Average Medicaid Office Visit Payments in Danbury, CT: $41.20
Avg. Paid
$41.20
Range
$0.00 – $179.84
Total Claims
799,781
Providers
440
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 Danbury, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jacques Edouard Etienne
205 Main St. 1St Fl |
$74.15 | 48,761 | 41,506 |
|
Stuart A Kittay
16 Hospital Ave |
$43.74 | 25,450 | 22,165 |
|
Family And Children'S Aid, Inc.
80 West St |
$86.14 | 22,290 | 19,025 |
|
Rajadevi Ariyamalar Satchi
16 Hospital Ave |
$69.11 | 15,939 | 12,785 |
|
Connecticut Institute For Communities Inc
152 West St |
$0.02 | 14,694 | 12,215 |
|
Pushpa Mani
16 Hospital Ave |
$79.47 | 14,531 | 11,801 |
|
Pamela Ann Paulhus
93 West St |
$73.15 | 13,294 | 10,448 |
|
Gloria A Nardella
38 Old Ridgebury Rd |
$95.58 | 13,184 | 10,383 |
|
Connecticut Institute For Communities Inc
120 Main St Fl 4 |
$0.23 | 13,045 | 10,814 |
|
Paul J Betschart
57 North St |
$24.04 | 12,854 | 9,418 |
|
Amy E Handler
57 North St |
$0.02 | 12,060 | 10,320 |
|
Larissa Camano-Selca
1202 Eaton Ct |
$4.30 | 12,039 | 10,785 |
|
Marc Kevin Te Yee
24 Hospital Ave |
$2.44 | 9,125 | 8,503 |
|
Veronica Ivette Ron
70 Main St |
$0.00 | 9,024 | 7,934 |
|
Dorothy Hoi-Yu Tang
120 Main St |
$0.00 | 8,590 | 7,160 |
|
William M Delaney
70 Main St |
$0.20 | 8,097 | 6,458 |
|
Monique Asante
76 Newtown Rd |
$61.84 | 7,883 | 6,180 |
|
Gabriella Caroline Gellrich
8 Delay St |
$4.48 | 7,722 | 6,813 |
|
Divjot Minhas
8 Delay St |
$3.73 | 7,691 | 7,029 |
|
Caroline F Kane-Civitano
105 Newtown Rd |
$3.40 | 7,503 | 6,498 |
|
Ana Paula Machado
107 Newtown Rd |
$90.82 | 7,009 | 6,413 |
|
Aparna Madisetty
16 Hospital Ave |
$68.10 | 6,865 | 4,894 |
|
Laura A. Manta
24 Hospital Ave |
$79.55 | 6,829 | 6,009 |
|
Poonam Aneel Bherwani
107 Newtown Rd Ste 1D |
$98.22 | 6,435 | 6,038 |
|
Aiswarya Anna Thomas
70 Main St |
$0.15 | 6,369 | 5,515 |
|
Dimitry Zilberman
24 Hospital Ave |
$105.56 | 6,367 | 5,241 |
|
Michael Scott Abrams
69 Sand Pit Rd Ste 101 |
$88.64 | 6,286 | 6,243 |
|
Erin Michele Panarelli
24 Hospital Ave |
$0.00 | 6,212 | 4,536 |
|
Dmitriy Timerman
107 Newtown Rd Ste 2C |
$52.15 | 5,952 | 5,371 |
|
Betsy Meyer
24 Hospital Ave |
$66.52 | 5,492 | 4,955 |
|
Patricia E Whitcombe
27 Hospital Ave |
$61.13 | 5,373 | 4,045 |
|
Stephen Sales
2 Riverview Dr |
$22.57 | 5,114 | 3,428 |
|
Michael J Solla
1901 Cypress Dr |
$2.18 | 5,064 | 2,344 |
|
James Scott Batti
107 Newtown Rd |
$42.23 | 4,964 | 4,555 |
|
Christian Emil Davis
8 Germantown Rd |
$30.22 | 4,948 | 3,586 |
|
Zied Michael Taweh
27 Hospital Ave |
$54.24 | 4,939 | 3,812 |
|
Marimeg Quinn Clairwood
25 Tamarack Ave |
$35.98 | 4,839 | 4,528 |
|
Maryam Azizi
107 Newtown Rd |
$75.58 | 4,276 | 4,039 |
|
Jens Erik Haerter
57 North Street |
$98.57 | 4,264 | 3,295 |
|
Joseph Ryan Treadwell
6 Germantown Rd |
$19.71 | 4,145 | 2,832 |
|
William A Notaro
27 Hospital Ave |
$30.88 | 4,100 | 3,843 |
|
Richard Scartozzi
69 Sand Pit Rd |
$20.14 | 4,085 | 3,465 |
|
Pamela Steele
59 Clapboard Ridge Rd |
$1.18 | 4,047 | 3,205 |
|
Audra Blood
16 Hospital Ave |
$22.39 | 3,987 | 1,945 |
|
Aura Marizol Ardon
46 Federal Rd Ste D |
$19.87 | 3,846 | 3,513 |
|
Michele Britton
152 West St |
$6.63 | 3,804 | 2,853 |
|
Heidi Dupret Rowen
70 Main St |
$0.00 | 3,801 | 3,343 |
|
Harvey Kramer
27 Hospital Ave |
$13.98 | 3,703 | 3,068 |
|
Teresa Ann Vollmart Nevin
38 Old Ridgebury Rd |
$100.65 | 3,690 | 3,100 |
|
Dayna Nethercott
107 Newtown Rd |
$90.51 | 3,649 | 3,341 |
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 Danbury, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Danbury, CT is $41.20 per claim, based on 799,781 claims from 440 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 Danbury, CT?
There are 440 Medicaid providers offering Office Visit related services in Danbury, CT according to public payment data.
What is the price range for Office Visit in Danbury, CT?
Medicaid reimbursement for Office Visit in Danbury, CT ranges from $0.00 to $179.84 per claim, with an average of $41.20. 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 Danbury, CT
Blood Work & Lab Tests
Avg $3.95
838,770 claims
Psychiatric Evaluation
Avg $66.50
697,494 claims
Physical Therapy
Avg $36.36
326,315 claims
Ambulance Transport
Avg $34.44
275,587 claims
Emergency Room Visit
Avg $195.18
268,934 claims
Vaccines & Immunizations
Avg $11.57
195,062 claims
Dental Cleaning & Exam
Avg $29.17
191,554 claims
Non-Emergency Medical Transportation
Avg $0.00
150,896 claims