Average Medicaid Office Visit Payments in East Haven, CT: $64.54
Avg. Paid
$64.54
Range
$2.86 – $103.55
Total Claims
97,498
Providers
23
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 East Haven, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shi Jen Cheng
300 Main St |
$68.36 | 23,568 | 19,086 |
|
Ann Celeste Mapas Dimaya
190 Main St |
$62.56 | 21,624 | 14,231 |
|
Courtney Howard
205 Main St |
$70.24 | 9,916 | 7,636 |
|
Jillian Anderson Perez
205 Main St |
$69.36 | 9,101 | 7,290 |
|
Amanda Foti
205 Main St |
$72.21 | 8,869 | 7,207 |
|
David Riccio
310 Main St |
$71.72 | 7,791 | 7,028 |
|
Philip Frick
30 Main St |
$52.33 | 4,450 | 3,783 |
|
Linda Grisgraber
310 Main St |
$72.00 | 3,646 | 2,639 |
|
Angelo Accomando
205 Main St |
$49.00 | 2,477 | 2,160 |
|
Maria I Diaz
64 Thompson St |
$25.04 | 2,224 | 1,855 |
|
Mark S Kasper
339 Hemingway Ave |
$18.63 | 1,083 | 813 |
|
Amanda Comeau
339 Hemingway Ave |
$44.18 | 636 | 576 |
|
Jessica Margaret Sarkisian
317 Foxon Rd |
$38.22 | 615 | 551 |
|
Docs Medical Inc
317 Foxon Road 2B |
$2.86 | 414 | 407 |
|
Monika Violet Fuller
836 Foxon Rd |
$41.89 | 382 | 327 |
|
Eliza Outtrim
205 Main St |
$68.83 | 337 | 279 |
|
Ashley Nicole Marx
339 Hemingway Ave |
$49.65 | 131 | 122 |
|
Jessica Ricciardelli
300 Main St |
$31.89 | 104 | 91 |
|
Cindy Jayanetti
300 Main St |
$50.34 | 55 | 50 |
|
Iman Simmonds
317 Foxon Rd Ste 2F |
$51.54 | 25 | 24 |
|
Ava Milom
317 Foxon Rd |
$20.00 | 18 | 18 |
|
Gordon S Weiss
595 Thompson Avenue |
$103.55 | 17 | 12 |
|
Marc Denigris
135 Saltonstall Pkwy |
$66.11 | 15 | 13 |
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 East Haven, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Haven, CT is $64.54 per claim, based on 97,498 claims from 23 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 East Haven, CT?
There are 23 Medicaid providers offering Office Visit related services in East Haven, CT according to public payment data.
What is the price range for Office Visit in East Haven, CT?
Medicaid reimbursement for Office Visit in East Haven, CT ranges from $2.86 to $103.55 per claim, with an average of $64.54. 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 East Haven, CT
Home Health Visit
Avg $85.50
147,536 claims
Psychiatric Evaluation
Avg $53.50
62,902 claims
Speech Therapy
Avg $42.77
34,350 claims
Dental Cleaning & Exam
Avg $26.00
31,577 claims
Vaccines & Immunizations
Avg $14.07
25,154 claims
Eye Exam
Avg $36.55
24,545 claims
Physical Therapy
Avg $27.70
23,015 claims
Personal Care Services
Avg $56.30
17,455 claims