Average Medicaid Office Visit Payments in Berlin, VT: $34.72
Avg. Paid
$34.72
Range
$0.00 – $98.85
Total Claims
168,640
Providers
108
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 Berlin, VT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Clearchoicemd, Pllc
798 Route 302 |
$54.07 | 52,541 | 48,373 |
|
Christopher Joseph Lukonis
300 Granger Rd |
$1.11 | 6,007 | 4,171 |
|
Ann E. Burzynski
286 Hospital Loop |
$13.21 | 5,578 | 5,017 |
|
Stuart E Williams
130 Fisher Rd |
$57.42 | 4,584 | 3,126 |
|
Sudhin Kanabar
130 Fisher Rd |
$38.87 | 4,441 | 3,751 |
|
Deborah S Wachtel
130 Fisher Rd Unit 1 |
$61.17 | 4,100 | 2,366 |
|
Quincy Campbell
1311 Barre-Montpelier Rd |
$17.53 | 4,073 | 3,848 |
|
Irene Chamberlain
1311 Barre-Montpelier Road, Suite 200 |
$19.82 | 3,630 | 3,471 |
|
Jennifer Brennan Bamford
130 Fisher Rd. |
$25.74 | 3,407 | 3,197 |
|
Tracy Hobbs-Johnson
130 Fisher Rd |
$29.16 | 3,244 | 2,878 |
|
Harris Kiva Strokoff
130 Fisher Rd |
$57.60 | 3,215 | 2,849 |
|
Allison Leigh Wasson
246 Granger Rd Ste 2 |
$9.75 | 3,214 | 2,848 |
|
Brenda Neff
130 Fisher Rd |
$9.86 | 3,205 | 3,022 |
|
Pascale C Stephani
246 Granger Rd |
$4.52 | 3,090 | 2,633 |
|
Lucy Ann Patti
246 Granger Rd |
$24.29 | 2,734 | 2,635 |
|
Jacqueline Gallagher
130 Fisher Rd |
$43.72 | 2,628 | 2,364 |
|
James S Greenleaf
82 E View Lane Ste 3 |
$23.04 | 2,567 | 2,380 |
|
Kathleen A Bryant
246 Granger Rd |
$16.50 | 2,531 | 2,396 |
|
Erika-Kristina Bradstreet Pineles-Mark
130 Fisher Rd Ste 1-1 |
$77.37 | 2,512 | 2,113 |
|
Aisha Hussain
1311 Barre-Montpelier Rd |
$20.17 | 2,424 | 2,326 |
|
James Gary Rose
130 Fisher Rd |
$19.79 | 2,401 | 2,239 |
|
Anthony Rashad Williams
130 Fisher Rd Ste 3-1 |
$19.98 | 2,350 | 2,078 |
|
Justine Gadd
246 Granger Rd |
$20.89 | 2,018 | 1,876 |
|
Anne Brereton
1311 Barre-Montpelier Road |
$13.50 | 1,913 | 1,816 |
|
Brian L Rodriguez
130 Fisher Rd., Ste. #3-1 |
$27.49 | 1,835 | 1,649 |
|
Laura Allen Felsted
130 Fisher Rd Ste 3 |
$0.07 | 1,759 | 1,415 |
|
Roger Kellogg
286 Hospital Loop |
$64.65 | 1,732 | 1,301 |
|
Amy Renner
130 Fisher Rd Ste 3-1 |
$21.94 | 1,564 | 1,446 |
|
David Alexander Segel
130 Fisher Rd |
$16.50 | 1,374 | 1,282 |
|
Sean C O'Brien
1311 Barre-Montpelier Rd |
$27.19 | 1,361 | 1,199 |
|
Alison Marie Migonis
130 Fisher Rd Ste 4 |
$18.05 | 1,350 | 1,055 |
|
Carolyn Sarah Lorenz-Greenberg
246 Granger Rd |
$17.66 | 1,290 | 1,231 |
|
Kirsten Didrikson
130 Fisher Rd Ste 2 |
$20.53 | 1,287 | 1,086 |
|
Jose Lopez
130 Fisher Rd Ste 3-1 |
$22.09 | 1,238 | 1,179 |
|
Washington County Mental Health Services, Inc.
174 Hospital Loop |
$14.67 | 1,144 | 935 |
|
Christina Marie Tourangeau
1311 Barre-Montpelier Road |
$33.71 | 1,139 | 1,103 |
|
Aimee Nazebeh Ahari
130 Fisher Rd |
$17.41 | 1,085 | 1,004 |
|
Bram Stephen Starr
246 Granger Rd |
$25.81 | 1,027 | 928 |
|
Harriott Meyer Shea
246 Granger Rd Ste 1 |
$20.35 | 988 | 940 |
|
Jay Ingram
130 Fisher Rd Unit 1 |
$46.41 | 951 | 888 |
|
Dominic Carroll Ayer
1311 Barre-Montpelier Road |
$22.88 | 848 | 817 |
|
Jessica E O'Neil
286 Hospital Loop |
$20.55 | 825 | 779 |
|
Jessica L Macleod
142 Woodridge Drive |
$11.17 | 824 | 630 |
|
Maria Teresa Ibanez
1311 Barre Montpelier Road |
$15.04 | 803 | 719 |
|
Richard J. Leidinger
286 Hospital Loop |
$12.46 | 748 | 715 |
|
Deborah Jean Brown
130 Fisher Rd Unit 1 |
$28.25 | 702 | 634 |
|
Ciara Hollister
130 Fisher Rd |
$19.96 | 699 | 566 |
|
Julia Jefka
130 Fisher Rd |
$8.13 | 676 | 658 |
|
David Ospina
130 Fisher Rd |
$31.30 | 653 | 563 |
|
Jamie Kazar
798 Route 302 |
$59.05 | 644 | 439 |
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 Berlin, VT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Berlin, VT is $34.72 per claim, based on 168,640 claims from 108 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 Berlin, VT?
There are 108 Medicaid providers offering Office Visit related services in Berlin, VT according to public payment data.
What is the price range for Office Visit in Berlin, VT?
Medicaid reimbursement for Office Visit in Berlin, VT ranges from $0.00 to $98.85 per claim, with an average of $34.72. 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 Berlin, VT
Behavioral & Mental Health Therapy
Avg $160.57
317,869 claims
Psychiatric Evaluation
Avg $23.75
68,012 claims
Emergency Room Visit
Avg $51.33
46,538 claims
Blood Work & Lab Tests
Avg $21.15
12,955 claims
EKG / ECG (Electrocardiogram)
Avg $2.30
12,617 claims
Case Management Services
Avg $121.37
11,251 claims
Vaccines & Immunizations
Avg $4.66
8,979 claims
Eye Exam
Avg $46.88
7,667 claims