Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Worcester, MA: $63.47

Avg. Paid

$63.47

Range

$0.00 – $226.96

Total Claims

2,032,687

Providers

1,521

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 Worcester, MA

Provider	Avg. Paid	Claims	Patients
Glenn Thomas Stokken 55 Lake Ave N	$44.32	12	12
John I Reed 5 Neponset St	$100.98	12	12
Mary R Hawthorne 291 Lincoln St	$44.19	12	12
Michael John Hall 55 Lake Ave N	$100.35	12	12
Natalia Alexandrovna Kottler 26 Queen Street	$7.63	12	12
Konstantin Abramov 55 Lake Ave N	$12.40	12	12
Monica Makhija 55 Lake Ave N	$64.14	12	12
Alexander Michael Martin 119 Belmont St	$37.27	12	12
Lisa D. Yang 55 Lake Ave N	$75.00	12	12
Feiran Lou 67 Belmont St Dept Of	$50.92	12	12
Heidi Kay Leftwich 119 Belmont St	$19.31	12	12
Jonathan Joseph Gammel 55 Lake Ave N	$57.02	12	12
Vaikom Mahadevan 55 Lake Ave N	$82.58	12	12
Christine Bub 55 Lake Ave N	$35.66	12	12
David M Harlan 55 Lake Ave N	$37.23	12	12
Mohamed Mahmoud 55 Lake Ave N	$57.70	12	12
Ann L Mitchell 55 Lake Ave N	$24.31	12	12
Arjun Sadagopan Kumar 55 Lake Ave N	$53.62	12	12
Sandra Medakovich 366 Shrewsbury St	$80.27	12	12
Timothy Edward Mcalindon 119 Belmont St	$32.11	12	12
Lisa S Gussak 26 Queen St	$83.86	12	12
Christine Wendy Chang 100 Front St Fl 11	$21.89	12	12
Sarah Beth Rollins 55 Lake Ave N	$21.79	12	12
Alexander Kitto 55 Lake Ave N	$64.09	12	12
Sheila Wells 340 Main St	$51.10	12	12
Navine Nasser-Ghodsi 55 Lake Ave N	$26.79	12	12
Thyra Gutierrez-Sierra 18 Hammond St	$6.56	12	12
Zahra Sardar Sheikh 291 Lincoln St	$66.90	12	12
Nicholas B. Schraut 55 Lake Ave N	$99.47	12	12
Michael K Hyder 55 Lake Ave N	$2.24	12	12
Mark Webster Maxfield 67 Belmont St	$25.44	12	12
Ngoc Truong 55 Lake Ave N	$30.31	12	12
Kristen M Derosa 416 Belmont St	$11.97	12	12
Kayla Ann Furr 55 Lake Ave N	$77.79	12	12
Sarah Marie Hyder 55 Lake Ave N	$99.99	12	12
Annika Janelle Dixon Rooke 55 Lake Ave N	$25.04	12	12
Lisa A Gordon 108 Belmont St	$31.92	12	12
Elena R Byhoff 55 Lake Ave N	$36.44	12	12
Mitchell Cahan 55 Lake Ave N	$57.04	12	12
John A Ferullo 123 Summer St	$103.41	13	13
Ann-Britt Martins 119 Belmont St	$75.37	13	13
Jaimee Demone 328 Shrewsbury St	$48.45	13	12
Jared T Mickelson 55 Lake Ave N	$58.10	13	13
Divyamol Lukose 55 Lake Ave N	$30.38	13	12
Jonathan D Holdorf 55 Lake Ave N	$21.35	13	13
Cynthia A Ennis 55 Lake Ave N	$37.58	13	13
Brenda L.Y. Wong 55 Lake Ave N	$26.14	13	12
Samantha L Laflash 26 Queen St	$13.17	13	13
Sara G Shields 26 Queen St	$131.48	13	13
Holly D Willett 19 Tacoma St	$4.63	13	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 Worcester, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Worcester, MA is $63.47 per claim, based on 2,032,687 claims from 1521 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 Worcester, MA?

There are 1521 Medicaid providers offering Office Visit related services in Worcester, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Worcester, MA ranges from $0.00 to $226.96 per claim, with an average of $63.47. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Worcester, MA: $63.47

Providers Offering Office Visit in Worcester, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Worcester, MA

Substance Abuse Treatment

Psychiatric Evaluation

Non-Emergency Medical Transportation

Home Health Visit

Dental Cleaning & Exam

Blood Work & Lab Tests

Behavioral & Mental Health Therapy

Emergency Room Visit