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 |
|---|---|---|---|
|
John Adam Thayer
501 Southampton Rd |
$26.55 | 12 | 12 |
|
Teshena Icylin Jones-Swaby
77 Mill St |
$36.80 | 12 | 12 |
|
Janet G Swierzewski
115 W Silver St |
$24.48 | 13 | 13 |
|
Lindsey M Casey
115 W Silver St Ste 2032 |
$23.17 | 15 | 14 |
|
Eli Mckenna-Weiss
115 W Silver St |
$42.85 | 16 | 16 |
|
Abou-Kacem Sekkal
115 W Silver St |
$85.18 | 27 | 27 |
|
Laura Gioiella
57 Union St |
$47.87 | 27 | 26 |
|
Shantilal Nanji Kenia
27 Lady Slipper Cir |
$32.57 | 57 | 55 |
|
Priscilla Amuma
577 Western Ave |
$72.65 | 63 | 63 |
|
Charles W. Cahill
57 Union St |
$52.61 | 67 | 66 |
|
Lisa L. Stephens
395 Southampton Rd |
$40.13 | 69 | 66 |
|
Psych Wellness Group, Inc.
15 Susan Dr |
$100.73 | 72 | 62 |
|
Medexpress Urgent Care, Pc - Massachusetts
311 E Main St |
$50.66 | 99 | 96 |
|
Lynn N Mutlu
115 W Silver St |
$25.24 | 115 | 113 |
|
Stephen Corridon Strebel
37 Washington St |
$65.97 | 123 | 122 |
|
Luz M. Martin, M.D. P.C.
94 N Elm St |
$96.57 | 130 | 127 |
|
Girard F Dugan
115 West Silver Street |
$61.24 | 210 | 210 |
|
Peter Evan Pascal
115 W Silver St |
$50.22 | 215 | 197 |
|
Naomi Rosenberg
94 N Elm St |
$50.93 | 227 | 208 |
|
Ram Gopal Malladi
75 Springfield Rd |
$21.66 | 249 | 238 |
|
Samantha Mcvay
140 Southampton Rd |
$47.78 | 278 | 263 |
|
Alexis Gorman
75 Springfield Rd |
$56.53 | 285 | 272 |
|
Nicole Mary Megazzini
57 Union St Ste 101 |
$34.41 | 307 | 300 |
|
Maksim V Merenkov
80 William St |
$41.23 | 309 | 306 |
|
Daniela Bataille
57 Union Street |
$79.31 | 339 | 323 |
|
Aleksandr D Pugach
57 Union St |
$50.60 | 341 | 313 |
|
Westfield Medical Corporation
57 Union St, Ste 101 |
$64.30 | 364 | 343 |
|
Juanita Carnes
115 W Silver St |
$59.35 | 389 | 363 |
|
Edward S Ballis
115 W Silver St |
$71.08 | 428 | 408 |
|
Cara Teresa Stauder
477 Southwick Road |
$3.62 | 526 | 489 |
|
Dianne Lavoie
57 Union St |
$63.25 | 679 | 669 |
|
Elizabeth Jean Quinby
477 Southwick Road |
$3.27 | 693 | 656 |
|
Mohamed Turay
140 Southampton Rd |
$23.45 | 767 | 696 |
|
Andrew B Chertoff
115 W Silver St |
$43.12 | 811 | 737 |
|
Cassandra Cangialosi
477 Southwick Rd |
$55.73 | 813 | 798 |
|
Jessica L Menard
57 Union St |
$35.49 | 904 | 866 |
|
Lisa M Killips
20 Castle Hill Rd |
$79.86 | 933 | 717 |
|
Roger J Beneitone
57 Union Street |
$39.15 | 935 | 901 |
|
Armand A Aliotta
48 E Silver St |
$46.89 | 948 | 945 |
|
Mehdi Pajouh
48 E Silver St |
$44.32 | 1,008 | 985 |
|
Kristen James Guyott
77 Mill St |
$58.13 | 1,023 | 980 |
|
Sara Brewer
77 Mill St |
$96.76 | 1,109 | 1,019 |
|
Michelle M Barnett
57 Union Street |
$48.01 | 1,140 | 1,085 |
|
Ashley Hoffman
395 Southampton Rd |
$50.90 | 1,242 | 1,218 |
|
Beata Adela Puri
477 Southwick Rd |
$48.45 | 1,405 | 1,383 |
|
Jillian A Dodge
57 Union Street |
$48.63 | 1,459 | 1,283 |
|
Alexandra Marie Fruwirth
395 Southampton Rd |
$42.07 | 1,676 | 1,631 |
|
Sonia Maria Valentine
115 W Silver St |
$51.60 | 1,745 | 1,591 |
|
Denzil M Reid
115 W Silver St |
$32.04 | 1,864 | 1,809 |
|
Kathryn P Ward
477 Southwick Rd |
$33.35 | 1,998 | 1,942 |
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