Average Medicaid Office Visit Payments in Derby, CT: $48.01
Avg. Paid
$48.01
Range
$0.00 – $102.32
Total Claims
177,636
Providers
87
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 Derby, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Griffin Hospital
130 Division St |
$81.04 | 19,302 | 16,226 |
|
Wendy Russett
130 Division St |
$2.48 | 14,097 | 12,771 |
|
Neelima Kaushal
435 New Haven Ave |
$83.19 | 10,723 | 8,529 |
|
Comprehensive Pain And Headache Treatment Centers, Llc
130 Division Street |
$0.10 | 8,117 | 7,893 |
|
Jacqueline Braunworth
68 Division St |
$62.29 | 7,914 | 6,201 |
|
Joseph Gnanaraj
130 Division St |
$28.69 | 7,303 | 6,528 |
|
Alexander A Carrese
299 Seymour Ave |
$33.37 | 6,944 | 5,652 |
|
Cynthia Mary Ronan
300 Seymour Ave |
$41.59 | 6,281 | 5,311 |
|
Ottilie T Rose
78 Pershing Dr |
$80.63 | 5,986 | 5,417 |
|
Rhianon Noel Iassogna-Roman
130 Division St |
$48.65 | 5,916 | 3,631 |
|
Diana Bytyqi
135 Division Street |
$68.31 | 5,118 | 4,595 |
|
Mahreen Rashid
Griffin Hospital |
$40.43 | 4,864 | 4,459 |
|
Carlos Schweitzer
300 Seymour Avenue |
$47.17 | 4,409 | 3,921 |
|
Mark Taafel
130 Division St |
$44.69 | 4,052 | 2,462 |
|
Robin Murdock
130 Division St |
$77.72 | 3,753 | 2,797 |
|
Sudha Thiruvengadam
130 Division St |
$69.08 | 3,699 | 3,152 |
|
Grace Yang Biggs
300 Seymour Ave Ste 202 |
$51.77 | 3,220 | 2,942 |
|
Kenneth S Spector
130 Division Street |
$54.02 | 2,898 | 2,596 |
|
Kathleen M Chaisson
130 Division St |
$25.41 | 2,795 | 2,594 |
|
Shilpa Shetty
67 Maple Ave |
$50.78 | 2,480 | 2,158 |
|
Don-Andre Jackson
130 Division St |
$89.02 | 2,413 | 2,231 |
|
Joseph Blaise Guarnaccia
350 Seymour Ave # 1C |
$40.47 | 2,313 | 2,182 |
|
Neha Jashwantlal Rana
130 Division St |
$71.70 | 2,147 | 1,874 |
|
Andrew John Paulson
130 Division St |
$0.09 | 2,056 | 2,016 |
|
Cayla Cirsten Daniele
300 Seymour Ave Suite 102 |
$39.35 | 1,895 | 1,729 |
|
Nikolett Kocsis
78 Pershing Dr |
$76.45 | 1,887 | 1,501 |
|
David Spadaro
111 New Haven Ave Ste 6 |
$0.08 | 1,871 | 1,439 |
|
Lower Naugatuck Valley Parent Child Resource Center, Inc.
30 Elizabeth St |
$99.20 | 1,675 | 1,563 |
|
Kenneth J Dobuler
130 Division St |
$21.20 | 1,669 | 1,240 |
|
Jocelyn Batista Mendes
300 Seymour Ave Ste 102 |
$58.84 | 1,595 | 1,454 |
|
Dinesh Singh
300 Seymour Ave Ste 202 |
$25.02 | 1,526 | 1,470 |
|
Stephen Michael Kelly
130 Division St |
$16.26 | 1,526 | 1,395 |
|
Divya Aggarwal
130 Division St |
$61.18 | 1,513 | 1,471 |
|
Mark S Grogan
130 Division Street |
$46.83 | 1,500 | 1,392 |
|
Medexpress Urgent Care Connecticut, P.C.
68 Division St |
$0.08 | 1,490 | 1,415 |
|
Sana Hanif
130 Division St Fl 1 |
$71.25 | 1,300 | 1,175 |
|
Mukesh Kumar
130 Division St |
$53.82 | 1,276 | 1,151 |
|
Katherine Eleanor Roarty
130 Division St |
$23.41 | 1,241 | 1,157 |
|
Gerald George Fette
130 Division St |
$39.11 | 1,189 | 1,108 |
|
Tiji Saji Zehring
656 New Haven Ave Ste 3B |
$37.32 | 1,076 | 1,002 |
|
Mark A Thimineur
130 Division St |
$0.00 | 968 | 953 |
|
Jacquelyn L Browne
130 Division St |
$0.00 | 961 | 734 |
|
Bianca N Shuster
300 Seymour Ave Ste 202 |
$37.60 | 945 | 843 |
|
Hannah Rose Perlroth
130 Division St Fl 1 |
$64.99 | 848 | 653 |
|
Kenneth V Schwartz
130 Division St Fl 1 |
$49.11 | 805 | 757 |
|
Mihaela Boran
130 Division St |
$28.48 | 801 | 742 |
|
Denise Barajas
350 Seymour Ave Ste 101 |
$30.27 | 648 | 600 |
|
Jessica Gonzalez
130 Division St |
$55.71 | 596 | 505 |
|
Jennifer Taylor
130 Division St |
$39.57 | 595 | 556 |
|
Orawan Gardner
130 Division St |
$24.89 | 534 | 469 |
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 Derby, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Derby, CT is $48.01 per claim, based on 177,636 claims from 87 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 Derby, CT?
There are 87 Medicaid providers offering Office Visit related services in Derby, CT according to public payment data.
What is the price range for Office Visit in Derby, CT?
Medicaid reimbursement for Office Visit in Derby, CT ranges from $0.00 to $102.32 per claim, with an average of $48.01. 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 Derby, CT
Blood Work & Lab Tests
Avg $4.40
683,762 claims
Emergency Room Visit
Avg $257.91
143,485 claims
Physical Therapy
Avg $31.32
120,522 claims
Urinalysis & Urine Tests
Avg $1.73
98,510 claims
Psychiatric Evaluation
Avg $46.25
88,408 claims
EKG / ECG (Electrocardiogram)
Avg $4.89
79,694 claims
Dental Cleaning & Exam
Avg $40.36
62,280 claims
X-Ray
Avg $34.95
50,342 claims