Average Medicaid Office Visit Payments in Darien, CT: $45.99
Avg. Paid
$45.99
Range
$0.00 – $108.25
Total Claims
106,101
Providers
53
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 Darien, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kathleen S Africano
17 Old Kings Hwy S |
$2.30 | 12,384 | 9,593 |
|
Shontelle Berfet
104 Heights Rd # R103 |
$72.30 | 12,079 | 10,940 |
|
Cindy Perry
745 Post Rd Ste 100 |
$38.45 | 11,661 | 3,763 |
|
Karthik Gunachelvan
1500 Post Rd Ste 100 |
$47.89 | 9,059 | 8,573 |
|
Andrea Ciano
104 Heights Rd |
$86.06 | 8,450 | 6,538 |
|
Matthew Juriga
800 Post Rd |
$34.01 | 5,443 | 4,727 |
|
Jennifer Bendl
1500 Post Road |
$40.77 | 4,494 | 3,597 |
|
Lauren Bader
106 Noroton Ave |
$84.96 | 4,101 | 3,697 |
|
John Matthew Dubaz
106 Noroton Ave |
$80.13 | 3,681 | 3,376 |
|
Christen Rose Vogel
745 Post Rd |
$107.22 | 3,292 | 3,018 |
|
Virginia Martinez
1500 Post Rd Ste 203 |
$20.42 | 3,108 | 2,854 |
|
Scott H Weiss
800 Post Rd |
$16.51 | 2,972 | 2,115 |
|
Jonathan Norton Bowman
85 Old Kings Hwy N |
$13.64 | 2,437 | 1,755 |
|
Mark Dam
40 Heights Rd |
$41.43 | 1,801 | 1,367 |
|
Margaret Baran
1500 Post Rd Ste 100 |
$22.53 | 1,718 | 1,652 |
|
Ben U. Marsan
85 Old Kings Hwy N |
$13.47 | 1,689 | 1,255 |
|
Sujana Sunkara
1500 Post Rd |
$78.25 | 1,566 | 1,289 |
|
Marissa Nicole Greco Lowrie
104 Heights Rd |
$52.95 | 1,524 | 1,371 |
|
Rachel Hannah Albright
800 Post Rd Ste 302 |
$31.75 | 1,386 | 1,201 |
|
Janet Waksmundzki Karpiak
745 Post Rd |
$0.00 | 1,169 | 1,060 |
|
Susan M Collins
1500 Post Rd |
$79.99 | 1,042 | 808 |
|
Taras V. Kucher
85 Old Kings Hwy N |
$22.43 | 977 | 795 |
|
Katherine Wehri Takayasu
745 Post Rd Ste A |
$32.49 | 967 | 505 |
|
Janine A Tedesco
85 Old Kings Hwy N |
$13.16 | 964 | 714 |
|
Paul Gagne
330 Boston Post Rd Ste 240 |
$17.72 | 881 | 758 |
|
Timothy M. Manoni
85 Old Kings Hwy N |
$12.58 | 866 | 577 |
|
Cherise Ann Rowan
1846 Post Rd |
$27.97 | 606 | 581 |
|
Melindy M Ciulla
1500 Post Rd |
$34.21 | 499 | 410 |
|
Heather Demassa
36 Grove Street |
$32.72 | 448 | 383 |
|
George V. Tsimoyianis
106 Noroton Ave |
$92.59 | 423 | 397 |
|
Melissa Pulcini-Buttine
106 Noroton Ave |
$31.51 | 404 | 356 |
|
Meky E Bernadel
1500 Post Rd Ste 200 |
$35.49 | 392 | 363 |
|
Caroline L Ugolyn
50 Old Kings Hwy N |
$48.07 | 391 | 377 |
|
Philip E Negus
1500 Post Rd |
$63.64 | 356 | 264 |
|
Emmanuel O. Munoz
104 Heights Rd # R103 |
$3.16 | 336 | 230 |
|
Janine Marie Popot
1500 Post Rd |
$31.01 | 311 | 251 |
|
Chinedu Ibemadu
30 Old Kings Hwy S Fl 1 |
$108.25 | 290 | 254 |
|
Laurel Karian Chandler
53 Old Kings Hwy N Ste 205 |
$82.86 | 275 | 263 |
|
Richard Gordon Nellis
104 Heights Rd # R103 |
$46.92 | 270 | 243 |
|
Meghan Maloney
36 Old Kings Hwy S Ste 200 |
$32.37 | 233 | 177 |
|
Michele D Brown
53 Old Kings Highway North |
$41.91 | 209 | 173 |
|
Elisabeth Aronow
1500 Post Rd |
$43.24 | 204 | 181 |
|
Qurat Mudassar
40 Heights Rd |
$55.47 | 177 | 146 |
|
Nura Salameh
122 Heights Rd Ste 318 |
$27.05 | 161 | 160 |
|
Lisa Chang Schlussel
1500 Boston Post Rd Ste 100 |
$82.95 | 109 | 94 |
|
Julie Lynn Sweeney
745 Post Rd |
$81.63 | 62 | 59 |
|
Chong Linus Li
330 Boston Post Rd Ste 240 |
$20.44 | 56 | 51 |
|
Chelsea Ann Clemens
106 Noroton Ave Ste 101 |
$18.56 | 45 | 37 |
|
Erin M. Fallon
104 Heights Rd # R103 |
$98.57 | 37 | 37 |
|
Despina Trigenis
17 Bailey Ave |
$102.64 | 36 | 36 |
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 Darien, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Darien, CT is $45.99 per claim, based on 106,101 claims from 53 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 Darien, CT?
There are 53 Medicaid providers offering Office Visit related services in Darien, CT according to public payment data.
What is the price range for Office Visit in Darien, CT?
Medicaid reimbursement for Office Visit in Darien, CT ranges from $0.00 to $108.25 per claim, with an average of $45.99. 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 Darien, CT
Psychiatric Evaluation
Avg $44.74
34,978 claims
Vaccines & Immunizations
Avg $11.08
20,834 claims
Blood Work & Lab Tests
Avg $7.76
8,328 claims
Eye Exam
Avg $38.03
7,330 claims
Emergency Room Visit
Avg $81.03
6,199 claims
Nursing Facility Care
Avg $13.40
4,384 claims
Dental Cleaning & Exam
Avg $40.25
4,380 claims
Hearing Test (Audiometry)
Avg $8.16
3,170 claims