Average Medicaid Office Visit Payments in West Springfield, MA: $63.17
Avg. Paid
$63.17
Range
$0.00 – $106.69
Total Claims
284,965
Providers
77
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 Springfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Total Wellness Centers, Llc
900 Memorial Ave |
$83.86 | 74,078 | 43,979 |
|
Roberto B Salva-Otero
2085 Riverdale St |
$63.36 | 25,546 | 15,740 |
|
Health-Md Urgent Care
1238 Riverdale St |
$101.31 | 18,399 | 17,294 |
|
Satkiran S Grewal
900 Memorial Ave |
$63.62 | 14,119 | 8,485 |
|
Wilfredo Morges
103 Myron St Ste A |
$14.88 | 11,918 | 8,543 |
|
Jeffrey Paul Campbell
103 Myron St Ste A |
$37.02 | 9,127 | 8,496 |
|
Ronald N Paasch
271 Park St |
$56.27 | 6,970 | 6,859 |
|
Emad Helmy Eskander
103 Myron St |
$70.23 | 6,532 | 6,286 |
|
Chelsea E Slozak
50 Union Street |
$55.73 | 6,318 | 3,175 |
|
Atif Khan
30 Lennys Way |
$83.99 | 5,474 | 5,160 |
|
Navatha Hanumagutti
46 Daggett Drive |
$50.05 | 5,441 | 5,240 |
|
Anthony E Poindexter
134 Capital Dr Ste E |
$34.60 | 5,316 | 4,829 |
|
Priyanka Seth
82 Main St |
$55.25 | 5,303 | 4,077 |
|
Angelina Hodgkins
82 Main St |
$50.72 | 5,029 | 4,159 |
|
Olga J. Figueroa
103 Myron St |
$48.25 | 4,833 | 4,646 |
|
Reda H Ishak
274 Westfield St |
$55.68 | 4,800 | 4,118 |
|
West Central Family & Counseling, Ltd
103 Myron St |
$59.62 | 4,508 | 4,264 |
|
Albert Joseph Callahan
373 Park St |
$58.00 | 4,324 | 4,111 |
|
Gregory B Park
271 Park St |
$39.38 | 4,236 | 4,090 |
|
Phyllis Owusu-Griffin
46 Daggett Dr |
$49.22 | 3,695 | 3,559 |
|
Jackie Garrett
46 Daggett Dr Ste 1A |
$80.30 | 3,684 | 3,602 |
|
Jeffrey G Mulhern
134 Capital Dr Ste E |
$29.93 | 3,655 | 3,278 |
|
Mary E Barkalow
147 Norman St |
$42.43 | 3,619 | 3,548 |
|
Jaime A. Cohen
373 Park St |
$42.60 | 3,463 | 3,329 |
|
Arley Diaz
134 Capital Dr Ste E |
$34.64 | 3,401 | 3,302 |
|
Erin Elizabeth Watson
271 Park St |
$51.17 | 3,141 | 3,064 |
|
David A Bowers
1275 Elm St |
$53.15 | 2,796 | 2,739 |
|
Hoang Trinh
117 Park Ave |
$63.91 | 2,343 | 2,261 |
|
Daylin Altiery Chaplin
425 Union St Ste 46 |
$54.39 | 2,279 | 1,850 |
|
Michael H Solon
46 Daggett Dr |
$50.97 | 2,240 | 2,148 |
|
Joyce Benker
1132 Westfield St |
$35.88 | 2,053 | 1,952 |
|
Halah Alsari
1238 Riverdale St |
$74.61 | 2,002 | 1,841 |
|
Elinor Dickey Kelliher
373 Park St |
$44.83 | 1,630 | 1,598 |
|
Ana Rosario
46 Daggett Dr |
$39.87 | 1,615 | 1,540 |
|
Tracey Jean Browning
373 Park St |
$41.30 | 1,573 | 1,543 |
|
Finlay Oguku
46 Daggett Drive |
$45.78 | 1,342 | 1,302 |
|
Jennifer Massa
928 Riverdale St |
$67.32 | 1,249 | 908 |
|
Daniel Louis Landry
134 Capital Dr Ste E |
$40.27 | 1,235 | 1,211 |
|
Sheryl Derderian
46 Daggett Drive |
$48.89 | 1,217 | 1,178 |
|
Heather Ashley Lomax-Allen
46 Daggett Dr |
$44.33 | 1,177 | 1,151 |
|
Douglas R Molin
271 Park Street |
$31.98 | 1,172 | 832 |
|
Claude D Borowsky
1275 Elm St |
$44.51 | 1,090 | 1,064 |
|
Shauna Mccarthy
103 Myron St |
$26.26 | 1,031 | 949 |
|
Gregory L Braden
134 Capital Dr Ste E |
$41.64 | 1,004 | 938 |
|
Scott R Cooper
271 Park St |
$45.69 | 954 | 930 |
|
Cris Martin Pacis Jacoba
180 Daggett Dr |
$98.87 | 897 | 896 |
|
Susan G Johnson
82 Main Street |
$52.17 | 838 | 580 |
|
Ricardo A Mujica
1132 Westfield St |
$65.80 | 804 | 775 |
|
Bailing Li Kean
425 Union St #15 |
$30.87 | 694 | 566 |
|
Samantha Jeanne Ortiz-Alvarez
46 Daggett Dr |
$45.82 | 678 | 664 |
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 Springfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Springfield, MA is $63.17 per claim, based on 284,965 claims from 77 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 Springfield, MA?
There are 77 Medicaid providers offering Office Visit related services in West Springfield, MA according to public payment data.
What is the price range for Office Visit in West Springfield, MA?
Medicaid reimbursement for Office Visit in West Springfield, MA ranges from $0.00 to $106.69 per claim, with an average of $63.17. 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 Springfield, MA
Non-Emergency Medical Transportation
Avg $22.81
453,715 claims
Home Health Visit
Avg $38.25
233,518 claims
Psychiatric Evaluation
Avg $57.13
218,326 claims
Physical Therapy
Avg $19.87
140,713 claims
Nursing Facility Care
Avg $15.62
124,081 claims
Dental Cleaning & Exam
Avg $41.34
90,729 claims
Behavioral & Mental Health Therapy
Avg $192.98
78,003 claims
Durable Medical Equipment (DME)
Avg $29.84
62,815 claims