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
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