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 |
|---|---|---|---|
|
Gail Labadia
130 Division St |
$80.78 | 14 | 13 |
|
Jorge Augusto Aguilar Espinal
130 Division St |
$29.33 | 16 | 12 |
|
Maria Cutrali
130 Division St Fl 1 |
$47.24 | 26 | 24 |
|
Elizabeth Anne Starnes
130 Division St |
$28.55 | 26 | 25 |
|
Leland J Soto
350 Seymour Ave Ste 101 |
$23.00 | 28 | 27 |
|
Angela Julian
130 Division St |
$12.88 | 29 | 25 |
|
Alexander Scot Hayden
130 Division St |
$95.38 | 41 | 40 |
|
Minh Phan
130 Division St |
$44.68 | 44 | 44 |
|
Feng Hua Guo
300 Seymour Ave Ste 202 |
$65.81 | 49 | 48 |
|
Neelima Kaushal, Llc
435 New Haven Ave |
$0.00 | 68 | 62 |
|
Katherine N Bunger
130 Division St Fl 1 |
$57.72 | 81 | 75 |
|
Sara Elizabeth Altieri
130 Division St |
$44.53 | 83 | 78 |
|
Natalie Elizabeth Coulis
130 Division St |
$24.63 | 95 | 93 |
|
Timothy Akojenu
130 Division St Fl 1 |
$36.91 | 103 | 91 |
|
William Gray
130 Division St |
$21.40 | 109 | 78 |
|
Arnold Dc Rivera
111 New Haven Ave |
$24.08 | 112 | 105 |
|
Deepali Jain
350 Seymour Ave Ste 2 |
$102.32 | 121 | 120 |
|
Rory V Condon
130 Division St |
$45.76 | 122 | 62 |
|
Jennifer Anne Williams
130 Division St |
$24.96 | 145 | 139 |
|
Alexis Cardinali
130 Division St |
$36.78 | 147 | 133 |
|
Catherine N Kumaradhas
130 Division St |
$84.62 | 148 | 138 |
|
Alexa N Miller
130 Division St Fl 1 |
$50.23 | 182 | 174 |
|
Dwayne Alansier Hall
130 Division St |
$45.65 | 184 | 131 |
|
Jenna Liguori
130 Division St. |
$74.31 | 217 | 207 |
|
Mariya Alexandra Mayer
130 Division St |
$36.14 | 223 | 196 |
|
Michael Steven Kessler
300 Seymour Ave Ste 102 |
$43.22 | 229 | 210 |
|
Heather Eckenrode
130 Division St |
$11.38 | 240 | 160 |
|
Osman Arif Jaffer
130 Division St |
$54.85 | 292 | 269 |
|
Aanu Sihota
130 Division St |
$40.39 | 309 | 279 |
|
Ihor Nicholas Ponomarenko
350 Seymour Ave |
$67.58 | 360 | 332 |
|
Angelina R Silva
350 Seymour Ave Ste 2 |
$82.78 | 374 | 310 |
|
Omowumi Funmilola Olarinmoye
130 Division St |
$69.98 | 376 | 331 |
|
Robert Nelson Hyde
111 New Haven Ave |
$73.84 | 416 | 401 |
|
Jaime Allison Goldstein
300 Seymour Ave Ste 102 |
$66.60 | 441 | 377 |
|
Michael Sung Lee
130 Division St |
$63.05 | 453 | 433 |
|
Brenton Richard Dempsey
130 Division St |
$41.34 | 469 | 422 |
|
Ryan Edward Weiss
130 Division St |
$0.00 | 534 | 301 |
|
Orawan Gardner
130 Division St |
$24.89 | 534 | 469 |
|
Jennifer Taylor
130 Division St |
$39.57 | 595 | 556 |
|
Jessica Gonzalez
130 Division St |
$55.71 | 596 | 505 |
|
Denise Barajas
350 Seymour Ave Ste 101 |
$30.27 | 648 | 600 |
|
Mihaela Boran
130 Division St |
$28.48 | 801 | 742 |
|
Kenneth V Schwartz
130 Division St Fl 1 |
$49.11 | 805 | 757 |
|
Hannah Rose Perlroth
130 Division St Fl 1 |
$64.99 | 848 | 653 |
|
Bianca N Shuster
300 Seymour Ave Ste 202 |
$37.60 | 945 | 843 |
|
Jacquelyn L Browne
130 Division St |
$0.00 | 961 | 734 |
|
Mark A Thimineur
130 Division St |
$0.00 | 968 | 953 |
|
Tiji Saji Zehring
656 New Haven Ave Ste 3B |
$37.32 | 1,076 | 1,002 |
|
Gerald George Fette
130 Division St |
$39.11 | 1,189 | 1,108 |
|
Katherine Eleanor Roarty
130 Division St |
$23.41 | 1,241 | 1,157 |
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