Average Medicaid Office Visit Payments in Ansonia, CT: $65.82
Avg. Paid
$65.82
Range
$0.00 – $118.79
Total Claims
187,217
Providers
49
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 Ansonia, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dean E Lederfeind
121 Wakelee Ave |
$0.00 | 53 | 47 |
|
Ashish Malhotra
22 Westfield Ave |
$65.64 | 74 | 66 |
|
Deborah E Levenson
22 Westfield Ave |
$88.18 | 74 | 71 |
|
Unity Wiles
22 Westfield Ave |
$33.84 | 123 | 116 |
|
Aisha Khan
111 Wakelee Ave |
$85.84 | 148 | 144 |
|
Michael T Lipcan
22 Westfield Ave |
$47.20 | 208 | 163 |
|
Shakira Jacqueline Sebastian
22 Westfield Ave |
$43.77 | 232 | 215 |
|
Kelly T Nguyen
336 Main St |
$22.00 | 249 | 231 |
|
Usama Nasir
145 Wakelee Ave |
$26.92 | 385 | 354 |
|
Stephen J. Moses
135 Division St |
$44.64 | 450 | 419 |
|
Kathia Fonseca
435 E Main St |
$91.18 | 456 | 421 |
|
Joel S Zaretzky
199 Wakelee Ave |
$73.21 | 505 | 441 |
|
Amy J Miklos
22 Westfield Ave |
$45.93 | 642 | 614 |
|
Ian D Schein
121 Wakelee Ave |
$2.23 | 693 | 593 |
|
David Moll
135 Division St |
$62.34 | 708 | 683 |
|
Bruce T Brennan
22 Westfield Ave |
$52.55 | 732 | 637 |
|
Muhammad Ehsan Qadir
22 Westfield Ave |
$54.90 | 949 | 900 |
|
Joanna Reslink
20 Pulaski Hwy |
$33.76 | 1,006 | 784 |
|
Deborah Oestreicher
435 E Main St |
$33.16 | 1,146 | 930 |
|
Judith Heller
135 Division Street 1St Floor |
$51.04 | 1,169 | 1,078 |
|
Sarah Elizabeth Olivier-Cabrera
22 Westfield Ave |
$20.33 | 1,186 | 1,054 |
|
Andrea Charlene Tavlan
20 Westfield Avenue |
$94.05 | 1,388 | 1,320 |
|
Gerald Germano
20 Westfield Ave |
$72.77 | 1,482 | 1,390 |
|
Jonathan T Simon
22 Westfield Ave |
$95.36 | 1,506 | 1,441 |
|
Magdalen S Mauriello
135 Division St |
$71.53 | 1,566 | 1,438 |
|
Gena Marie Borgman
22 Westfield Ave Ste 1 |
$53.60 | 1,567 | 1,462 |
|
Leina Grecia Fruhbauer
435 E Main St |
$49.79 | 1,940 | 1,715 |
|
Vallari Kothari
135 Division St Fl 1 |
$73.62 | 1,990 | 1,758 |
|
Scott Arnold Mcintyre
22 Westfield Ave |
$37.52 | 2,110 | 1,940 |
|
Catherine Paszek
20 Westfield Ave |
$64.75 | 2,203 | 2,015 |
|
Erin Marie Bowen
20 Westfield Ave |
$68.40 | 2,331 | 2,086 |
|
Kayla Lepage
24 Pershing Dr |
$10.49 | 2,711 | 1,986 |
|
Mary Ellie Stankus
22 Westfield Ave |
$40.11 | 2,765 | 2,551 |
|
Kristina D Labonte
135 Division St Ste 2 |
$68.75 | 2,833 | 2,580 |
|
Roman Spivak
135 Division St Ste 2 |
$59.18 | 3,162 | 2,918 |
|
Chi Tang
135 Division St Ste 1 |
$74.52 | 4,784 | 4,505 |
|
Cecrystal Umeugo
5 Shortell Drive |
$10.31 | 5,274 | 4,651 |
|
Liqun Song
135 Division St |
$66.00 | 5,522 | 5,090 |
|
Luke C Jeffries
364 E Main St |
$31.49 | 5,707 | 4,919 |
|
Michael S Travisano
364 E Main St |
$22.92 | 5,825 | 4,786 |
|
Unknown Bilori
111 Wakelee Ave |
$72.02 | 5,847 | 5,468 |
|
Anthony G Wayne
20 Westfield Ave |
$85.51 | 6,046 | 5,577 |
|
Ashokkumar Kantilal Shah
135 Division St |
$118.79 | 7,445 | 6,951 |
|
Robert L Lavallee
20 Westfield Ave |
$79.40 | 8,577 | 7,915 |
|
David R Marks
111 Wakelee Ave |
$74.61 | 10,145 | 9,324 |
|
Francis Gorman
121 Wakelee Ave |
$7.08 | 10,539 | 9,094 |
|
Clarvdia Dunn
400 Main St |
$76.64 | 21,971 | 19,811 |
|
Bhcare, Inc.
435 E Main St |
$91.07 | 23,835 | 21,746 |
|
Douglas C Curtiss
400 Main St |
$73.60 | 24,958 | 21,435 |
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 Ansonia, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ansonia, CT is $65.82 per claim, based on 187,217 claims from 49 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 Ansonia, CT?
There are 49 Medicaid providers offering Office Visit related services in Ansonia, CT according to public payment data.
What is the price range for Office Visit in Ansonia, CT?
Medicaid reimbursement for Office Visit in Ansonia, CT ranges from $0.00 to $118.79 per claim, with an average of $65.82. 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 Ansonia, CT
Non-Emergency Medical Transportation
Avg $0.00
348,389 claims
Ambulance Transport
Avg $27.13
344,123 claims
Psychiatric Evaluation
Avg $49.56
214,363 claims
Vaccines & Immunizations
Avg $16.32
63,107 claims
Dental Cleaning & Exam
Avg $33.26
47,721 claims
Blood Work & Lab Tests
Avg $5.21
19,527 claims
Eye Exam
Avg $42.83
18,330 claims
Speech Therapy
Avg $44.70
17,999 claims