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Based on public Medicaid payment data.

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
Shashi Kariyawasam

24 Hospital Ave

$47.20 12 12
David Barenberg

2 Hospital Ave

$35.77 12 12
Michael Schiffman

24 Hospital Ave

$17.20 13 12
Stacey Gonzalez

67 Sand Pit Rd

$22.50 13 12
Kimberly Marie Bjelland

94 Locust Ave

$50.77 13 13
Katherine Anne Swan

33 Hospital Ave.

$25.98 13 12
Amanda Dinsmore

57 North St Ste 415

$33.73 14 12
Barry S Goldberg

25 Tamarack Ave

$4.64 14 13
Scott P Sanderson

33 Hospital Ave.

$41.78 14 14
Nicole Marie Rainville

24 Hospital Ave

$0.00 14 12
Vinay Mehta

24 Hospital Ave

$16.10 16 12
Erin Lowe

25 Tamarack Ave

$12.42 17 12
Monica Kastanaras

111 Osborne St Ste 121

$42.19 17 17
Amir R Nasir

107 Newtown Rd Ste 2C

$33.97 17 15
Vahide Bytyqi

24 Hospital Ave

$6.88 17 12
Alan Nolan

60 Beaver Brook Rd

$52.11 19 12
David L Kramer

39 Hospital Ave

$12.27 21 12
Anjani Ghatalia Lewick

95 Locust Ave

$8.78 22 13
Erin G Platt

24 Hospital Ave

$41.32 24 12
Kathleen R Rivera Rodriguez

152 West St

$11.17 26 12
Harsharan K Sidhu

120 Main St

$121.42 26 25
Jonathan R Zirn

25 Tamarack Ave

$11.89 27 26
Keith Zuccala

24 Hospital Ave

$47.96 27 26
Jennifer Winter

40 Old Ridgebury Rd Ste 101

$55.87 27 27
Spyros Smith

132 Main St

$25.12 27 26
Diane St. Pierre

51-53 Kenosia Ave

$3.31 28 25
Michael Stanley Thibault

25 Tamarack Avenue

$0.00 28 25
Cosima Margarethe Neumann

24 Hospital Ave

$0.00 31 23
Marc Joseph Casasanta

111 Osborne St Ste 111

$21.64 32 26
Ernest Handau

24 Hospital Ave

$27.63 32 25
Jeanette Schultz

24 Hospital Ave

$62.68 33 31
Augustine Andoh-Duku

33 Germantown Rd Ste 2

$26.23 33 31
Nikki Cote Gibbs

24 Hospital Ave

$24.51 33 30
Clarissa Jacknow

24 Hospital Ave

$0.00 34 33
Mona A Gohara

25 Tamarack Ave

$4.77 36 36
Lizabeth J Fiedler

2 Glen Hill Rd

$127.60 38 36
Corinne Angyal

111 Osborne St Ste 121

$48.45 40 39
Grace L Federman

25 Tamarack Ave

$9.87 42 29
Donald Gustave Ammerman

84 Hospital Ave

$0.00 47 45
Katherine Joann Zamecki-Vedder

69 Sand Pit Rd

$35.42 47 38
Guarina Molina

79 Sand Pit Rd

$31.63 47 46
Benjamin Andrew Woodhouse

24 Hospital Ave

$84.17 48 48
Christina L Wolchok

24 Hospital Ave

$41.94 51 37
Patricia Pellino

152 West St

$11.08 51 36
John Glen Lunt

2 Riverview Dr

$3.75 52 36
Kenneth Paul Blau

94 Locust Ave

$34.30 54 48
Alexis M D'Aloisio

24 Hospital Ave

$44.88 54 48
Roderick Swift

65 North St

$24.24 55 50
Zeynep Tek

24 Hospital Ave

$0.00 55 50
Mark Ligorski

72 North St

$0.00 56 49

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

Other Procedures in Danbury, CT