Average Medicaid Office Visit Payments in Groton, CT: $38.10
Avg. Paid
$38.10
Range
$0.00 – $106.49
Total Claims
114,979
Providers
65
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 Groton, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anandhi Baleswaren
481 Gold Star Hwy |
$8.66 | 13,857 | 12,339 |
|
Christina Elizabeth Gentile
915 Poquonnock Rd |
$1.44 | 13,311 | 5,199 |
|
Joanna L. Breton
220 Route 12 |
$74.93 | 6,022 | 5,349 |
|
Nicole Roy
75 Eastern Point Rd |
$79.64 | 5,380 | 4,683 |
|
Sonya Lisa Marshall
85 Poheganut Dr |
$23.24 | 5,036 | 4,455 |
|
Robert George Herman
85 Poheganut Dr |
$50.01 | 4,613 | 4,429 |
|
Mary A Glenn
495 Gold Star Hwy |
$96.79 | 4,503 | 4,047 |
|
Christopher J Anderson
495 Gold Star Hwy Ste 112 |
$59.06 | 4,315 | 3,268 |
|
Kilbourn Gordon
220 Route 12 |
$48.08 | 4,312 | 3,892 |
|
Patricia R Swim
481 Gold Star Hwy # 100 |
$4.44 | 4,009 | 3,606 |
|
Serita M Smith
915 Poquonnock Rd |
$11.72 | 3,514 | 3,202 |
|
Carol J Fiftal
495 Gold Star Hwy |
$97.27 | 3,119 | 2,859 |
|
David J Mccormick
220 Route 12 |
$72.68 | 3,050 | 2,803 |
|
Nimesh K Patel
404 Thames St |
$51.12 | 2,861 | 2,540 |
|
Darren J Courtright
85 Poheganut Dr |
$13.61 | 2,811 | 2,183 |
|
Heidi Welch
1 Wahoo Ave |
$44.17 | 2,762 | 2,260 |
|
Aimee J Criscuolo Beck
481 Gold Star Hwy Ste 100 |
$7.03 | 2,334 | 2,059 |
|
Robert B. Ecker
491 Gold Star Hwy |
$11.40 | 1,944 | 1,418 |
|
Steven Bruce Carlow
495 Gold Star Hwy |
$23.40 | 1,923 | 1,360 |
|
Amanda L Shelby
915 Poquonnock Rd |
$14.71 | 1,876 | 1,568 |
|
Mark William Mittauer
Rte 12 Bldg 449 |
$28.16 | 1,716 | 1,656 |
|
Michael E Blefeld
495 Gold Star Hwy |
$98.29 | 1,667 | 1,565 |
|
Oyewole G Ogunnaike
1057 Poquonnock Rd # 6 |
$25.73 | 1,633 | 1,077 |
|
Sheila Murphy
220 Route 12 |
$54.28 | 1,620 | 1,489 |
|
Marc Bruce Kallinen
1041 Poquonnock Rd |
$47.19 | 1,566 | 1,524 |
|
Nina Erlanger
85 Poheganut Dr |
$55.82 | 1,395 | 1,222 |
|
Lynda Mary Lombardi
481 Gold Star Hwy # 100 |
$68.57 | 1,238 | 1,024 |
|
Christopher Sanford Thompson
481 Gold Star Hwy Ste 201 |
$17.88 | 1,229 | 992 |
|
Patricia Mcivor
85 Poheganut Dr |
$53.54 | 1,135 | 846 |
|
Kimberly C. Riquelme
1353 Gold Star Hwy |
$49.82 | 1,087 | 989 |
|
Alana C. Rebollo
85 Poheganut Dr |
$16.41 | 941 | 792 |
|
Marque A Setevage
101 Groton Long Point Rd |
$49.25 | 905 | 776 |
|
Kathryn Walck
915 Poquonnock Rd |
$15.09 | 901 | 785 |
|
Jeanne Burdon Ware
915 Poquonnock Rd |
$41.47 | 841 | 655 |
|
Josee Diane Cloutier
1 Wahoo Ave |
$48.32 | 660 | 500 |
|
Renu O Kothari
591 Poquonnock Rd |
$106.49 | 499 | 428 |
|
Robert A Grillo
1 Wahoo Ave |
$23.38 | 440 | 368 |
|
Judith Blackman-Cockran
495 Gold Star Hwy |
$86.95 | 438 | 384 |
|
Thomas Kucharchik
481 Gold Star Hwy |
$49.73 | 335 | 290 |
|
Jennifer Donahue
85 Poheganut Dr |
$66.93 | 324 | 286 |
|
Nicole D Pumphrey
1 Wahoo Ave |
$24.39 | 319 | 295 |
|
Zachary J. Jupin
220 Route 12 |
$59.74 | 306 | 270 |
|
Renae Reynolds
489 Gold Star Hwy Ste 100 |
$25.79 | 206 | 169 |
|
Anna-Marie L Melchreit
495 Gold Star Hwy |
$93.09 | 199 | 182 |
|
Rosalinda G Gaona
495 Gold Star Hwy Ste 112 |
$48.73 | 178 | 154 |
|
Corrado Pitari
481 Gold Star Hwy # 100 |
$1.01 | 176 | 150 |
|
Margaret Gross
495 Route 184 Ste 120 |
$69.73 | 149 | 143 |
|
Laura Anne Watts
85 Poheganut Dr |
$63.08 | 132 | 107 |
|
Maria Kristine Tompkins
491 Gold Star Hwy |
$30.64 | 113 | 109 |
|
Tania Richard
17 Eastwood Rd |
$36.75 | 107 | 76 |
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 Groton, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Groton, CT is $38.10 per claim, based on 114,979 claims from 65 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 Groton, CT?
There are 65 Medicaid providers offering Office Visit related services in Groton, CT according to public payment data.
What is the price range for Office Visit in Groton, CT?
Medicaid reimbursement for Office Visit in Groton, CT ranges from $0.00 to $106.49 per claim, with an average of $38.10. 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 Groton, CT
Psychiatric Evaluation
Avg $62.40
72,780 claims
Ambulance Transport
Avg $90.59
24,508 claims
Eye Exam
Avg $37.02
19,847 claims
Vaccines & Immunizations
Avg $9.23
16,892 claims
Emergency Room Visit
Avg $44.96
12,221 claims
Physical Therapy
Avg $21.60
10,055 claims
Dental Cleaning & Exam
Avg $27.60
8,581 claims
Blood Work & Lab Tests
Avg $3.73
2,936 claims