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Based on public Medicaid payment data.

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
Susan Elizabeth Shih

290 Turnpike Rd Ste 150-120

$44.60 12 12
Emily Moldoff

110 Turnpike Rd Ste 308

$18.06 12 12
Leah E Doret

900 Union St

$133.10 13 13
Ann Marie B Deangelis

900 Union St

$90.14 15 15
Kayley Jasmine Gibson

139 Turnpike Rd

$60.30 25 25
James D. Karadimos

45 Lyman St

$35.67 26 25
Judith A Mcnicholas

900 Union St

$96.22 27 26
Simon Awadis Ovanessian

300 Friberg Pkwy

$0.00 29 27
Susan Lynne Stevenson

900 Union St

$94.92 39 38
Swati S Sane

900 Union St

$35.21 39 38
Zainab Nawab

57 E Main St Ste 209

$69.97 40 38
Margaret R Hines

900 Union St

$70.55 42 37
Joan M Mcdonagh

900 Union St

$107.75 44 44
Kate Inglesi

2200 W Park Dr

$5.19 48 47
Ninad N Samant

900 Union St

$135.47 59 55
Wanda Marie Colon-Cartagena

1400 Computer Dr Ste 301

$32.44 70 68
Andal Sadagopan

900 Union St

$113.18 83 81
Victoria Pamela Peters

1400 Computer Dr Ste 301

$82.97 87 81
Faiyaz H Hakim

290 Turnpike Rd Ste 150-414

$52.22 95 66
Louann Maffei-Iwuc

900 Union St

$67.19 102 99
Veronica Rusu

900 Union St

$111.26 103 99
Staffier Associates Inc

57 East Main St

$55.71 161 158
Rosa Lee Vega

1400 Computer Dr Ste 301

$1.95 168 154
Natalie M Dolan

900 Union St

$31.95 185 174
David Matthew Stein

900 Union St

$101.17 203 193
Shivang Joshi

33 Lyman St Ste 400

$96.50 221 221
Laurel Schnorr

900 Union St

$35.36 221 204
Parmender S Bagga

154 East Main Street

$60.12 260 250
Susan E Kellogg

900 Union St

$104.85 325 319
Leah K Barker

900 Union St

$45.22 365 346
Kalindi J Mehta

900 Union St

$69.84 411 397
Huma Khan

112 Turnpike Rd Ste 301

$25.45 423 381
Allison Michelle Diamond Camacho

900 Union St

$62.82 426 409
John B Mccahan

33 E Main St

$60.78 449 437
Nandana Kansra

112 Turnpike Rd Ste 301

$69.94 472 433
Jessica St. John

154 E Main St

$50.49 487 467
Jaroslaw Jac

150 Flanders Rd

$20.64 568 521
Susan P Fine

33 E Main St

$60.90 569 544
Suzanne T Sprague

33 E Main St

$65.89 585 535
Rekha Hari Nair

176 E Main St

$99.81 657 638
Kerrie Mcfeeters

900 Union St

$80.80 720 706
David R Remis

33 E Main St

$62.97 860 832
David Sommer

33 Lyman St Ste 400

$67.36 907 889
Convenientmd - Ffs Uc Llc

139 Turnpike Rd

$86.16 964 822
Eunice Pereira Kowalczyk

900 Union St

$56.46 1,064 983
Darshana Mandar Apte

106 E Main St

$0.42 1,293 1,157
David Hill

1400 Computer Dr Ste 301

$36.80 1,676 1,549
Matthew Waugh

24 Lyman St

$89.84 1,684 1,623
Convenientmd Llc

139 Turnpike Rd

$99.21 1,695 1,486
James Zenkus

139 Turnpike Rd

$64.61 1,927 1,824

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

Other Procedures in Westborough, MA