Average Medicaid Office Visit Payments in Essex, CT: $53.12
Avg. Paid
$53.12
Range
$0.00 – $174.57
Total Claims
57,852
Providers
30
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 Essex, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicholas Condulis
One Wildwood Medical Center |
$83.92 | 8,906 | 7,451 |
|
Kenneth Robert Burke
One Wildwood Medical Center |
$78.22 | 7,376 | 5,965 |
|
Michelle Elizabeth Dilorenzo
One Wildwood Medical Center |
$78.82 | 6,940 | 5,632 |
|
Timothy A Tobin
147 Westbrook Rd |
$44.97 | 4,842 | 4,015 |
|
Marybeth Pytlik Ellison
Sunflower Developmental Pediatrics |
$3.25 | 4,794 | 4,485 |
|
Theresa M Ramponi
190 Westbrook Rd |
$16.46 | 3,231 | 2,534 |
|
Julianne M Steahr
40 Eagle Ridge Dr |
$78.67 | 3,107 | 2,625 |
|
Earl Rodney Hornbake
10 Wildwood Medical Ctr |
$7.95 | 2,977 | 2,717 |
|
Zoe Mcglamery
147 Westbrook Rd |
$57.81 | 2,973 | 2,630 |
|
Jay Kris Pascual
10 Wildwood Medical Ctr |
$14.16 | 1,970 | 1,420 |
|
Erin M Coleman-Cordes
1 Wildwood Medical Ctr |
$74.71 | 1,855 | 1,702 |
|
Louise M Maloney
9 Wildwood Medical Ctr |
$44.54 | 1,627 | 1,377 |
|
Jonathan Jackson Key
12 Bokum Rd |
$14.63 | 1,429 | 1,118 |
|
Kristi Poehlmann
147 Westbrook Rd |
$26.58 | 1,261 | 1,121 |
|
Meredith Ann Lindner
147 Westbrook Rd |
$73.42 | 1,232 | 1,079 |
|
Donna Baldwin Colquhoun
20 Saybrook Rd |
$0.00 | 784 | 531 |
|
Elizabeth K. Nelligan
147 Westbrook Rd |
$46.03 | 503 | 437 |
|
Martin Jeffrey White
12 Bokum Rd |
$15.58 | 441 | 352 |
|
Steven Mitchell Luster
12 Bokum Rd |
$21.35 | 311 | 258 |
|
Mark David Lorenze
12 Bokum Rd |
$24.03 | 309 | 254 |
|
Sommar Victoria Otfinoski
147 Westbrook Rd |
$30.70 | 245 | 224 |
|
Catherine Mary Demers
10 Wildwood Medical Center |
$44.33 | 187 | 136 |
|
Siobhan Harder
147 Westbrook Rd |
$31.50 | 120 | 111 |
|
Mara Shaw Whitmore
147 Westbrook Rd |
$26.55 | 112 | 98 |
|
Christa Nicole Wittmann
147 Westbrook Rd |
$59.53 | 110 | 93 |
|
Taylor Marie Sansevero
35 Saybrook Rd Ste 1 |
$174.57 | 64 | 64 |
|
Michael David Baldwin
10 Wildwood Medical Ctr |
$62.85 | 58 | 53 |
|
Virginia L Maher Wiese
20 Saybrook Road |
$21.67 | 55 | 52 |
|
Ewa T Ruggieri
147 Westbrook Rd |
$66.82 | 17 | 14 |
|
Ioanna Anastasiadis
147 Westbrook Rd |
$59.23 | 16 | 16 |
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 Essex, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Essex, CT is $53.12 per claim, based on 57,852 claims from 30 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 Essex, CT?
There are 30 Medicaid providers offering Office Visit related services in Essex, CT according to public payment data.
What is the price range for Office Visit in Essex, CT?
Medicaid reimbursement for Office Visit in Essex, CT ranges from $0.00 to $174.57 per claim, with an average of $53.12. 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 Essex, CT
Psychiatric Evaluation
Avg $47.90
34,980 claims
Vaccines & Immunizations
Avg $17.16
17,628 claims
Dental Cleaning & Exam
Avg $0.00
8,245 claims
Hearing Test (Audiometry)
Avg $6.02
4,866 claims
Nursing Facility Care
Avg $15.61
3,566 claims
Podiatry (Foot Care)
Avg $3.51
3,442 claims
Blood Work & Lab Tests
Avg $3.31
893 claims
EKG / ECG (Electrocardiogram)
Avg $7.42
652 claims