Average Medicaid Office Visit Payments in Cheshire, CT: $38.58
Avg. Paid
$38.58
Range
$0.00 – $94.82
Total Claims
118,137
Providers
74
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 Cheshire, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dorota Urban
609 W Johnson Ave Unit 304 |
$27.84 | 11,140 | 5,648 |
|
Yasser Shaheen
677 S Main St |
$39.99 | 9,395 | 8,282 |
|
Neal Bradley Zomback
478 S Main St |
$15.10 | 8,255 | 6,899 |
|
Samantha Estelle-Abate
278 Elmwood Cir |
$46.23 | 7,944 | 7,145 |
|
Perspectives Center For Care, Inc.
70 Cranberry Ln |
$94.82 | 6,482 | 4,040 |
|
Sivan Doron
675 S Main St |
$0.04 | 6,046 | 4,193 |
|
Jeannette Chinchilla
677 S Main St |
$72.64 | 5,389 | 4,725 |
|
Frank Anthony Santoro
1781 Highland Ave |
$30.84 | 5,117 | 4,713 |
|
Kristin Wiley
675 S Main St |
$56.58 | 4,284 | 3,455 |
|
Elizabeth Grace Shinkevich
1055 Wolf Hill Rd |
$66.98 | 3,793 | 3,151 |
|
Shanice Nevins
905 S Main St |
$13.08 | 3,502 | 3,070 |
|
Ernest A Topran
416 Highland Ave |
$15.69 | 3,228 | 2,963 |
|
David Micah Silver
28 South Main St |
$64.58 | 3,030 | 2,614 |
|
Jill R Aboulian
1781 Highland Avenue |
$40.74 | 2,997 | 2,730 |
|
Michael Jospeh Ackley
714 S Main St |
$26.85 | 2,847 | 2,450 |
|
Beatrice Khatti Peku
98 Elm St Ste 2 |
$0.26 | 2,218 | 1,960 |
|
Alicia Mary Dodson
335 Highland Ave |
$51.73 | 2,064 | 1,486 |
|
Nini Min Aung
1781 Highland Ave Ste 106 |
$4.40 | 1,984 | 1,647 |
|
Amanda Lendler
675 S Main St |
$0.46 | 1,831 | 1,472 |
|
Richard G Williams
335 Highland Ave |
$71.10 | 1,827 | 1,586 |
|
Josh Mosdale
1154 Highland Ave |
$72.00 | 1,634 | 1,482 |
|
Leonard H Zamore
416 Highland Ave |
$17.00 | 1,531 | 1,441 |
|
Cara Valenti
1154 Highland Ave |
$24.69 | 1,387 | 802 |
|
Brian Matthew Liebler
435 Highland Ave |
$64.64 | 1,381 | 1,222 |
|
Galina Braylyan
905 S Main St |
$28.01 | 1,250 | 1,149 |
|
Corey L. Jokl
280 S Main St Ste 102 |
$25.64 | 1,225 | 1,166 |
|
Elizabeth Rodney Herz
435 Highland Ave., |
$66.23 | 1,208 | 1,079 |
|
Christian Daniel Ward
366 S Main St Ste 2 |
$23.76 | 1,154 | 912 |
|
Karalyn Kinsella
435 Highland Ave, #110 |
$61.82 | 1,107 | 966 |
|
Herbert M. Karpelman
97 Main St |
$8.34 | 978 | 952 |
|
Duarte G. Machado
280 South Main Street |
$18.79 | 975 | 897 |
|
James Edward O'Connor
435 Highland Ave., #110 |
$63.14 | 871 | 789 |
|
Dennis Pilarczyk
131 Cornwall Ave |
$32.36 | 818 | 794 |
|
Jessica Takores
435 Highland Ave |
$61.70 | 781 | 726 |
|
Christopher Francis D'Souza
677 S Main St Ste 1 |
$70.52 | 709 | 660 |
|
Jonathan Uhl
435 Highland Ave Ste 110 |
$59.95 | 593 | 528 |
|
Anna Dzilenski
280 S Main St Ste 102 |
$21.39 | 564 | 538 |
|
Kendall Hodges
280 South Main Street |
$45.92 | 522 | 481 |
|
Benjamin John Dorfman
280 South Main Street |
$14.02 | 483 | 432 |
|
Amanda Lee Jones
905 S Main St |
$11.73 | 419 | 387 |
|
Elizabeth Marilyn Reynolds
905 S Main St |
$23.34 | 416 | 387 |
|
Lauren Just
280 S Main St |
$19.08 | 385 | 346 |
|
Stephen M Ward
765 W Johnson Ave # 201 |
$47.09 | 374 | 359 |
|
Kirsten Magda Pedersen
280 S Main St Ste 210 |
$52.79 | 346 | 299 |
|
Sapna Shivaji Makhijani
905 S Main St |
$14.93 | 340 | 317 |
|
John Manuel De Figueiredo
1973 Highland Ave |
$63.43 | 312 | 294 |
|
Leakna Ung
680 S Main St Ste 102 |
$48.82 | 286 | 259 |
|
Rachel Colman
280 S Main St # 103 |
$46.29 | 278 | 270 |
|
Kelly Mitchell
335 Highland Ave |
$61.65 | 268 | 235 |
|
Charles F Guelakis
1122 Highland Avenue |
$23.21 | 249 | 199 |
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 Cheshire, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cheshire, CT is $38.58 per claim, based on 118,137 claims from 74 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 Cheshire, CT?
There are 74 Medicaid providers offering Office Visit related services in Cheshire, CT according to public payment data.
What is the price range for Office Visit in Cheshire, CT?
Medicaid reimbursement for Office Visit in Cheshire, CT ranges from $0.00 to $94.82 per claim, with an average of $38.58. 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 Cheshire, CT
Psychiatric Evaluation
Avg $60.76
205,011 claims
Physical Therapy
Avg $30.66
176,521 claims
Speech Therapy
Avg $59.14
45,217 claims
Vaccines & Immunizations
Avg $20.38
11,236 claims
Home Health Visit
Avg $76.85
7,618 claims
Blood Work & Lab Tests
Avg $5.02
6,369 claims
Urinalysis & Urine Tests
Avg $2.05
5,667 claims
Chiropractic Care
Avg $6.41
3,276 claims