Based on public Medicaid payment data.

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
Ann Carpenter 216 Lake St Apt 101	$28.62	12	12
Hannah Z Kooperkamp 111 Colchester Ave	$31.66	12	12
Heidi Kristen Schumacher 111 Colchester Ave	$6.20	12	12
Susan Patricia Dunning 1 South Prospect Street, Arnold 2	$16.89	12	12
Jon Kevin Porter 425 Pearl St	$69.61	12	12
Michael K Hehir 111 Colchester Ave	$35.79	12	12
Maria Daniela Zambrano Espinoza 111 Colchester Ave	$48.19	12	12
Kathleen M Keating 149 Cherry St	$58.85	12	12
Meghan Lane 111 Colchester Ave	$0.00	12	12
Adam Sprouse Blum 111 Colchester Ave	$68.68	13	13
William Edward Hopkins 111 Colchester Ave	$24.80	13	13
Judith L Lewis 111 Colchester Avenue	$38.13	13	12
Merima Ruhotina 111 Colchester Ave	$32.43	13	12
Alissa A. Thomas 111 Colchester Ave.	$22.77	13	12
Charlotte Catharina Teneback 111 Colchester Ave	$39.52	13	13
Alyssa Fischer 111 Colchester Ave	$59.53	13	13
Karlyn Anne Martin 111 Colchester Ave	$35.55	13	13
Oluwatosin Akintola 111 Colchester Ave	$58.82	14	13
David Caldwell Jones 111 Colchester Ave Fl 4	$35.61	14	13
Nicholas Ferrentino 111 Colchester Ave	$33.69	14	14
Hannah Shore Powell 86 Lake St	$32.83	14	12
Brian Young Kim 111 Colchester Ave	$54.41	14	13
Maryellen Cleary Antkowiak 111 Colchester Ave.	$33.86	14	13
Jeremy Richard Leonard 111 Colchester Ave	$22.02	14	14
Krista E. Evans 111 Colchester Ave.	$18.84	14	13
Melissa S Demeritt 111 Colchester Ave	$41.42	14	14
Julia Oneill Brennan 173 Saint Paul St	$74.44	14	14
Mary Lee B. Ritter 1 S Prospect St	$24.68	15	14
Silviana Marineci 111 Colchester Ave	$45.31	15	13
Ahmed A Harhash 111 Colchester Ave	$34.50	15	14
Diego Andres Adrianzen Herrera 111 Colchester Ave	$71.39	15	14
Robin Lessoff 3 Main St Ste 107	$53.64	16	12
Michael Hernandez 111 Colchester Ave	$0.00	16	15
David J Lunardini 111 Colchester Ave	$48.74	16	16
Timothy James Whitman 111 Colchester Ave	$39.58	16	15
James Lee Jacobson 1 S Prospect St	$12.67	17	13
Jennifer Jean Soares 111 Colchester Ave	$94.40	17	17
Page Gaspar 128 Lakeside Ave Ste 260	$0.00	17	17
Anne Dougherty 111 Colchester Avenue	$42.35	17	14
John Lewis Leahy 1 S Prospect St	$33.21	18	18
Andrew Jay Solomon 1 South Prospect St.	$56.97	18	18
James Thomas Boyd 1 S Prospect St	$29.69	18	14
Joshua John Price 111 Colchester Ave	$0.00	18	16
Jennifer Marie Hall 1 S Prospect St	$8.51	20	12
Ann Augustine 1 S Prospect St	$9.47	20	13
Oliver Barkley 111 Colchester Ave	$13.54	20	19
Megan Suellen Moore Brennan 1138 Pine St	$15.06	21	14
William Tobey Horn 111 Colchester Ave	$16.88	23	12
Elizabeth K Nickerson 111 Colchester Ave	$20.33	24	12
Waqar Waheed 89 S Williams St	$27.41	24	15

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.

Average Medicaid Office Visit Payments in Burlington, VT: $27.27

Providers Offering Office Visit in Burlington, VT

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Burlington, VT

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Blood Work & Lab Tests

X-Ray

EKG / ECG (Electrocardiogram)

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