Average Medicaid Office Visit Payments in Westborough, MA: $59.21
Avg. Paid
$59.21
Range
$0.00 – $135.47
Total Claims
32,036
Providers
54
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 Westborough, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel F. Freitas
24 Lyman St |
$46.68 | 3,859 | 3,377 |
|
Mohsen M Noreldin
45 Lyman St Ste 20 |
$44.58 | 2,779 | 2,558 |
|
Elizabeth R. Degrush
33 Lyman St |
$49.69 | 2,484 | 2,358 |
|
Kimberly Fowler Parente
900 Union St |
$71.01 | 1,958 | 1,897 |
|
James Zenkus
139 Turnpike Rd |
$64.61 | 1,927 | 1,824 |
|
Convenientmd Llc
139 Turnpike Rd |
$99.21 | 1,695 | 1,486 |
|
Matthew Waugh
24 Lyman St |
$89.84 | 1,684 | 1,623 |
|
David Hill
1400 Computer Dr Ste 301 |
$36.80 | 1,676 | 1,549 |
|
Darshana Mandar Apte
106 E Main St |
$0.42 | 1,293 | 1,157 |
|
Eunice Pereira Kowalczyk
900 Union St |
$56.46 | 1,064 | 983 |
|
Convenientmd - Ffs Uc Llc
139 Turnpike Rd |
$86.16 | 964 | 822 |
|
David Sommer
33 Lyman St Ste 400 |
$67.36 | 907 | 889 |
|
David R Remis
33 E Main St |
$62.97 | 860 | 832 |
|
Kerrie Mcfeeters
900 Union St |
$80.80 | 720 | 706 |
|
Rekha Hari Nair
176 E Main St |
$99.81 | 657 | 638 |
|
Suzanne T Sprague
33 E Main St |
$65.89 | 585 | 535 |
|
Susan P Fine
33 E Main St |
$60.90 | 569 | 544 |
|
Jaroslaw Jac
150 Flanders Rd |
$20.64 | 568 | 521 |
|
Jessica St. John
154 E Main St |
$50.49 | 487 | 467 |
|
Nandana Kansra
112 Turnpike Rd Ste 301 |
$69.94 | 472 | 433 |
|
John B Mccahan
33 E Main St |
$60.78 | 449 | 437 |
|
Allison Michelle Diamond Camacho
900 Union St |
$62.82 | 426 | 409 |
|
Huma Khan
112 Turnpike Rd Ste 301 |
$25.45 | 423 | 381 |
|
Kalindi J Mehta
900 Union St |
$69.84 | 411 | 397 |
|
Leah K Barker
900 Union St |
$45.22 | 365 | 346 |
|
Susan E Kellogg
900 Union St |
$104.85 | 325 | 319 |
|
Parmender S Bagga
154 East Main Street |
$60.12 | 260 | 250 |
|
Shivang Joshi
33 Lyman St Ste 400 |
$96.50 | 221 | 221 |
|
Laurel Schnorr
900 Union St |
$35.36 | 221 | 204 |
|
David Matthew Stein
900 Union St |
$101.17 | 203 | 193 |
|
Natalie M Dolan
900 Union St |
$31.95 | 185 | 174 |
|
Rosa Lee Vega
1400 Computer Dr Ste 301 |
$1.95 | 168 | 154 |
|
Staffier Associates Inc
57 East Main St |
$55.71 | 161 | 158 |
|
Veronica Rusu
900 Union St |
$111.26 | 103 | 99 |
|
Louann Maffei-Iwuc
900 Union St |
$67.19 | 102 | 99 |
|
Faiyaz H Hakim
290 Turnpike Rd Ste 150-414 |
$52.22 | 95 | 66 |
|
Victoria Pamela Peters
1400 Computer Dr Ste 301 |
$82.97 | 87 | 81 |
|
Andal Sadagopan
900 Union St |
$113.18 | 83 | 81 |
|
Wanda Marie Colon-Cartagena
1400 Computer Dr Ste 301 |
$32.44 | 70 | 68 |
|
Ninad N Samant
900 Union St |
$135.47 | 59 | 55 |
|
Kate Inglesi
2200 W Park Dr |
$5.19 | 48 | 47 |
|
Joan M Mcdonagh
900 Union St |
$107.75 | 44 | 44 |
|
Margaret R Hines
900 Union St |
$70.55 | 42 | 37 |
|
Zainab Nawab
57 E Main St Ste 209 |
$69.97 | 40 | 38 |
|
Susan Lynne Stevenson
900 Union St |
$94.92 | 39 | 38 |
|
Swati S Sane
900 Union St |
$35.21 | 39 | 38 |
|
Simon Awadis Ovanessian
300 Friberg Pkwy |
$0.00 | 29 | 27 |
|
Judith A Mcnicholas
900 Union St |
$96.22 | 27 | 26 |
|
James D. Karadimos
45 Lyman St |
$35.67 | 26 | 25 |
|
Kayley Jasmine Gibson
139 Turnpike Rd |
$60.30 | 25 | 25 |
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 Westborough, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Westborough, MA is $59.21 per claim, based on 32,036 claims from 54 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 Westborough, MA?
There are 54 Medicaid providers offering Office Visit related services in Westborough, MA according to public payment data.
What is the price range for Office Visit in Westborough, MA?
Medicaid reimbursement for Office Visit in Westborough, MA ranges from $0.00 to $135.47 per claim, with an average of $59.21. 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 Westborough, MA
Molecular & Genetic Testing
Avg $114.39
292,005 claims
Behavioral & Mental Health Therapy
Avg $149.41
47,828 claims
Home Health Visit
Avg $11.11
46,732 claims
Dental Cleaning & Exam
Avg $40.95
19,254 claims
Eye Exam
Avg $31.82
16,752 claims
Physical Therapy
Avg $29.00
11,664 claims
Ambulance Transport
Avg $120.65
11,587 claims
Nursing Facility Care
Avg $25.67
11,525 claims