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 |
|---|---|---|---|
|
Cathleen M Azarigian
501 Kings Hwy E |
$79.23 | 26,329 | 23,168 |
|
Jay Berkowitz
52 Beach Rd |
$36.98 | 23,074 | 19,250 |
|
Naeem Sarfraz
2000 Post Rd |
$70.12 | 21,518 | 16,058 |
|
Raquel Huruta Dias
1305 Post Rd |
$96.94 | 20,723 | 18,444 |
|
Ranjana V Patil
501 Kings Hwy E |
$68.31 | 13,123 | 10,655 |
|
Jeffery Allen Best
2321 Black Rock Tpke |
$24.38 | 10,323 | 7,287 |
|
Marleena Dimaggio
501 Kings Hwy E Ste 106 |
$4.33 | 9,279 | 7,572 |
|
Todd L Clark
140 Sherman St Fl 2 |
$55.91 | 8,502 | 6,933 |
|
Anna Pankratov
111 Beach Rd |
$66.42 | 7,070 | 6,208 |
|
Steven M Heffer
201 Whites Hill Ln |
$44.07 | 6,982 | 6,386 |
|
Linda Ann Lawson
2355 Black Rock Tpke |
$65.70 | 6,764 | 6,203 |
|
Corey Craig Bousquet
1918 Black Rock Tpke |
$67.79 | 6,299 | 5,466 |
|
Louise Ellen Tortora
1300 Post Rd |
$13.06 | 6,280 | 3,620 |
|
Sandhya Dhanjal
425 Post Rd |
$47.93 | 6,262 | 5,504 |
|
Valentine Edusa
2228 Black Rock Tpke Ste 211 |
$70.36 | 6,111 | 3,748 |
|
Sherard Chiu
140 Sherman St Fl 2 |
$40.77 | 5,717 | 5,256 |
|
Michael Duben
134 Round Hill Rd |
$68.38 | 5,709 | 5,252 |
|
Victoria Ho
1918 Black Rock Tpke |
$65.04 | 5,669 | 4,729 |
|
Nejem Aousadj
1918 Black Rock Tpke |
$65.73 | 5,620 | 5,039 |
|
Paul E Berard
425 Post Rd |
$53.30 | 5,575 | 4,942 |
|
David H Bushell
501 Kings Hwy E |
$62.21 | 5,567 | 5,035 |
|
Joseph James Thimons
Ophthalmic Consultants Of Connecticut |
$26.81 | 5,489 | 4,234 |
|
Eric I Gentry
501 Kings Hwy E |
$51.94 | 5,365 | 4,910 |
|
Eddy A. Castillo
425 Post Rd |
$40.86 | 5,034 | 4,486 |
|
Jorge David Palomino Vargas
1152 Kings Highway Cutoff |
$40.79 | 5,025 | 3,751 |
|
Philip E Greenspan
501 Kings Hwy E |
$52.49 | 4,653 | 4,225 |
|
Skylar Krystina Robinson
425 Post Rd |
$57.20 | 4,527 | 4,113 |
|
Taesun P Chung
2000 Post Rd |
$0.00 | 4,522 | 4,061 |
|
Prince Acquaye
1918 Black Rock Tpke |
$65.14 | 4,482 | 4,061 |
|
Luann Russo
501 Kings Hwy E |
$34.62 | 4,289 | 4,019 |
|
Sonja Alise Vindheim
50 Unquowa Pl |
$85.83 | 4,079 | 3,795 |
|
Edward A Duda
425 Post Rd |
$44.27 | 4,039 | 3,509 |
|
Boguslawa Unger
525 Tunxis Hill Cut Off |
$50.39 | 4,000 | 3,407 |
|
Sandy Pais Narciso-Owen
Sacred Heart University, Physician Assistant Studies |
$72.39 | 3,960 | 3,396 |
|
Anda Raluca Gonciulea
1152 Kings Highway Cutoff |
$52.63 | 3,795 | 3,630 |
|
Melissa Bonilla
501 Kings Hwy E Ste 106 |
$8.61 | 3,688 | 3,072 |
|
Steven V Kardos
425 Post Rd |
$31.96 | 3,666 | 3,452 |
|
Alph Jo Emmanuel
140 Sherman St Fl 2 |
$59.33 | 3,628 | 3,109 |
|
Srinath Kadimi
75 Kings Highway Cutoff Fl 5 |
$32.76 | 3,623 | 3,206 |
|
Alla Chesky
111 Beach Rd |
$62.73 | 3,606 | 3,240 |
|
Kathleen P Burlison
111 Beach Rd |
$46.53 | 3,491 | 3,112 |
|
Cullen K Griffith
305 Black Rock Tpke |
$28.99 | 3,393 | 3,142 |
|
Thomas I Odinak
525 Tunxis Hill Cut Off |
$80.44 | 3,377 | 3,190 |
|
Jennie Horstmann
1401 Kings Hwy |
$76.50 | 3,350 | 3,065 |
|
Pamela Barrett
1918 Black Rock Tpke |
$67.34 | 3,323 | 2,998 |
|
Eric Louis Alter
425 Post Rd |
$48.01 | 3,287 | 3,047 |
|
Veronica R Plasencia
325 Reef Rd |
$52.85 | 3,271 | 2,888 |
|
Nicholas Alfred Blondin
75 Kings Highway Cutoff |
$25.28 | 3,190 | 2,651 |
|
Kenneth Alan Kingsly
425 Post Road |
$18.58 | 3,138 | 2,923 |
|
Thomas Barton Toothaker
75 Kings Highway Cutoff |
$34.52 | 3,122 | 2,577 |
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