Average Medicaid Office Visit Payments in Westfield, MA: $51.17
Avg. Paid
$51.17
Range
$3.27 – $100.73
Total Claims
145,101
Providers
72
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 Westfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cherrie C Chua
65 Springfield Rd |
$64.25 | 20,313 | 16,748 |
|
Lance David Reynolds
75 Springfield Rd |
$55.85 | 9,660 | 9,164 |
|
Brian Paul Sutton
115 W Silver St |
$47.46 | 8,470 | 7,886 |
|
Peter Benjamin Landstrom
115 W Silver St |
$47.65 | 7,577 | 7,398 |
|
Sarah Bashiruddin
75 Springfield Rd Ste 1 |
$54.81 | 7,284 | 6,907 |
|
Akinyele Kamau Lovelace
75 Springfield Road Suite 1 |
$52.34 | 6,605 | 6,265 |
|
James Wheeler
57 Union St |
$70.09 | 5,965 | 5,379 |
|
Stephanie Ott
65 Springfield Rd Ste 2 |
$63.64 | 4,646 | 4,307 |
|
Consuelo Ana Leblanc
477 Southwick Rd |
$24.70 | 4,594 | 4,422 |
|
Evelyn J Johnson
477 Southwick Rd |
$30.54 | 4,346 | 4,212 |
|
Miriam Graham
77 Mill St |
$23.81 | 4,083 | 4,058 |
|
Michael Stuart Freedman
477 Southwick Rd |
$43.37 | 3,840 | 3,695 |
|
Aimee Velasco
477 Southwick Rd |
$49.61 | 3,750 | 3,662 |
|
Bashir Bashiruddin
75 Springfield Rd |
$57.67 | 3,659 | 3,500 |
|
Charlotte Harward Miller
395 Southampton Rd |
$57.97 | 3,480 | 3,393 |
|
Sarah M O'Shea
57 Union St |
$55.99 | 3,444 | 3,312 |
|
Robert Mark Peskin
477 Southwick Rd |
$40.62 | 2,817 | 2,765 |
|
Marc Alan Fisher
48 E Silver St |
$39.56 | 2,724 | 2,636 |
|
Frederick U Torio
57 Union Street |
$49.88 | 2,570 | 2,419 |
|
Robert S Wool
65 Springfield Rd |
$48.47 | 2,524 | 2,372 |
|
Vanessa L Vanstee
212 Southampton Rd Unit B |
$43.05 | 2,137 | 2,044 |
|
Ira J Schmelkin
115 W Silver St |
$65.11 | 2,077 | 2,072 |
|
Kathryn P Ward
477 Southwick Rd |
$33.35 | 1,998 | 1,942 |
|
Denzil M Reid
115 W Silver St |
$32.04 | 1,864 | 1,809 |
|
Sonia Maria Valentine
115 W Silver St |
$51.60 | 1,745 | 1,591 |
|
Alexandra Marie Fruwirth
395 Southampton Rd |
$42.07 | 1,676 | 1,631 |
|
Jillian A Dodge
57 Union Street |
$48.63 | 1,459 | 1,283 |
|
Beata Adela Puri
477 Southwick Rd |
$48.45 | 1,405 | 1,383 |
|
Ashley Hoffman
395 Southampton Rd |
$50.90 | 1,242 | 1,218 |
|
Michelle M Barnett
57 Union Street |
$48.01 | 1,140 | 1,085 |
|
Sara Brewer
77 Mill St |
$96.76 | 1,109 | 1,019 |
|
Kristen James Guyott
77 Mill St |
$58.13 | 1,023 | 980 |
|
Mehdi Pajouh
48 E Silver St |
$44.32 | 1,008 | 985 |
|
Armand A Aliotta
48 E Silver St |
$46.89 | 948 | 945 |
|
Roger J Beneitone
57 Union Street |
$39.15 | 935 | 901 |
|
Lisa M Killips
20 Castle Hill Rd |
$79.86 | 933 | 717 |
|
Jessica L Menard
57 Union St |
$35.49 | 904 | 866 |
|
Cassandra Cangialosi
477 Southwick Rd |
$55.73 | 813 | 798 |
|
Andrew B Chertoff
115 W Silver St |
$43.12 | 811 | 737 |
|
Mohamed Turay
140 Southampton Rd |
$23.45 | 767 | 696 |
|
Elizabeth Jean Quinby
477 Southwick Road |
$3.27 | 693 | 656 |
|
Dianne Lavoie
57 Union St |
$63.25 | 679 | 669 |
|
Cara Teresa Stauder
477 Southwick Road |
$3.62 | 526 | 489 |
|
Edward S Ballis
115 W Silver St |
$71.08 | 428 | 408 |
|
Juanita Carnes
115 W Silver St |
$59.35 | 389 | 363 |
|
Westfield Medical Corporation
57 Union St, Ste 101 |
$64.30 | 364 | 343 |
|
Aleksandr D Pugach
57 Union St |
$50.60 | 341 | 313 |
|
Daniela Bataille
57 Union Street |
$79.31 | 339 | 323 |
|
Maksim V Merenkov
80 William St |
$41.23 | 309 | 306 |
|
Nicole Mary Megazzini
57 Union St Ste 101 |
$34.41 | 307 | 300 |
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 Westfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Westfield, MA is $51.17 per claim, based on 145,101 claims from 72 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 Westfield, MA?
There are 72 Medicaid providers offering Office Visit related services in Westfield, MA according to public payment data.
What is the price range for Office Visit in Westfield, MA?
Medicaid reimbursement for Office Visit in Westfield, MA ranges from $3.27 to $100.73 per claim, with an average of $51.17. 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 Westfield, MA
Substance Abuse Treatment
Avg $13.90
4,149,253 claims
Emergency Room Visit
Avg $131.83
76,594 claims
Blood Work & Lab Tests
Avg $6.95
59,718 claims
EKG / ECG (Electrocardiogram)
Avg $3.44
38,242 claims
Ambulance Transport
Avg $93.20
32,700 claims
Urinalysis & Urine Tests
Avg $4.42
23,238 claims
Vaccines & Immunizations
Avg $24.20
19,513 claims
Psychiatric Evaluation
Avg $82.35
15,810 claims