Based on public Medicaid payment data.

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

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
Michael Chill 86 Ashley Ave	$35.76	13	13
Jyovani Joubert 134 Capital Dr Ste E	$20.37	14	12
Cassandra Marie Boissonneault 928 Riverdale St	$39.46	14	14
Sabra Sullivan 103 Myron St	$56.79	14	12
Bryan Eugene Biondi 271 Park St	$52.06	15	15
Molly Anne Pulchtopek 928 Riverdale St	$68.76	24	24
Molly Ann Mccool 46 Daggett Dr Fl 3	$68.23	27	27
Brigette Lynn Cole 180 Daggett Dr	$67.39	30	30
Afc Physicians Of Massachusetts, Pc 18 Union St	$91.92	33	26
Bethany Calabrese 271 Park St	$43.46	34	34
Karen Jean Ravosa 46 Daggett Dr	$24.43	37	37
Jennifer Bertolasio Mol 134 Capital Dr Ste E	$18.66	47	47
David Rupacz 54 Tiara Ln	$20.96	58	58
Nadine Armelle Collier 103 Myron St Ste A	$106.69	70	66
Talia Barlar 103 Myron St Ste A	$31.56	71	45
Jessica Marie Lafleche 46 Daggett Dr	$31.23	86	81
Zhibin Fang 103 Myron St Ste A	$14.78	92	92
Mercy Mbuthia 103 Myron St	$0.00	123	98
Abila Benazea 103 Myron St	$62.52	155	126
Theodore Mark Ingis 46 Daggett Dr	$85.77	202	199
Andrey Okhrimenko 89 Humphrey Ln	$57.61	272	260
Tana Bao 1275 Elm St Ste D	$48.85	283	280
Wendy Jean King 1275 Elm Street	$29.03	428	411
Eleni M Klostri 103 Myron St Ste A	$28.31	466	410
Joseph M Chappell 1275 Elm St	$6.76	495	477
Spencer Hodgins 134 Capital Dr Ste E	$42.00	501	484
Rhianna Lajoie 46 Daggett Drive	$60.06	519	490
Samantha Jeanne Ortiz-Alvarez 46 Daggett Dr	$45.82	678	664
Bailing Li Kean 425 Union St #15	$30.87	694	566
Ricardo A Mujica 1132 Westfield St	$65.80	804	775
Susan G Johnson 82 Main Street	$52.17	838	580
Cris Martin Pacis Jacoba 180 Daggett Dr	$98.87	897	896
Scott R Cooper 271 Park St	$45.69	954	930
Gregory L Braden 134 Capital Dr Ste E	$41.64	1,004	938
Shauna Mccarthy 103 Myron St	$26.26	1,031	949
Claude D Borowsky 1275 Elm St	$44.51	1,090	1,064
Douglas R Molin 271 Park Street	$31.98	1,172	832
Heather Ashley Lomax-Allen 46 Daggett Dr	$44.33	1,177	1,151
Sheryl Derderian 46 Daggett Drive	$48.89	1,217	1,178
Daniel Louis Landry 134 Capital Dr Ste E	$40.27	1,235	1,211
Jennifer Massa 928 Riverdale St	$67.32	1,249	908
Finlay Oguku 46 Daggett Drive	$45.78	1,342	1,302
Tracey Jean Browning 373 Park St	$41.30	1,573	1,543
Ana Rosario 46 Daggett Dr	$39.87	1,615	1,540
Elinor Dickey Kelliher 373 Park St	$44.83	1,630	1,598
Halah Alsari 1238 Riverdale St	$74.61	2,002	1,841
Joyce Benker 1132 Westfield St	$35.88	2,053	1,952
Michael H Solon 46 Daggett Dr	$50.97	2,240	2,148
Daylin Altiery Chaplin 425 Union St Ste 46	$54.39	2,279	1,850
Hoang Trinh 117 Park Ave	$63.91	2,343	2,261

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.

Average Medicaid Office Visit Payments in West Springfield, MA: $63.17

Providers Offering Office Visit in West Springfield, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in West Springfield, MA

Non-Emergency Medical Transportation

Home Health Visit

Psychiatric Evaluation

Physical Therapy

Nursing Facility Care

Dental Cleaning & Exam

Behavioral & Mental Health Therapy

Durable Medical Equipment (DME)