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Based on public Medicaid payment data.

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
Peter L Mohrer

5 Durham Rd B5

$0.00 13 12
Hannah Aundrea Murphy

385 Church St

$74.10 13 12
Bridget Elise Meadow

111 Goose Ln Ste 2200

$15.38 13 12
Valentine Rae Esposito

152 Broad St

$87.82 14 13
Michael Allegrini

385 Church St

$7.73 15 12
Susan R Levy

5 Durham Rd

$96.00 15 13
Jennifer B Tharakan

1591 Boston Post Rd Ste 100

$22.77 17 13
Mary J Scheimann

5 Durham Rd

$76.82 25 24
Kay Haedicke

111 Goose Lane

$30.61 29 25
Doris U Okwu

1591 Boston Post Rd Ste 100

$58.76 31 31
Lisa Woods

385 Church St

$17.50 32 27
Lisa B Stein

350 Goose Ln Ste 203B

$41.62 46 40
Sarah Scheller

111 Goose Ln

$42.07 47 45
Padula Institute Of Vision Rehabilitation, Llc

37 Soundview Rd

$0.00 51 49
Kimberly Cricchi

1591 Boston Post Rd Ste 206

$27.63 56 51
Kevin Knowlton

1591 Boston Post Rd Ste 100

$26.72 56 53
Alexandra Liggio

111 Goose Ln Ste 2400

$30.46 66 66
Sasa Zivkovic

800 Boston Post Rd

$31.38 66 65
Charles E. Glass

96A Broad St

$39.82 70 52
Jodi E. Indes

5 Durham Rd

$53.92 73 64
Sanda L Tomak

450 Boston Post Rd

$2.40 88 63
Carl Anthony Violano

385 Church St Ste 101

$51.90 96 85
Jill Anne Peterson

29 Broad St

$0.00 101 96
Erica Mcmillian

5 Durham Rd

$17.61 103 48
Jorge Gutierrez

652 Boston Post Rd Ste 1

$76.86 109 103
Mary Josephine Elliott

47 Clapboard Hill Rd.

$57.17 116 102
Jeffrey Carlton Roeser

1591 Boston Post Rd Ste 100

$34.25 137 124
Monica M Munteanu

1591 Boston Post Rd Ste 100

$63.83 143 135
Zahraa K Ibrahem

385 Church Street

$70.15 166 157
Sarah L Curtis

111 Goose Ln Ste 1300

$17.88 177 154
Tina Walde

264 Church St

$57.18 187 155
Ana Rodriguez-Musterer

385 Church St

$22.50 188 169
Rachael Schaller

1057 Boston Post Rd

$27.00 189 183
Howard Lee Distelman

515 Boston St

$5.64 199 164
Rachael Marguerite Carlucci

1057 Boston Post Rd

$21.39 211 197
Su Hsien Lim

111 Goose Lane

$31.72 235 214
Jill Mceachern

705 Boston Post Rd

$53.64 238 188
Emma Pellegrino

1057 Boston Post Rd

$0.00 263 165
Susan M Elles

1057 Boston Post Rd

$28.23 267 233
Frank J Zimmitti

1591 Boston Post Rd Ste 100

$85.37 302 273
Jody Heffernan

111 Goose Ln

$13.69 312 295
Kathryn Ann Kruser

152 Broad St

$60.95 328 262
Elan Gorshein

Yale-New Haven Shoreline Medical Center

$26.32 345 330
Catharine Ann Arnold

385 Church St

$39.63 365 347
Alexandra Deanna Zak

152 Broad St

$64.23 367 289
Robert Nolfo

152 Broad St

$83.90 388 362
Amrita Shah Karki

1057 Boston Post Rd Ste 2

$13.72 392 369
Jonathan H R Stein

152 Broad St

$78.23 455 409
Ann M Hoefer

152 Broad St

$78.88 469 417
Fraser Lawrence

5 Durham Road

$75.61 532 479

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

Other Procedures in Guilford, CT