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
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