Average Medicaid Office Visit Payments in Colchester, CT: $52.84
Avg. Paid
$52.84
Range
$9.47 – $77.19
Total Claims
24,770
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 Colchester, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
J. Carey Laporte
119 Broadway St |
$68.40 | 4,066 | 3,569 |
|
Srinivasulu Conjeevaram
100 Linwood Ave Ste 2A |
$63.95 | 2,966 | 2,262 |
|
Kassem M Khybery
514 Westchester Rd |
$48.30 | 2,900 | 2,560 |
|
Constance M Lappen
59 Harrington Ct |
$77.19 | 2,605 | 2,165 |
|
Catherine Elisabeth Hylwa
199 Old Hartford Rd |
$50.28 | 2,358 | 2,238 |
|
Laura Kwon
163 Broadway St |
$41.28 | 2,279 | 2,046 |
|
Amy Scheel
119 S Main St |
$28.97 | 1,928 | 1,756 |
|
Tanya Doreen Smith
220 Stanavage Rd |
$41.86 | 1,387 | 1,330 |
|
Stephen J Kaye
163 Broadway St |
$33.96 | 997 | 940 |
|
Kristie L Tapper
163 Broadway St |
$52.19 | 699 | 632 |
|
Anthony Hugh Morgan
7 Park Ave |
$41.59 | 582 | 546 |
|
Sarah Louise Tyler
119 Broadway St |
$30.28 | 514 | 314 |
|
Mallory Simpson Breitmaier
119 S Main St |
$47.36 | 396 | 355 |
|
James George Bucci
199 Old Hartford Rd |
$59.94 | 389 | 355 |
|
Priya Tandon
7 Park Ave |
$29.84 | 267 | 190 |
|
Joyce Robinson
163 Broadway St |
$28.41 | 254 | 236 |
|
Danielle M Grillo
163 Broadway St |
$26.92 | 74 | 60 |
|
Jesse Marie Kavumpurath
119 S Main St |
$42.00 | 64 | 57 |
|
Micaela Rae Gobeille
163 Broadway St |
$9.47 | 23 | 13 |
|
Barbara Pokorny
119 Broadway St |
$52.75 | 22 | 19 |
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 Colchester, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Colchester, CT is $52.84 per claim, based on 24,770 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 Colchester, CT?
There are 20 Medicaid providers offering Office Visit related services in Colchester, CT according to public payment data.
What is the price range for Office Visit in Colchester, CT?
Medicaid reimbursement for Office Visit in Colchester, CT ranges from $9.47 to $77.19 per claim, with an average of $52.84. 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 Colchester, CT
Physical Therapy
Avg $23.40
39,691 claims
Psychiatric Evaluation
Avg $56.45
22,130 claims
Nursing Facility Care
Avg $22.68
21,899 claims
Speech Therapy
Avg $36.45
14,637 claims
Dental Cleaning & Exam
Avg $5.43
11,151 claims
Eye Exam
Avg $35.21
7,182 claims
Ambulance Transport
Avg $99.51
5,098 claims
Dental Filling
Avg $16.68
2,000 claims