Average Medicaid Office Visit Payments in Higganum, CT: $49.87
Avg. Paid
$49.87
Range
$18.50 – $66.16
Total Claims
10,560
Providers
8
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 Higganum, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Walter E. Martin
415 Killingworth Rd |
$24.92 | 30 | 30 |
|
Stephanie Ann Reilly
7 Larkspur Dr |
$56.74 | 67 | 43 |
|
Timothy J Buckley
415 Killingworth Rd |
$53.18 | 327 | 256 |
|
Mario Amleto
415 Killingworth Rd |
$66.16 | 526 | 428 |
|
Sarah F Arseneault
415 Killingworth Rd |
$63.71 | 1,271 | 992 |
|
James R Doran
415 Killingworth Rd |
$63.52 | 2,627 | 2,206 |
|
Michael Kalinowski
415 Killingworth Road |
$59.67 | 2,825 | 2,561 |
|
Ryan L Roth
415 Killingworth Rd |
$18.50 | 2,887 | 2,271 |
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 Higganum, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Higganum, CT is $49.87 per claim, based on 10,560 claims from 8 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 Higganum, CT?
There are 8 Medicaid providers offering Office Visit related services in Higganum, CT according to public payment data.
What is the price range for Office Visit in Higganum, CT?
Medicaid reimbursement for Office Visit in Higganum, CT ranges from $18.50 to $66.16 per claim, with an average of $49.87. 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
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Higganum, CT
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Avg $54.05
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Avg $36.71
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Avg $89.56
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Avg $26.78
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Avg $3.56
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Urinalysis & Urine Tests
Avg $0.00
72 claims