Average Medicaid Office Visit Payments in Burlington, VT: $27.27
Avg. Paid
$27.27
Range
$0.00 – $234.12
Total Claims
432,379
Providers
448
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 Burlington, VT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michelle Kathleen Kearney
111 Colchester Ave |
$51.69 | 12,659 | 8,805 |
|
Richard Nicholas Hubbell
111 Colchester Ave |
$44.35 | 10,808 | 10,525 |
|
Wayne L Warnken
617 Riverside Ave |
$3.69 | 10,142 | 8,714 |
|
Daniel Goulette
617 Riverside Ave |
$91.73 | 9,497 | 7,908 |
|
Lincoln Heath
617 Riverside Ave |
$2.22 | 8,472 | 7,246 |
|
Andrea L Solomon
617 Riverside Ave |
$1.11 | 7,551 | 6,715 |
|
Karla Martinez-Dulmer
111 Colchester Ave |
$2.06 | 7,140 | 6,325 |
|
Margaret Terrien
855 Pine St |
$52.54 | 6,936 | 4,676 |
|
Keith William Morley
111 Colchester Ave |
$32.59 | 6,935 | 6,787 |
|
Megan Marie O'Brien
617 Riverside Ave |
$13.52 | 6,384 | 5,491 |
|
Deborah Richter
855 Pine Street |
$72.45 | 5,984 | 4,619 |
|
Adam Greenlee
617 Riverside Ave |
$2.80 | 5,873 | 5,050 |
|
Mary Anne Kohn
789 Pine St |
$17.45 | 5,597 | 4,809 |
|
Naeem Haider
111 Colchester Ave |
$35.29 | 5,245 | 3,341 |
|
Michelle Dianne Dorwart
617 Riverside Ave |
$1.43 | 5,238 | 4,674 |
|
Elizabeth Mcdonald
1 S Prospect St |
$11.89 | 5,221 | 4,937 |
|
Audrey Chi-An Wen
617 Riverside Ave |
$18.61 | 4,736 | 3,845 |
|
Heather Doyle Stein
617 Riverside Ave |
$3.19 | 4,491 | 3,928 |
|
Pamela Ann Byrd
111 Colchester Ave |
$17.15 | 4,464 | 4,261 |
|
Rachel H Inker
617 Riverside Ave |
$2.44 | 4,254 | 3,758 |
|
Sarah R Morse
617 Riverside Ave |
$1.87 | 4,133 | 3,472 |
|
Stanley John Weinberger
1 S Prospect St |
$14.34 | 4,112 | 3,973 |
|
Diana Caroline Jennings Clayton
617 Riverside Ave |
$1.00 | 3,986 | 3,280 |
|
Sherry Lee Larose
617 Riverside Ave |
$0.59 | 3,977 | 3,470 |
|
Heather Elizabeth Link
1 S Prospect St |
$19.22 | 3,677 | 3,518 |
|
Jacob Israel Shaw
789 Pine St |
$3.58 | 3,654 | 3,106 |
|
Kristen Vinci Gray
425 Pearl St |
$1.47 | 3,644 | 3,329 |
|
David Richard Mooney
617 Riverside Ave |
$18.78 | 3,591 | 3,317 |
|
Denise B Aronzon
1127 North Ave |
$13.60 | 3,583 | 3,204 |
|
Beach Conger
617 Riverside Ave |
$0.00 | 3,522 | 2,917 |
|
Michelle L Perron
1127 North Ave Ste 41 |
$10.95 | 3,359 | 3,018 |
|
Gussie Logan
1127 North Ave Ste 1 |
$29.86 | 3,323 | 3,106 |
|
Margaret Russell
617 Riverside Ave |
$4.59 | 3,267 | 2,936 |
|
Rochelle Paquette
617 Riverside Ave |
$8.32 | 3,259 | 2,830 |
|
Jennifer Todd
111 Colchester Ave |
$57.99 | 3,179 | 3,073 |
|
Nilgun Tapucu Zimakas
1 S Prospect St |
$17.61 | 3,156 | 3,052 |
|
Gurpreet Singh Lamba
89 Beaumont Ave |
$29.53 | 3,133 | 2,279 |
|
Megan Mogerley
789 Pine Street |
$0.99 | 3,003 | 2,618 |
|
Elizabeth J Robinson
111 Colchester Ave |
$17.13 | 2,994 | 2,823 |
|
Marc I Keller
206 Summit St |
$74.27 | 2,970 | 1,562 |
|
Kerry A Goulette
184 S Winooski Ave |
$1.68 | 2,928 | 2,403 |
|
Katherine E. Wilde
86 Lake St |
$65.26 | 2,867 | 1,966 |
|
Lianna Ruth Percy
617 Riverside Ave |
$3.50 | 2,812 | 2,387 |
|
Joseph Charles Pierson
111 Colchester Ave |
$23.57 | 2,791 | 2,650 |
|
Alicia Jean Veit
1127 North Ave |
$11.21 | 2,764 | 2,517 |
|
Bradley Choice Clopton
111 Colchester Ave |
$51.41 | 2,751 | 2,722 |
|
Peter Matthias Bingham
110 Colchester Ave |
$53.80 | 2,642 | 2,560 |
|
Paul James A Zimakas
111 Colchester Ave |
$56.07 | 2,628 | 2,568 |
|
Catherine Suzanne Rude
One South Prospect Street |
$16.44 | 2,597 | 2,511 |
|
Blake Coulter Mcknight
789 Pine St |
$27.76 | 2,566 | 2,312 |
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 Burlington, VT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Burlington, VT is $27.27 per claim, based on 432,379 claims from 448 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 Burlington, VT?
There are 448 Medicaid providers offering Office Visit related services in Burlington, VT according to public payment data.
What is the price range for Office Visit in Burlington, VT?
Medicaid reimbursement for Office Visit in Burlington, VT ranges from $0.00 to $234.12 per claim, with an average of $27.27. 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 Burlington, VT
Behavioral & Mental Health Therapy
Avg $162.36
324,408 claims
Case Management Services
Avg $1.81
315,193 claims
Psychiatric Evaluation
Avg $54.22
206,009 claims
Emergency Room Visit
Avg $56.39
123,025 claims
Blood Work & Lab Tests
Avg $11.71
105,166 claims
X-Ray
Avg $4.04
101,340 claims
EKG / ECG (Electrocardiogram)
Avg $3.12
69,982 claims
Dental Cleaning & Exam
Avg $36.85
69,421 claims