Average Medicaid Office Visit Payments in Cromwell, CT: $42.00
Avg. Paid
$42.00
Range
$0.00 – $88.21
Total Claims
36,297
Providers
28
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 Cromwell, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Esha Bhardwaj
26 Shunpike Rd |
$30.15 | 9,439 | 6,763 |
|
Stephen J Siegel
70 Shunpike Rd |
$59.69 | 3,656 | 3,166 |
|
Adam Paul Mucinskas
162 West St Ste K |
$20.96 | 2,967 | 2,327 |
|
Jean Carl Jarda
28-2 Shunpike Rd |
$18.45 | 2,754 | 2,379 |
|
Phoebe C.M. Romero
136 Berlin Rd |
$33.25 | 2,593 | 2,091 |
|
Nancy P. Loveland
28 Shunpike Rd |
$19.65 | 2,213 | 1,882 |
|
Nikolaos Vassiliou
70 Shunpike Rd |
$84.09 | 2,125 | 1,932 |
|
Linda J Weiss
70 Shunpike Rd |
$65.40 | 1,695 | 1,518 |
|
Marguerite Lamb
70 Shunpike Rd |
$66.07 | 1,542 | 1,382 |
|
Kristen Donato
70 Shunpike Rd |
$88.21 | 1,344 | 1,138 |
|
Michelle Nwigwe
80 Shunpike Rd Ste 101-B2 |
$48.90 | 1,171 | 962 |
|
Sarah B Fortin
70 Shunpike Rd |
$73.16 | 843 | 734 |
|
Malisa Lynn Lahtinen
70 Shunpike Rd |
$67.32 | 776 | 682 |
|
Rui Cheng
1 Willowbrook Rd Ste 2 |
$32.04 | 654 | 494 |
|
Kathleen Wilcox
11 Brittany Cir |
$20.95 | 599 | 479 |
|
Francine Marie Augeri
1 Willowbrook Rd Ste 6 |
$35.06 | 321 | 210 |
|
Brian Benjamin Gomes
110 Court St Ste 2B |
$47.84 | 264 | 201 |
|
Michael J Payette
1 Willowbrook Rd Ste 2 |
$23.78 | 238 | 233 |
|
Mona Shahriari
1 Willowbrook Rd Ste 2 |
$25.94 | 215 | 211 |
|
Daniela Calle
70 Shunpike Rd |
$66.75 | 181 | 167 |
|
Charles Brendan Montano
160 West St |
$34.16 | 160 | 139 |
|
Justin J Finch
1 Willowbrook Rd Ste 2 |
$25.40 | 150 | 148 |
|
Bruce Strober
1 Willowbrook Rd Ste 2 |
$13.65 | 132 | 131 |
|
Amy Yuntzu-Yen Chen
1 Willowbrook Rd Ste 2 |
$25.28 | 130 | 129 |
|
Hanspaul S Makkar
1 Willowbrook Rd Ste 2 |
$19.80 | 50 | 44 |
|
Emilia Filipkowska
28 Shunpike Rd Ste 2 |
$24.40 | 38 | 33 |
|
Tracyann Marie Spaulding Bolstridge
58 Missionary Rd |
$0.00 | 32 | 18 |
|
Darisa Espinal
75 Berlin Rd Ste 114 |
$45.46 | 15 | 13 |
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 Cromwell, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cromwell, CT is $42.00 per claim, based on 36,297 claims from 28 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 Cromwell, CT?
There are 28 Medicaid providers offering Office Visit related services in Cromwell, CT according to public payment data.
What is the price range for Office Visit in Cromwell, CT?
Medicaid reimbursement for Office Visit in Cromwell, CT ranges from $0.00 to $88.21 per claim, with an average of $42.00. 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 Cromwell, CT
Non-Emergency Medical Transportation
Avg $0.00
201,672 claims
Ambulance Transport
Avg $26.49
186,330 claims
Durable Medical Equipment (DME)
Avg $29.40
71,871 claims
Psychiatric Evaluation
Avg $60.89
34,009 claims
Eye Exam
Avg $38.21
26,564 claims
Dental Cleaning & Exam
Avg $25.82
20,324 claims
Speech Therapy
Avg $40.28
14,409 claims
Nursing Facility Care
Avg $29.30
14,056 claims