Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Winchester, MA: $100.19

Avg. Paid

$100.19

Range

$0.00 – $174.07

Total Claims

41,242

Providers

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 Winchester, MA

Provider	Avg. Paid	Claims	Patients
Winchester Hospital 41 Highland Ave	$174.07	17,072	16,004
Linda Ann Cahill 898 Main St	$73.03	6,409	6,018
Christopher Kareores 41 Highland Ave	$62.46	3,868	3,812
Michael Kim 41 Highland Ave	$25.06	3,285	2,770
Jessica Dawn Bradford Winchester Hospital	$2.82	2,025	1,943
Ying Liu 9 Azalea Rd	$34.61	1,624	1,570
Lindsay M Demsey 955 Main St	$56.97	1,288	1,262
Kyle Silva 620 Washington St Fl 1	$8.49	1,114	930
Mohammed Jaleel 41 Highland Ave	$27.62	1,000	953
Robert J O'Brien 955 Main St	$66.63	670	660
Ehab Billatos 41 Highland Ave	$59.55	615	608
Rebecca Anne Spoerri-Bowman 955 Main St Ste 305	$41.64	302	281
Michael W. Marcus, M.D., P.C. 898 Main St	$62.71	269	259
Stefanie Lynne Delaney 955 Main St	$61.69	249	240
Melissa Mccormack 77 Swanton St Ste 2	$59.78	232	203
Teriggi Ciccone 41 Highland Ave	$46.02	230	227
Shiksha Kedia 620 Washington St	$59.90	173	157
Jessica Anne Albrinck 41 Highland Ave	$24.91	133	131
Winchester Physician Associates, Inc 11 Shore Rd	$91.53	93	86
Emily Suther 955 Main St Ste 106	$54.59	70	65
Marisa Kearney 41 Highland Ave	$54.81	56	55
Courtney Debra Tolliday 41 Highland Ave	$0.00	48	48
Laura Christina Vitale 955 Main St	$21.38	48	43
Ashley Nicole Zaganjori 1021 Main St Ste 102	$15.51	42	41
Shahrouz Hekmatpour 41 Highland Ave	$24.49	37	36
Bhargavi Yalamarti 620 Washington Street	$38.35	29	28
Le Grand G Reynolds 41 Highland Ave	$37.05	28	28
Michael C Zaslow 955 Main Street	$32.94	24	24
Joshua Shofner 955 Main St Ste G6	$51.50	24	24
Madeline Randolph 41 Highland Avenue	$0.00	17	17
Elizabeth G Doherty 41 Highland Ave	$0.00	16	13
Mark Armen Ayanian 955 Main Street	$67.26	16	13
Joshua M. Sheehan 1021 Main Street	$48.92	15	13
Nicole K Marchionda 41 Highland Ave	$24.49	15	15
Sonia Amaral Inacio 955 Main St	$67.26	14	13
Dean Tully 41 Highland Ave	$82.40	14	13
Mallory Feng 955 Main St Ste 105	$5.58	14	13
Jeffrey G Miner 11 Shore Road	$157.86	14	14
Scott Gwon Schluter 955 Main St	$57.89	13	13
Andrew S Lubin 1021 Main Street	$66.31	13	12
Teresa Marie Bose 1021 Main St	$58.41	12	12
Kathleen Girard Fortin 955 Main St	$62.71	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 Winchester, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Winchester, MA is $100.19 per claim, based on 41,242 claims from 42 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 Winchester, MA?

There are 42 Medicaid providers offering Office Visit related services in Winchester, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Winchester, MA ranges from $0.00 to $174.07 per claim, with an average of $100.19. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Winchester, MA: $100.19

Providers Offering Office Visit in Winchester, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit

Culture & Microbiology Tests

Dental Cleaning & Exam

X-Ray

EKG / ECG (Electrocardiogram)