78.35 | 128 | 121 |
|
Donald Frank Distel
1400 Vfw Pkwy |
$60.33 | 126 | 125 |
|
Alfredo Jesus Selim
1400 Vfw Pkwy |
$3.75 | 90 | 89 |
|
Allicia Gail Elias
1400 Vfw Pkwy |
$5.56 | 86 | 81 |
|
Uplift Behavioral Health Services Llc
5260 Washington St Ste 12 |
$60.71 | 82 | 52 |
|
Katie Anne Trott
1400 Vfw Pkwy |
$1.23 | 64 | 61 |
|
Daniel Arthur Wollin
1400 Vfw Pkwy |
$36.97 | 52 | 52 |
|
Claire Stauffer
1400 Vfw Pkwy |
$3.57 | 45 | 45 |
|
Lauren Elizabeth Bettencourt
1400 Vfw Pkwy |
$3.05 | 25 | 25 |
|
Ann D Kailath
1832 Centre Street |
$38.79 | 17 | 16 |
|
Barbara R Baxter
112 Maple St |
$42.89 | 16 | 15 |
|
Talya Shahal
1400 Vfw Pkwy |
$128.78 | 15 | 12 |
|
Yu Su
214 Wren St |
$29.03 | 14 | 14 |
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 West Roxbury, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Roxbury, MA is $40.10 per claim, based on 10,553 claims from 27 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 West Roxbury, MA?
There are 27 Medicaid providers offering Office Visit related services in West Roxbury, MA according to public payment data.
What is the price range for Office Visit in West Roxbury, MA?
Medicaid reimbursement for Office Visit in West Roxbury, MA ranges from $1.23 to $128.78 per claim, with an average of $40.10. 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 West Roxbury, MA
Non-Emergency Medical Transportation
Avg $29.17
283,171 claims
Dental Cleaning & Exam
Avg $39.58
51,858 claims
Psychiatric Evaluation
Avg $85.67
15,001 claims
Dental Filling
Avg $68.59
13,882 claims
Physical Therapy
Avg $19.89
13,431 claims
X-Ray
Avg $5.77
8,059 claims
Nursing Facility Care
Avg $14.21
6,352 claims
Tooth Extraction
Avg $79.77
5,547 claims