Average Medicaid Office Visit Payments in Bristol, CT: $47.83
Avg. Paid
$47.83
Range
$0.00 – $143.63
Total Claims
467,078
Providers
186
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 Bristol, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jose A Estela
94 Bellevue Ave |
$90.48 | 25,960 | 24,781 |
|
Andrea Buglione-Corbett
225 N Main St |
$6.68 | 14,434 | 12,931 |
|
Bristol Hospital Incorporated
41 Brewster Rd |
$42.76 | 11,722 | 9,299 |
|
Susan Adeola Adeife Lee
1301 Farmington Ave |
$82.87 | 11,688 | 10,527 |
|
Lisa Menillo
1301 Farmington Ave |
$88.39 | 10,485 | 9,365 |
|
Mary Catherine Egan Mieczkowski
1301 Farmington Ave |
$67.11 | 7,944 | 6,633 |
|
Bryan R Holland
43 Enterprise Dr |
$66.93 | 7,849 | 6,734 |
|
Surendran Raja Raja Varma
625 Clark Ave |
$80.22 | 7,769 | 6,551 |
|
A.E. Hertzler Knox
Prohealth Physicians Of Bristol |
$92.49 | 7,421 | 6,796 |
|
Amanda Maynard
41 Brewster Rd |
$63.98 | 7,002 | 6,426 |
|
Helen J Zervas
780 King St |
$43.02 | 6,977 | 6,055 |
|
Manoharan Nachiyappan
10 N Main St Ste 210 |
$23.01 | 6,935 | 5,515 |
|
Kevin Matthew Baran
1251 Farmington Avenue |
$68.49 | 6,798 | 5,784 |
|
Wheeler Clinic Inc.
10 N Main St |
$5.00 | 6,664 | 5,348 |
|
Alexander Komm
975 Farmington Ave |
$35.97 | 6,478 | 5,081 |
|
Doreen A. Rackliffe
255 N Main St |
$24.42 | 6,139 | 3,375 |
|
Marisa Esther Lee Kim
61 Bradley St |
$36.85 | 6,006 | 4,719 |
|
Vijay Joshi
102 North St |
$22.75 | 5,934 | 4,792 |
|
Jayme Leigh Mickelson
22 Pine St |
$70.90 | 5,674 | 5,255 |
|
Jennifer Lynn Sers
395 N Main St |
$14.15 | 5,621 | 4,900 |
|
Sapna Khubchandani
41 Brewster Rd |
$12.04 | 5,494 | 3,352 |
|
Ruth Alison Loomis
43 Enterprise Dr |
$78.33 | 5,477 | 4,679 |
|
Kai Hans Hammerich
25 Newell Rd Ste D21 |
$26.11 | 5,477 | 4,043 |
|
Saima A Pasha
102 North St |
$44.59 | 5,293 | 3,790 |
|
Cara Pittari
25 Newell Rd Ste D21 |
$26.34 | 5,261 | 4,516 |
|
Katelyn Lobnow
508 Birch St |
$52.01 | 5,240 | 3,722 |
|
Archana Sharma
104 North St |
$27.16 | 5,189 | 4,094 |
|
Jaret Terrell Williams
539 Farmington Ave |
$30.49 | 5,157 | 4,252 |
|
Jack H Adler
621 Terryville Ave |
$43.31 | 4,900 | 3,048 |
|
Kayla Nicole Kennedy
22 Pine St |
$91.38 | 4,848 | 4,571 |
|
Richard Saporito
212 Stafford Ave |
$7.31 | 4,754 | 2,051 |
|
Joseph Claude Labell
1301 Farmington Ave |
$85.62 | 4,733 | 4,411 |
|
Howard A Selinger
25 Collins Rd |
$51.28 | 4,654 | 4,062 |
|
Carolyn A Clark
43 Enterprise Dr |
$85.30 | 4,603 | 4,044 |
|
Julie E Schiff
43 Enterprise Dr |
$81.91 | 4,542 | 3,966 |
|
Susan Glasser
43 Enterprise Dr |
$69.41 | 4,446 | 3,002 |
|
Thomas G Ward
160 Wolcott St |
$98.31 | 4,431 | 4,033 |
|
Daniel P Tuohey
539 Farmington Ave |
$53.74 | 4,375 | 3,660 |
|
Shweta Upadhyay
25 Newell Rd |
$23.28 | 4,246 | 3,324 |
|
Siama M Ramlogan
1251 Farmington Ave |
$14.61 | 4,188 | 3,668 |
|
Oliver B Diaz
46 Goodwin St |
$46.53 | 4,146 | 3,368 |
|
Mark Tabaka
576 Farmington Ave |
$91.31 | 4,126 | 3,704 |
|
Georgia L. Sterpka
1251 Farmington Ave |
$44.61 | 4,106 | 3,372 |
|
Minu Rowther
41 Brewster Rd # Leveld |
$45.75 | 4,017 | 3,450 |
|
Chyenne Giarnese
99 Farmington Ave |
$76.00 | 3,979 | 3,348 |
|
Ma. Margarita Christ Piamonte Reyes
85 Beleden Gardens Dr |
$13.91 | 3,968 | 2,605 |
|
Jeffrey R Goldberg
25 Collins Road |
$52.43 | 3,945 | 3,271 |
|
Peter Bellezza
15 Riverside Ave |
$22.65 | 3,834 | 2,738 |
|
Holly Fitzgerald
625 Clark Ave |
$36.08 | 3,620 | 2,870 |
|
Bristol Hospital Multi Specialty Group, Inc
15 Riverside Ave |
$0.22 | 3,449 | 2,923 |
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 Bristol, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bristol, CT is $47.83 per claim, based on 467,078 claims from 186 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 Bristol, CT?
There are 186 Medicaid providers offering Office Visit related services in Bristol, CT according to public payment data.
What is the price range for Office Visit in Bristol, CT?
Medicaid reimbursement for Office Visit in Bristol, CT ranges from $0.00 to $143.63 per claim, with an average of $47.83. 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 Bristol, CT
Blood Work & Lab Tests
Avg $2.98
556,724 claims
Physical Therapy
Avg $18.02
203,366 claims
Psychiatric Evaluation
Avg $44.25
164,520 claims
Emergency Room Visit
Avg $188.69
161,192 claims
Dental Cleaning & Exam
Avg $36.74
130,602 claims
Ambulance Transport
Avg $65.17
106,336 claims
Urinalysis & Urine Tests
Avg $1.14
99,381 claims
Vaccines & Immunizations
Avg $15.70
96,191 claims