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 |
|---|---|---|---|
|
Deborah L Collins-Perrica
21 Waterville Rd |
$0.00 | 13 | 12 |
|
Mackenzie Rose Dobbins
385 W Main St |
$2.68 | 13 | 13 |
|
Anthony Zaldonis
44 Dale Rd |
$26.91 | 14 | 14 |
|
Thomas James Corredine
44 Dale Rd |
$16.24 | 15 | 14 |
|
Ronald Josephson
44 Dale Rd |
$61.41 | 15 | 13 |
|
Lalarukh Mufti
40 Dale Rd |
$56.42 | 16 | 12 |
|
Radhika Naga Ayyagari
Prime Healthcare Pc |
$34.51 | 19 | 18 |
|
Wayne Chen
44 Dale Road |
$41.18 | 27 | 25 |
|
Maura Graham
20 W Avon Rd Ste 201 |
$35.18 | 29 | 27 |
|
Ryan Grand
18 W Avon Rd |
$19.15 | 29 | 26 |
|
Morgan Lee Jennings
35 Tower Ln |
$3.12 | 30 | 26 |
|
Arianna Heonis
385 W Main St |
$29.18 | 37 | 36 |
|
Jennifer A Violette
8D Canal Ct |
$62.47 | 40 | 39 |
|
Rachael Caliolo
358 W Main St |
$17.51 | 43 | 40 |
|
Halina Gorecki
21 Waterville Rd |
$66.01 | 47 | 41 |
|
Maria G Gaer
152 Simsbury Rd |
$33.35 | 49 | 47 |
|
Ingrid Grafals
35 Nod Rd |
$34.66 | 59 | 43 |
|
Odin Kuiper
20 West Avon Rd |
$30.36 | 67 | 63 |
|
Ashley Kaye Comeau
385 W Main St |
$27.95 | 68 | 62 |
|
Kathryn Rae Lapierre
385 W Main St |
$42.62 | 72 | 70 |
|
Sohaib Jamil
44 Dale Rd |
$29.74 | 79 | 68 |
|
Kelsey Erin Anderson
385 W Main St |
$30.85 | 84 | 78 |
|
Liana Huynh
385 W Main St |
$30.27 | 90 | 81 |
|
Fernando Ferrer
100 Simsbury Rd |
$65.60 | 97 | 94 |
|
Lynne Benjamin
44 Dale Rd |
$22.26 | 100 | 93 |
|
Rachel Elise Balloch
100 Simsbury Rd Ste 209 |
$15.12 | 101 | 56 |
|
Jessica Capolupo
358 W Main St |
$20.85 | 119 | 112 |
|
Yan Yan Beach
8 Canal Ct |
$51.68 | 127 | 111 |
|
Janice Whedon
44 Dale Rd |
$20.18 | 137 | 123 |
|
Minoufa Lesperance
385 W Main St |
$37.30 | 141 | 131 |
|
Rachel Cristina Joao
44 Dale Rd Ste 204 |
$31.08 | 146 | 135 |
|
Debra Anne Gage
80 Fisher Drive |
$21.35 | 157 | 106 |
|
Angela Maria Liquori
385 W Main St |
$0.00 | 177 | 176 |
|
Marley Jean Binkowski
385 W Main St |
$29.93 | 182 | 167 |
|
Jayna Noreikis
44 Dale Rd Ste 204 |
$23.15 | 184 | 161 |
|
Ralph Rosenberg
36 East Main Street |
$60.98 | 187 | 163 |
|
Michael D. Shea
339 West Main St. |
$37.90 | 194 | 179 |
|
Truc Vuu
21 Waterville Rd |
$60.48 | 196 | 173 |
|
Hartford Healthcare Urgent Care Centers, Llc
385 W Main St |
$1.43 | 231 | 229 |
|
Jennifer Anne Miner
385 W Main St |
$35.18 | 267 | 242 |
|
Catherine M Black
339 W Main St |
$36.36 | 304 | 287 |
|
Ruth Goldbaum
304 W Main St Ste 2 |
$0.00 | 318 | 233 |
|
Yolanda M Pena
40 Dale Rd |
$64.66 | 328 | 313 |
|
Jennifer A Delucia
385 W Main St |
$34.07 | 353 | 322 |
|
Isis Sacramento Ferreira
8D Canal Ct |
$35.51 | 363 | 300 |
|
Patricia Defusco
80 Fisher Drive |
$43.29 | 375 | 289 |
|
Allison Anne Couture
100 Simsbury Rd Ste 203 |
$44.33 | 387 | 367 |
|
Emma Janet Ardry
385 W Main St |
$36.60 | 391 | 361 |
|
Macie Boni
385 W Main St |
$10.76 | 393 | 123 |
|
Debra V Johnson
35 Tower Ln Ste 104 |
$6.04 | 410 | 243 |
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