Average Medicaid Office Visit Payments in Bennington, VT: $43.40
Avg. Paid
$43.40
Range
$0.00 – $98.38
Total Claims
167,514
Providers
78
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 Bennington, VT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kathleen A Haughton
655 Main St Ste 2 |
$79.22 | 17,156 | 9,025 |
|
John Matheson Mclellan
140 Hospital Dr |
$74.81 | 14,027 | 8,065 |
|
Nels Andreas Kloster
601 Main St Ste 104 |
$85.82 | 10,145 | 7,253 |
|
Emily A Rice
160 Benmont Ave |
$12.12 | 8,178 | 7,587 |
|
Jennifer Steinhoff
210 South St Ste 4 |
$70.42 | 7,233 | 6,161 |
|
Kelsey Lange Pierce
140 Hospital Dr |
$16.94 | 6,893 | 6,450 |
|
Lixia Zhao Ellis
100 Hospital Dr |
$24.60 | 5,160 | 4,881 |
|
Crystal Labbe-Hasty
140 Hospital Dr |
$24.65 | 5,015 | 4,706 |
|
Clarence Paul Graether
655 Main St |
$22.55 | 4,601 | 3,645 |
|
Jaclyn D Lozier
140 Hospital Dr Ste 210 |
$20.18 | 4,595 | 4,292 |
|
Salena J Steade
655 Main St |
$65.92 | 4,465 | 2,406 |
|
Whitney P Mical
655 Main St |
$54.75 | 4,378 | 3,681 |
|
Wendy Ann Sergeant
100 Ledgehill Rd |
$43.68 | 4,207 | 3,661 |
|
Theodore L Johnson
194 North Street |
$85.37 | 4,096 | 3,785 |
|
Melissa Rowe
655 Main St |
$32.58 | 3,848 | 3,643 |
|
Therese E Dranginis
655 Main St |
$20.23 | 3,385 | 2,826 |
|
J. Gregory King
655 Main St |
$18.42 | 3,361 | 2,598 |
|
Judy Kay Orton
901 Main St |
$37.56 | 3,259 | 2,957 |
|
Camille Zentkovich
655 Main St |
$21.71 | 3,148 | 2,622 |
|
Debra M Lucey
100 Ledgehill Rd |
$9.40 | 3,022 | 2,574 |
|
Kelly Hensley
100 Ledgehill Rd |
$8.70 | 3,009 | 2,813 |
|
William B Smith
100 Hospital Dr |
$21.87 | 2,862 | 2,716 |
|
Spencer Ciancola
140 Hospital Dr Ste 111 |
$23.47 | 2,707 | 2,536 |
|
Martin R Luloff
140 Hospital Dr |
$18.32 | 2,384 | 2,210 |
|
Joan L. Fish
160 Benmont Ave |
$37.55 | 2,068 | 1,606 |
|
Sherri Lyn Dehaas
148 Convent Ave |
$22.48 | 1,870 | 1,075 |
|
Wanda Christine Minenna
655 Main St |
$14.31 | 1,726 | 1,193 |
|
William J Sarchino
343 Dewey St |
$34.88 | 1,636 | 1,184 |
|
Emily D'Amario
100 Hospital Dr |
$70.29 | 1,579 | 1,534 |
|
Karena Webber
140 Hospital Dr |
$23.87 | 1,556 | 1,466 |
|
Martha Madhu Cornwell
357 Shields Dr |
$22.31 | 1,496 | 1,223 |
|
Scott W Rogge
140 Hospital Drive |
$29.01 | 1,452 | 1,333 |
|
Tracie Ann Crawford
100 Hospital Dr |
$25.16 | 1,433 | 1,372 |
|
Steve Rucker
140 Hospital Dr |
$26.35 | 1,391 | 1,260 |
|
Malcolm A. Paine
140 Hospital Dr |
$28.64 | 1,305 | 1,177 |
|
Manindra N Ghosh
194 North St Ste 7 |
$16.79 | 1,272 | 559 |
|
Christine Lynne Burke
100 Hospital Dr |
$19.98 | 1,245 | 1,200 |
|
Orion Maurice Howard
140 Hospital Dr |
$39.23 | 1,173 | 984 |
|
Catherine M Hickey
100 Ledgehill Rd |
$11.14 | 1,133 | 903 |
|
Katie Lynn Wysocki
140 Hospital Dr Ste 108 |
$30.61 | 1,057 | 979 |
|
Daniel S Kusick
100 Hospital Dr |
$22.08 | 1,017 | 964 |
|
Kimberley Jayne Sampson
140 Hospital Dr |
$33.50 | 880 | 777 |
|
Michael Algus
140 Hospital Dr |
$36.33 | 835 | 749 |
|
Rachel Burnham
100 Ledgehill Rd |
$1.93 | 806 | 672 |
|
Kristin Andrew
140 Hospital Dr Ste 307 |
$25.15 | 804 | 753 |
|
Lisa Patorti
140 Hospital Dr |
$25.91 | 770 | 651 |
|
Erik William Niemi
322 Dewey St |
$35.67 | 749 | 550 |
|
David M Gorson
140 Hospital Dr |
$72.45 | 657 | 627 |
|
Katie Gulley
120 Hospital Dr |
$18.26 | 649 | 591 |
|
Angela Wingate
209 Washington Ave |
$66.43 | 648 | 585 |
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 Bennington, VT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bennington, VT is $43.40 per claim, based on 167,514 claims from 78 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 Bennington, VT?
There are 78 Medicaid providers offering Office Visit related services in Bennington, VT according to public payment data.
What is the price range for Office Visit in Bennington, VT?
Medicaid reimbursement for Office Visit in Bennington, VT ranges from $0.00 to $98.38 per claim, with an average of $43.40. 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 Bennington, VT
Substance Abuse Treatment
Avg $15.54
599,637 claims
Psychiatric Evaluation
Avg $41.41
70,760 claims
Blood Work & Lab Tests
Avg $42.72
62,222 claims
Behavioral & Mental Health Therapy
Avg $34.95
50,658 claims
Emergency Room Visit
Avg $54.29
45,347 claims
Case Management Services
Avg $20.42
32,359 claims
Vaccines & Immunizations
Avg $9.32
26,646 claims
Dental Cleaning & Exam
Avg $36.79
25,905 claims