Average Medicaid Office Visit Payments in Fairfield, CT: $49.81
Avg. Paid
$49.81
Range
$0.00 – $138.69
Total Claims
498,734
Providers
244
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 Fairfield, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brett Andrew King
425 Post Rd Fl 2 |
$37.91 | 12 | 12 |
|
Tara B Sanft
4185 Black Rock Tpke Ste 202 |
$72.17 | 12 | 12 |
|
Gena M. Cobrin
425 Post Rd |
$63.80 | 13 | 12 |
|
Laura Tiedemann
1375 Kings Hwy Ste 301 |
$78.70 | 14 | 14 |
|
Kathryn Brogan
2379 Black Rock Tpke |
$33.12 | 14 | 14 |
|
Tara Kerner
39 Sherman Ct |
$78.07 | 15 | 15 |
|
Robert A Stanton
305 Black Rock Tpke |
$24.33 | 16 | 13 |
|
Fiore F Soviero
305 Black Rock Tpke |
$26.76 | 17 | 14 |
|
Kathleen R Bonaventura
1305 Post Rd |
$17.06 | 24 | 24 |
|
Christopher Michael Svogun
305 Black Rock Tpke |
$17.00 | 25 | 12 |
|
Robert Stacy Goldsmith
3135 Easton Tpke |
$0.00 | 26 | 24 |
|
Sidet Sou
1482 Post Rd |
$28.24 | 26 | 24 |
|
Ruchi Kapoor
1817 Black Rock Tpke Ste 206 |
$43.64 | 29 | 26 |
|
Ashton Chuck-Wing Lai
1305 Post Rd |
$58.72 | 29 | 27 |
|
Jean-Paul C. Lucke
305 Black Rock Tpke |
$4.15 | 31 | 28 |
|
Fereshteh Ahmadian
111 Beach Rd |
$25.74 | 39 | 29 |
|
Nicholas Ernest Sostilio
2379 Black Rock Tpke |
$66.05 | 39 | 38 |
|
Kevin Ryan Mcdonald
425 Post Rd |
$32.08 | 40 | 24 |
|
Rolf H Langeland
75 Kings Highway Cutoff |
$134.55 | 40 | 39 |
|
Advanced Medical Footcare, Llc
1817 Black Rock Turnpike |
$0.00 | 42 | 41 |
|
Nelson Leonard Gould
2379 Black Rock Tpke |
$57.15 | 42 | 40 |
|
Matthew Donald Barr
52 Beach Rd |
$17.26 | 47 | 42 |
|
Roselle Eisma Crombie
111 Beach Rd |
$39.60 | 51 | 49 |
|
Marina S.L. Colombo
52 Beach Rd Ste 104 |
$23.12 | 52 | 42 |
|
Seyed Aleali
425 Post Rd |
$38.73 | 52 | 40 |
|
Lawrence J Fliegelman
1305 Post Rd |
$12.41 | 54 | 48 |
|
Neeru N Kaushik
805 Kings Hwy E |
$98.45 | 55 | 50 |
|
Murali Chiravuri
1305 Post Rd |
$54.40 | 57 | 54 |
|
Genevieve A John
2150 Black Rock Tpke |
$15.35 | 68 | 50 |
|
Lacy C Birdseye
187 Forest Ave |
$48.25 | 75 | 62 |
|
Elenita Espina
309 Stillson Rd |
$39.69 | 75 | 69 |
|
Nicole Marie Saur
425 Post Rd Fl 1 |
$64.76 | 76 | 76 |
|
Michael F Saffir
305 Black Rock Tpke |
$6.19 | 83 | 49 |
|
Michael Demasi
1055 Post Rd |
$10.92 | 85 | 54 |
|
Rizwan Ahmad
305 Black Rock Tpke |
$1.68 | 90 | 78 |
|
Deborah Miller Sylvestro
5151 Park Ave |
$23.70 | 92 | 75 |
|
Peter Vandell
1735 Post Road |
$38.90 | 94 | 85 |
|
Rebecca Tvardzik
1305 Post Rd |
$51.65 | 98 | 88 |
|
Brian J. Henninger
1305 Post Rd |
$58.49 | 101 | 39 |
|
Nicolle E White
1918 Black Rock Tpke |
$84.66 | 106 | 98 |
|
Angelina Angeli
425 Post Rd |
$26.24 | 107 | 103 |
|
Brianna Iraida Ortiz
309 Stillson Rd |
$40.61 | 133 | 132 |
|
Nirmala Lois Monteiro
52 Beach Road |
$68.84 | 147 | 139 |
|
Kristina Marie Diurno
425 Post Rd |
$37.66 | 166 | 163 |
|
Nikhilesh Royopet Sekhar
140 Sherman St |
$61.51 | 167 | 151 |
|
Jennifer S. Schwartz
2000 Post Rd Ste 101 |
$72.32 | 169 | 162 |
|
Bryan T. Lawlor
1305 Post Rd |
$17.62 | 173 | 168 |
|
Daniel York Reuben
425 Post Rd Ste 204 |
$44.31 | 184 | 161 |
|
Laura Petiford
1525 Kings Hwy |
$46.53 | 190 | 149 |
|
Charlene Ashley Liao
1152 Kings Highway Cutoff |
$74.14 | 200 | 185 |
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 Fairfield, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fairfield, CT is $49.81 per claim, based on 498,734 claims from 244 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 Fairfield, CT?
There are 244 Medicaid providers offering Office Visit related services in Fairfield, CT according to public payment data.
What is the price range for Office Visit in Fairfield, CT?
Medicaid reimbursement for Office Visit in Fairfield, CT ranges from $0.00 to $138.69 per claim, with an average of $49.81. 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 Fairfield, CT
Physical Therapy
Avg $28.03
289,647 claims
Psychiatric Evaluation
Avg $79.93
134,681 claims
Dental Cleaning & Exam
Avg $37.28
126,109 claims
Eye Exam
Avg $33.20
104,381 claims
Speech Therapy
Avg $46.95
86,179 claims
Vaccines & Immunizations
Avg $16.87
64,917 claims
EKG / ECG (Electrocardiogram)
Avg $6.22
39,112 claims
Dental Filling
Avg $93.00
34,768 claims