Average Medicaid Office Visit Payments in Avon, CT: $45.27
Avg. Paid
$45.27
Range
$0.00 – $102.25
Total Claims
306,708
Providers
142
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 Avon, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph Downs
385 W Main St |
$46.10 | 13,021 | 11,342 |
|
Todd A Bickmore
385 W Main St |
$74.59 | 11,175 | 9,436 |
|
Marie Dam
35 Tower Ln |
$54.51 | 10,994 | 9,629 |
|
Jacqueline Nicole Perez
385 W Main St |
$4.32 | 10,662 | 10,012 |
|
Jessica Grant
385 W Main St |
$72.79 | 10,562 | 9,747 |
|
Kate-Lyn Birchell
385 W Main St |
$32.39 | 9,983 | 8,386 |
|
Rebecca Corridori
385 W Main St |
$31.89 | 9,738 | 8,165 |
|
Christopher J Delgross
385 W Main St |
$66.17 | 8,703 | 6,516 |
|
Nam V Nguyen
385 W Main St |
$32.75 | 8,323 | 7,125 |
|
Michael George Zerbe
385 W Main St |
$43.91 | 8,198 | 6,982 |
|
Tamikque Vane Escourse
385 W Main St |
$77.40 | 8,065 | 7,123 |
|
Mark David Stevens
30 W Avon Rd |
$37.18 | 7,892 | 6,743 |
|
Alexander Ashe
385 W Main St |
$35.67 | 7,855 | 7,009 |
|
Heather Elizabeth Trompeter
385 W Main St |
$41.94 | 7,672 | 6,362 |
|
Maria Elena Slajda
385 W Main St |
$12.16 | 7,134 | 6,170 |
|
Jaime Chandler Mcneil
385 West Main Street |
$30.29 | 5,858 | 5,237 |
|
Mary E. Leahy
35 Nod Rd Ste 205 |
$55.70 | 5,834 | 3,832 |
|
Marcin Jaremko
339 W Main St |
$69.44 | 5,509 | 4,888 |
|
Stella George
385 W Main St |
$27.95 | 5,387 | 4,259 |
|
Arti Jayesh Patel
385 W Main St |
$40.80 | 5,088 | 4,083 |
|
Molly Kruger Naples
21B Arts Center Ct |
$37.87 | 4,846 | 4,663 |
|
Miriam M Harel
100 Simsbury Rd |
$100.57 | 4,615 | 4,581 |
|
Anthony Roselli
54 W Avon Rd |
$90.07 | 4,558 | 3,865 |
|
Andrew Lee
135 Waterville Rd |
$13.26 | 4,171 | 3,100 |
|
Douglas Paragone
385 W Main St |
$98.39 | 4,042 | 2,797 |
|
Steven Buchbinder
302 West Main Street |
$13.86 | 4,027 | 3,844 |
|
Tiffany Cesca
385 W Main St |
$0.09 | 3,779 | 3,459 |
|
Li Zhu
40 Dale Rd Ste 202 |
$33.65 | 3,629 | 2,594 |
|
Meredith Kocot
385 W Main St |
$32.48 | 3,502 | 3,154 |
|
Fawzu Fusaini Mohammadu
1 Darling Dr Ste 201 |
$58.65 | 3,442 | 3,011 |
|
Kelly Pfeiffer
30 W Avon Rd |
$64.03 | 3,157 | 2,417 |
|
Eileen Mary Miller
385 West Main Street |
$5.98 | 2,979 | 2,372 |
|
Ashisna Khadka
385 W Main St |
$15.97 | 2,937 | 2,610 |
|
Kristi Xhaxho Krikris
385 W Main St |
$26.67 | 2,927 | 2,658 |
|
Victor Calhoun
385 W Main St |
$91.17 | 2,679 | 2,477 |
|
Cecile Berry
100 Simsbury Rd |
$31.85 | 2,574 | 1,332 |
|
Latonya Sheriee King
152 Simsbury Rd Bldg 9 |
$52.13 | 2,524 | 1,521 |
|
Alyssa Mary Kalberer
385 W Main St |
$30.41 | 2,495 | 1,903 |
|
Alison Kathleen Riley
385 W Main St |
$46.99 | 2,462 | 2,141 |
|
Josie C Dumond
358 W Main St |
$20.99 | 2,356 | 1,548 |
|
Alma Rosa Barreto
65 Avonwood Rd |
$102.25 | 2,341 | 2,025 |
|
Aurora Maugeri
385 W Main St |
$81.77 | 2,269 | 1,905 |
|
Shilpa Rajashekar
54 W Avon Rd |
$59.33 | 2,168 | 1,862 |
|
Ali Torabzadeh
339 W Main St |
$71.89 | 2,143 | 1,992 |
|
Cristina M Tellechea
385 W Main St |
$83.43 | 2,088 | 1,871 |
|
Sherald Patricia Eklund
34 Dale Rd |
$83.09 | 2,044 | 1,780 |
|
Malika Akilah Reeves
385 W Main St |
$39.42 | 1,977 | 1,855 |
|
Juliana Lima
385 W Main St |
$36.93 | 1,960 | 1,691 |
|
Jennifer Pyrro
44 Dale Rd |
$44.07 | 1,927 | 1,529 |
|
Mary Marlowe
358 W Main St |
$28.78 | 1,920 | 1,569 |
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 Avon, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Avon, CT is $45.27 per claim, based on 306,708 claims from 142 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 Avon, CT?
There are 142 Medicaid providers offering Office Visit related services in Avon, CT according to public payment data.
What is the price range for Office Visit in Avon, CT?
Medicaid reimbursement for Office Visit in Avon, CT ranges from $0.00 to $102.25 per claim, with an average of $45.27. 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 Avon, CT
Psychiatric Evaluation
Avg $25.93
90,776 claims
Nursing Facility Care
Avg $17.23
84,213 claims
Eye Exam
Avg $40.43
44,037 claims
Dental Cleaning & Exam
Avg $29.89
39,748 claims
Physical Therapy
Avg $24.49
27,573 claims
Blood Work & Lab Tests
Avg $45.12
18,096 claims
Vaccines & Immunizations
Avg $13.44
14,570 claims
X-Ray
Avg $5.63
10,296 claims