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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wilbraham, MA: $47.94

Avg. Paid

$47.94

Range

$8.18 – $78.56

Total Claims

60,721

Providers

33

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 Wilbraham, MA

Provider Avg. Paid Claims Patients
Spencer Lee Haller

70 Post Office Park

 $51.68 6,009 5,727
Amanda M Bryant

70 Pst Office Park

 $36.28 4,690 4,556
Nicole Dacampo

2 Crane Park Dr Ste E

 $54.31 4,624 2,136
Jessica Sweeney

70 Post Office Park

 $34.97 4,110 3,956
Michael John Cobill

2040 Boston Rd Ste 5

 $53.40 4,106 3,955
Urgent Care Specialists Pc

2040 Boston Rd Ste 5

 $78.56 3,575 3,471
Mary Beth Laliberte

2040 Boston Rd Ste 5

 $48.96 3,406 3,241
Brian Banker

70 Post Office Park

 $43.04 2,818 2,739
Psych Care Assoc Pc

85 Post Office Park Ste 8501-B

 $71.21 2,689 2,566
Ashley Charette

2344 Boston Rd

 $41.41 2,656 2,574
Priya Sharma Malik

2207 Boston Rd

 $53.73 2,142 2,087
Amy C. Kasper

2207 Boston Rd

 $45.88 2,120 2,071
Alan J Gonzalez-Blosser

2344 Boston Rd

 $32.37 1,940 1,791
Thirza C Lareau

2207 Boston Rd

 $45.35 1,912 1,859
Gary John Nielan

2207 Boston Rd

 $47.47 1,785 1,737
Matthew James Connors

70 Post Office Park

 $17.56 1,681 1,658
Kimberly Anne Dewey

2207 Boston Rd

 $48.54 1,641 1,586
John F Peluso

2344 Boston Rd

 $36.99 1,616 1,519
Craig E Kannel

2344 Boston Rd

 $46.33 1,482 1,411
Kimberly Joyal Martins

2207 Boston Rd

 $53.26 1,362 1,328
Francesca M Bajaj

2207 Boston Rd

 $56.42 1,325 1,287
Julia Anne Mandsager Komatsu

2207 Boston Road

 $8.18 906 847
Deanna B. Tocco

2207 Boston Road

 $54.17 781 767
Jonathan A. Rosenstein

2207 Boston Road

 $55.79 460 456
Laurie Dasso Butler

2344 Boston Rd

 $45.38 245 233
Carolynn Hastie

101 Beebe Rd

 $51.11 241 120
Frank S. Mole

2440 Boston Rd

 $35.76 130 115
Michael Mccool

2344 Boston Rd

 $44.05 110 106
Shatabdi Saha Pinky

2207 Boston Rd

 $10.81 63 61
Jenny Chen

769 Main St

 $56.66 45 44
Tyler Joseph Branco

2344 Boston Rd

 $65.90 25 25
Paul F Curtis

75 Post Office Park

 $25.38 14 14
Lisa Beth Brosnan

2344 Boston Rd

 $43.17 12 12

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 Wilbraham, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wilbraham, MA is $47.94 per claim, based on 60,721 claims from 33 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 Wilbraham, MA?

There are 33 Medicaid providers offering Office Visit related services in Wilbraham, MA according to public payment data.

What is the price range for Office Visit in Wilbraham, MA?

Medicaid reimbursement for Office Visit in Wilbraham, MA ranges from $8.18 to $78.56 per claim, with an average of $47.94. 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 Wilbraham, MA

Physical Therapy

Avg $14.20

29,739 claims

Speech Therapy

Avg $41.56

20,740 claims

Personal Care Services

Avg $27.75

17,098 claims

Home Health Visit

Avg $54.89

16,722 claims

Vaccines & Immunizations

Avg $22.85

14,951 claims

Ambulance Transport

Avg $80.05

7,487 claims

Blood Work & Lab Tests

Avg $30.05

5,119 claims

Dental Cleaning & Exam

Avg $36.59

5,056 claims