Average Medicaid Office Visit Payments in Bethel, CT: $52.93
Avg. Paid
$52.93
Range
$0.00 – $91.91
Total Claims
34,860
Providers
20
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 Bethel, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James W Finnerty
2 Elizabeth St |
$32.04 | 32 | 30 |
|
Glaubia Almeida Weaver
53 Copper Square Dr |
$64.18 | 54 | 54 |
|
Thomas Patrick Whelan
2 Elizabeth St |
$23.12 | 149 | 135 |
|
David Shapiro
155 Greenwood Ave |
$0.00 | 222 | 175 |
|
Haleigh Lynn Dename
8 Maple Row |
$91.91 | 307 | 303 |
|
Michael Z Fein
8 School St |
$16.30 | 481 | 329 |
|
Sean Patrick Mcgrade
2 Elizabeth St |
$71.87 | 499 | 426 |
|
Mary N. Galasinski
7 Durant Ave |
$31.26 | 551 | 512 |
|
Stephania Kataryna Kushnir
7 Durant Ave |
$29.84 | 626 | 578 |
|
Theodore James Blum
5 School St |
$40.08 | 728 | 501 |
|
Tran Ngoc Nguyen
2 Elizabeth St |
$41.37 | 1,023 | 876 |
|
Rosanna S Chapleau
2 Elizabeth St |
$53.19 | 1,134 | 989 |
|
Michelle Renee Foye
2 Elizabeth St |
$84.86 | 1,226 | 1,072 |
|
Ashley Nascimento
6 Stony Hill Rd |
$58.76 | 1,317 | 1,184 |
|
Lorraine B Orloski
13 Park Lawn Dr |
$0.10 | 1,600 | 1,281 |
|
Christine Seidell
6 Stony Hill Rd |
$69.74 | 2,224 | 1,930 |
|
Jamie Anthony Otfinoski
8 School St |
$21.28 | 3,747 | 2,514 |
|
Emmet Pierce Ferriter
2 Elizabeth St |
$71.49 | 3,761 | 3,136 |
|
Ashley Nicole Courtney
24 Drummers Ln |
$73.58 | 4,436 | 4,184 |
|
Christopher Martin Pioli
6 Stony Hill Rd |
$54.52 | 10,743 | 9,335 |
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 Bethel, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bethel, CT is $52.93 per claim, based on 34,860 claims from 20 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 Bethel, CT?
There are 20 Medicaid providers offering Office Visit related services in Bethel, CT according to public payment data.
What is the price range for Office Visit in Bethel, CT?
Medicaid reimbursement for Office Visit in Bethel, CT ranges from $0.00 to $91.91 per claim, with an average of $52.93. 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 Bethel, CT
Psychiatric Evaluation
Avg $57.43
22,459 claims
Speech Therapy
Avg $35.87
10,901 claims
Ambulance Transport
Avg $75.04
7,789 claims
Dental Cleaning & Exam
Avg $29.84
5,763 claims
Physical Therapy
Avg $16.67
4,819 claims
Eye Exam
Avg $39.77
4,099 claims
Nursing Facility Care
Avg $14.91
2,595 claims
Blood Work & Lab Tests
Avg $6.02
2,114 claims