Average Medicaid Office Visit Payments in Guilford, CT: $45.74
Avg. Paid
$45.74
Range
$0.00 – $96.00
Total Claims
55,789
Providers
76
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 Guilford, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tricia Mignosa
2415 Boston Post Rd Ste 12 |
$49.31 | 6,728 | 5,731 |
|
Sarah Tullo
800 Boston Post Rd |
$33.90 | 5,097 | 4,317 |
|
Martha A Howard
206 Church St |
$53.58 | 4,362 | 4,252 |
|
Meghan Killilea Galli
1057 Boston Post Rd Ste 2 |
$17.36 | 3,520 | 3,165 |
|
Clara Bowron
106 Shore Dr |
$66.46 | 3,289 | 2,477 |
|
Gary N Grippo
189 Durham Road |
$21.95 | 3,092 | 2,137 |
|
Katherine M. Powell
753 Boston Post Rd |
$8.51 | 1,969 | 1,081 |
|
Nancy Hurlburt
1591 Boston Post Rd Ste 100 |
$66.65 | 1,918 | 1,586 |
|
Timothy Rausch
1591 Boston Post Rd Ste 100 |
$70.80 | 1,766 | 1,409 |
|
Jamie L Baruffi
800 Boston Post Rd |
$40.16 | 1,481 | 1,421 |
|
Wajih Zaheer Kidwai
111 Goose Lane |
$31.80 | 1,318 | 1,175 |
|
Danielle L Deline
1057 Boston Post Road |
$26.68 | 1,295 | 1,170 |
|
Anthony Mascia
1591 Boston Post Rd Ste 100 |
$74.27 | 1,239 | 984 |
|
Derek Matthew Steinbacher
5 Durham Rd Ste 1-8 |
$38.59 | 1,236 | 1,178 |
|
Brittney Ann Gunneson
800 Boston Post Road |
$24.39 | 1,124 | 1,090 |
|
Mary Jane Galvin
405 Church St |
$68.39 | 1,015 | 779 |
|
Kathryn Leigh Mazza
1591 Boston Post Rd Ste 100 |
$88.91 | 951 | 671 |
|
Amelia E Yungk
1057 Boston Post Rd |
$58.47 | 823 | 795 |
|
Anne E Youngling
1591 Boston Post Rd |
$59.17 | 821 | 677 |
|
Francine M Testa
5 Durham Rd |
$95.96 | 747 | 727 |
|
Sarah S Gerritz
652 Boston Post Rd |
$74.57 | 717 | 623 |
|
Joseph Balsamo
1591 Boston Post Rd Ste 100 |
$34.18 | 686 | 508 |
|
Gregory K Mulvey
5 Durham Rd |
$34.09 | 684 | 616 |
|
Jake Edward Morgan
53 Horseshoe Rd |
$52.24 | 579 | 527 |
|
Nancy Czarkowski
152 Broad St |
$78.97 | 561 | 504 |
|
Robert T Schoen
47 Clapboard Hill Rd |
$30.29 | 555 | 381 |
|
Fraser Lawrence
5 Durham Road |
$75.61 | 532 | 479 |
|
Ann M Hoefer
152 Broad St |
$78.88 | 469 | 417 |
|
Jonathan H R Stein
152 Broad St |
$78.23 | 455 | 409 |
|
Amrita Shah Karki
1057 Boston Post Rd Ste 2 |
$13.72 | 392 | 369 |
|
Robert Nolfo
152 Broad St |
$83.90 | 388 | 362 |
|
Alexandra Deanna Zak
152 Broad St |
$64.23 | 367 | 289 |
|
Catharine Ann Arnold
385 Church St |
$39.63 | 365 | 347 |
|
Elan Gorshein
Yale-New Haven Shoreline Medical Center |
$26.32 | 345 | 330 |
|
Kathryn Ann Kruser
152 Broad St |
$60.95 | 328 | 262 |
|
Jody Heffernan
111 Goose Ln |
$13.69 | 312 | 295 |
|
Frank J Zimmitti
1591 Boston Post Rd Ste 100 |
$85.37 | 302 | 273 |
|
Susan M Elles
1057 Boston Post Rd |
$28.23 | 267 | 233 |
|
Emma Pellegrino
1057 Boston Post Rd |
$0.00 | 263 | 165 |
|
Jill Mceachern
705 Boston Post Rd |
$53.64 | 238 | 188 |
|
Su Hsien Lim
111 Goose Lane |
$31.72 | 235 | 214 |
|
Rachael Marguerite Carlucci
1057 Boston Post Rd |
$21.39 | 211 | 197 |
|
Howard Lee Distelman
515 Boston St |
$5.64 | 199 | 164 |
|
Rachael Schaller
1057 Boston Post Rd |
$27.00 | 189 | 183 |
|
Ana Rodriguez-Musterer
385 Church St |
$22.50 | 188 | 169 |
|
Tina Walde
264 Church St |
$57.18 | 187 | 155 |
|
Sarah L Curtis
111 Goose Ln Ste 1300 |
$17.88 | 177 | 154 |
|
Zahraa K Ibrahem
385 Church Street |
$70.15 | 166 | 157 |
|
Monica M Munteanu
1591 Boston Post Rd Ste 100 |
$63.83 | 143 | 135 |
|
Jeffrey Carlton Roeser
1591 Boston Post Rd Ste 100 |
$34.25 | 137 | 124 |
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 Guilford, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Guilford, CT is $45.74 per claim, based on 55,789 claims from 76 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 Guilford, CT?
There are 76 Medicaid providers offering Office Visit related services in Guilford, CT according to public payment data.
What is the price range for Office Visit in Guilford, CT?
Medicaid reimbursement for Office Visit in Guilford, CT ranges from $0.00 to $96.00 per claim, with an average of $45.74. 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 Guilford, CT
Psychiatric Evaluation
Avg $50.75
42,560 claims
Eye Exam
Avg $46.32
16,757 claims
Dental Cleaning & Exam
Avg $37.17
16,620 claims
Nursing Facility Care
Avg $9.01
14,972 claims
Physical Therapy
Avg $28.25
11,025 claims
Speech Therapy
Avg $42.07
9,370 claims
Home Health Visit
Avg $31.41
6,975 claims
Ambulance Transport
Avg $77.90
6,774 claims