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Based on public Medicaid payment data.

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

Other Procedures in Westfield, MA